Hi ladies! This is my first post over here....
I'm curious as to how many office visits you've had/have while PG. My H and I are trying to learn what to expect from an insurance standpoint (co-pays, meeting our deductible, etc.) Do/did you go for a check-up every other week? Every three? Every week? How many U/S did you have?
TIA!
Re: How many doc appts have you had (or will have)?
Hi and welcome!
This is a tough question... as it really depends on how your pregnancy is going and how risky your pregnancy is. I can give you my experience with appointments, however, I have thankfully had a very vanilla pregnancy, and haven't needed a ton of extra appointments.
1. 8 week appointment with U/S at OBs to date pregnancy (no co-pay for any visits as BCBS considers these visits rountine). Rx for prenatals which cost me $30 month AFTER insurance.
2. 12 week appointment with no U/S
3. 12 week NT scan at hospital with bloodwork
4. 13 or 14 week second blood draw
5. 16 week appointment with no U/S
6. 20 week appointment
7. 20 Big U/S to check the fetus for defects
I think that has been everything. I am not including pre-natal classes etc, and if I forgot something, I will let you know.
?My OB had it all planned out. We started with monthly visits at 6 weeks. Then it became every 2 weeks and then weekly . I had no co- pay for routine OB visits.
U/S were the n/t scan at 12 weeks and then anatomy scan at 18 weeks. I also had a growth u/s due to GD at 37 weeks and then 2 more due to failed non-stress tests. (I was induced after the 39th week and my son is great).
I only had co-pays for my diabetes-related visits to an endocrinologist. I think the hospital delivery co-pay was 100.00. I am sure that your insurer can tell you their policies and limitations. ? ??
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Not counting my ultrasounds, which are done at the hospital under the supervision of a Perinatologist, my visits are every 4 weeks until my 32nd week or so. I believe it's biweekly until 38 weeks and then weekly thereafter.
Since my first visit was at 6-1/2 weeks, I was a bit ahead of schedule but will catch up by 24 weeks.
8 week (Mine: 6w4d)
12 week (Mine: 10w4d)
16 week (Mine: 15w0d on 2/12)
20 week (Mine: 19w4d on 3/16)
24 week
28 week
32 week
34 week
36 week
38 week
39 week
40 week
Ultrasounds were NT Scan (@12 week) and 20 weeks. My insurance had a $30 copay for the first visit and after that all visits are covered at 100% and three ultrasounds are also covered without pre-certifcation. If I need another (I've already had two, one at 10 weeks and the NT) I need Oxford to approve it.
For Labor/Delivery/Hospital stay, my plan has a $2500 in-network deductible and 30/70 after (I pay 30%). There's a $5000 out of pocket max. However, I'm switching to my husband's insurance in May (per his company, it's allowed) and his plan has a $500 copay for hospital stay and that's it. I need him to double check that the cost covers newborn care too.
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