1st Trimester

S/O post sort of. You have to pay to have your baby?

I was reading a reply to my u/s post below and something said kind of shocked me. So you have to pay to have your baby? Like for delivery and pre-natal care? I know here in Canada, its costs if you need fertility treatments or IVF, but we don't pay anything when we have our babies or for pre-nantal care. Maybe I am misunderstanding this? It must be because our healthcare system is different. So how much does it usually cost to get pregnant, have pre-natal care and deliver your baby? I'm not saying one way is better than the other, I'm just curious :)
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Re: S/O post sort of. You have to pay to have your baby?

  • Estimated expenses for having a baby in the US (dependent upon insurance):

    $500 prenatal care

    $2000 for delivery

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  • I was given a rough outline at my first doctor's visit. It included all prenatal visits but no testing or ultrasounds (I believe). For a vaginal birth it was around $4500, for a C-section it was closer to $5,000. Insurance will cover some or all of that, depending on your plan. I do not live in a metropolis, but rather a small town in the Southern Tier of NYS, so my numbers are probably lower than someone in NYC or Chicago (just a guess)

  • I am just lurking but if you have insurance here in the US you usually pay either a deductible or a copay or both. My baby came 5 weeks early and ended up costing 92,000 for his delivery alone not counting my care. I have to pay 4500 of that.
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  • I pay $20 for each office visit during my pregnancy - same as if I was just going for my annual appointment.  Then for delivery, I have a hospital copay ($100)  in addition to the normal copay for the attending doctors ($20).  If I get an epidural, it increases.  If the baby (boy) gets circumcised, it increases.  If its a c-section, it increases... but the base delivery, its around $400 when its all said and done and you get to choose who and where you deliver.
  • For DD my insurance covered everything 100%.  But, the total cost was something like $30,000 for the entire hosptial stay (labor and delivery).  I don't know how much prenatal care would have been. 

    This time, the insurance changed and we were going to have to pay $6,000.  Luckily we were able to change our plan at the last minute and now we are covered 100% again, as long as we chose all in-network doctors/hospitals.  If we get stuck having to use out of network (which I don't anticipate), we have to pay for everything, they won't cover it at all.

  • Out of pocket we will pay just over 4 grand.
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  • We paid about $1700 for DD. The OB office broke their portion down into payments that we paid every months for six months. So the money for all visits, labs, and the midwife helping birth was paid for before DD arrived. We got a bill from the hospital for me and one for DD about a month and a half after I delivered her.

    We have really good insurance. DH's cousin is about 12 weeks and she just found out it's going to cost her $3400 and I'm not sure if that includes the actual bill for being in the hospital.

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  • I pay for pre-natal exams, ultrasounds, blood tests, hospital costs, doctor's delivery fees, and any anesthesiologists fees (like for epidurals or c-sections).  I'll pay about $1500 for an uncomplicated vaginal birth.  (That is what I will actually pay after insurance covers the rest.)
  • With my insurance, I will end up paying the max out of pocket for the year which is $5k in my case.
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  • With our insurance our Pre-natal doctor's visits don't cost us anything.  Labor and Delivery is $1,000.00
  • imageMarshaBrady:
    With my insurance, I will end up paying the max out of pocket for the year which is $5k in my case.

     

    This. 

  • Holy smokes! I can't imagine having to pay that. I guess I see why you literally have to save up to have a baby there. Plus, I'd be trying to make it through without and epidural LOL :)
  • Everytime I see a cost post I am so grateful DH is English and we live in the UK.  I pay nothing for care and birth get free dental while I am pregnat and free presciptions until my child is a certain age (perscription are whole ?7 nomally) and my child will get free presciptions until 16.  It must be said that taxes are taken out for health care but I pay less each month in National Insurance tax than I paid for healthcare through work in the US.
  • After insurance I owe, $1500 to the hospital, $600 to the OB and $600 to the pedi (which is for the circ. b/c that isn't considered necessary)
  • LOL - yes, of course we do!  I pay my copay the first visit ($50) and then nothing else for the rest of my visits.  I think I pay $50 for each u/s so it'll be about $150 for that, so $200 for prenatal care. Last time, my per day in-hospital stay was $200 so that was $600 total... this time, it's higher (new insurance) so it's $500 a day.. so if I'm there 3 days - $1500.

  • (kind of  a long response, sorry)

    If you have insurance you have to pay basically your entire deductible for the year since chances are your labor/delivery is going to cost a whole lot of money.  For me, this basically means a $500.00 deductible, PLUS my insurance covers 80% of all procedures so I am liable for 20%.  However, this is capped at $2,000.00. 

    SO I am looking at paying about $2,500.00 for me, and if the baby has a lot of costs possibly $2,500 for the baby since it is a deductible of $500 per PERSON on the insurance plan.  I may not have to pay the full $2,000 for the baby if the medical bills are not that high for the baby.  But if there are any complications I will pay $2,500.00 for the baby as well.

    And of course if the DH gets sick at any point this year, you guessed it, his deductible is $500 and again 80% is covered leaving us to pay 20% of any remaining bills, capped at $2,000.00.  So let's hope DH has NO medical bills this year!

    Even with insurance here, you must pay a deductible most of the time with your insurance policy.  Obviously the higher the out of pocket deductible, the less you are going to pay for your monthly or yearly premium.  The less you pay each year or month for medical insurance, the higher your out of pocket deductible will likely be (as is the norm for car insurance). 

    No health insurance is really "free" in this country.  Unless of course you are on medicaid, or welfare, in which case, most all of your healthcare is FREE as are your prescriptions, etc...

    And of course if you're "rich" money is no issue so you don't mind paying for healthcare.  Everyone else in the "middle" has to pay something. 

  • So what if your baby is delivered prematurely and needs to stay in the hospital for like a month or longer? Could this cost go up into the hundreds of thousands of dollars range? And even if you have insurance but that covers only 80%, would you stil to pay 20% of like  200K? Or is it usually capped because holy cow, 40K is still a lot of money to come up with! I guess you really hope for a smooth delivery and no complications?
  • I have lived in both the UK and Ireland and would rather pay $1500 to have my baby here then to deliver in either country for free. Socialized medicine is not the answer for every country.
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  • imageMrserinJ:
    So what if your baby is delivered prematurely and needs to stay in the hospital for like a month or longer? Could this cost go up into the hundreds of thousands of dollars range? And even if you have insurance but that covers only 80%, would you stil to pay 20% of like  200K? Or is it usually capped because holy cow, 40K is still a lot of money to come up with! I guess you really hope for a smooth delivery and no complications?

    Most insurances cap at a certain point so you would have to pay 20% up to 5000 as an example.

  • imagepwf:
    I have lived in both the UK and Ireland and would rather pay $1500 to have my baby here then to deliver in either country for free. Socialized medicine is not the answer for every country.

    Ditto. 

  • Everyone's insurance here is different.  For me I have to meet the first $1000 in expenses.  My company gives us an HRA card that pays $500 of the deductible.  It's like a credit card that can only be used for health expenses. 

    So, $500 company paid HRA + $500 out of my pocket = $1000 deductible

    After I have met the deductible, my insurance pays 80% of costs and I pay 20% until I have paid $1200.  Insurance then covers the rest at 100%.

    So, total, I will pay $1700 out of pocket.  Not bad considering.

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  • imagepwf:
    I have lived in both the UK and Ireland and would rather pay $1500 to have my baby here then to deliver in either country for free. Socialized medicine is not the answer for every country.

    I agree that socialized medicine is not the answer for all but I have to say that it is better care than most women without insurance would recieve in the US.

  • This makes me very grateful to live in Canada. Don't have to pay anything.
  • I don't have a deductible, just copays up to a certain amount... like the max we'd pay for a hospital stay would be $2500, even if it were months on end.
  • I'm responsible for 20% of whatever I rack up.  I have a $3.5k yearly OOP cap with my insurance.  With DD, I paid the max.  We'll see how it breaks down this go-round.
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  • yes! you are lucky!!!
  • imageanderson_moore2008:

    imagepwf:
    I have lived in both the UK and Ireland and would rather pay $1500 to have my baby here then to deliver in either country for free. Socialized medicine is not the answer for every country.

    I agree that socialized medicine is not the answer for all but I have to say that it is better care than most women without insurance would recieve in the US.

    Yes

     

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  • So what if your baby is delivered prematurely and needs to stay in the hospital for like a month or longer? Could this cost go up into the hundreds of thousands of dollars range? And even if you have insurance but that covers only 80%, would you stil to pay 20% of like  200K? Or is it usually capped because holy cow, 40K is still a lot of money to come up with! I guess you really hope for a smooth delivery and no complications?

    Most insurance plans have an out-of-pocket maximum for the year - so your deductible may be $250 with an out-of-pocket max of $2000.  Which means if the hospital bills run into the 200K range, you'll still only pay the $2250 for the year.  Of course, if you deliver at the end of December and baby is in the hospital into January, you'll pay last year's and this year's max - so $4500 for the baby, plus whatever you owe for your care.  Those figures are our insurance through my husband's work.  My private insurance before we switched to his had a $1000 deductible plus a $5000 max, which meant we would have paid $6000 for labor/delivery...which is part of the reason we waited to get PG until he became eligible for his insurance.

  • imageanderson_moore2008:

    imagepwf:
    I have lived in both the UK and Ireland and would rather pay $1500 to have my baby here then to deliver in either country for free. Socialized medicine is not the answer for every country.

    I agree that socialized medicine is not the answer for all but I have to say that it is better care than most women without insurance would recieve in the US.

    You get the same care whether or not you are insured. You just have to pay more.

  • I have to say, I have never had it the other way, so can't comment on how priavte health care would be, but what is it that firghtens people about socialized health care? I'm not meaning to turn this into a huge debate, but being from Canada, I have never ever heard of someone complaining about their health care when having a baby. I am curious what makes the poster above rather "pay 1500 than have a baby in either country"? I had great care when I had my son, didn't even think about how much an epidural would cost, or how much it cost to deliver my child. I wasn't denied any treatment either. I'm just curious, because I have a cousin in the States and we were talking about their health care and he said that they "didnt want to end up like us". I found that strange, since most Canadians are fairly happy with our health care and would never want it switched the other way, but yet, many people in the States seems terrified of socialized medicine. Granted I've never had it the other way, but for the life of me, I can't figure out what's so bad about it?
  • Having a baby in the US is expensive! My husband and I are lucky because he has really good insurance.  His employer covers our out of pocket expenses up to like $7,000 and I believe we were told our out of pocket would be $3500, so we won't have to pay anything. Thank goodness!
  •  I have to say, I have never had it the other way, so can't comment on how priavte health care would be, but what is it that firghtens people about socialized health care? I'm not meaning to turn this into a huge debate, but being from Canada, I have never ever heard of someone complaining about their health care when having a baby. I am curious what makes the poster above rather "pay 1500 than have a baby in either country"? I had great care when I had my son, didn't even think about how much an epidural would cost, or how much it cost to deliver my child. I wasn't denied any treatment either. I'm just curious, because I have a cousin in the States and we were talking about their health care and he said that they "didnt want to end up like us". I found that strange, since most Canadians are fairly happy with our health care and would never want it switched the other way, but yet, many people in the States seems terrified of socialized medicine. Granted I've never had it the other way, but for the life of me, I can't figure out what's so bad about it?
  • imageMrserinJ:
    So what if your baby is delivered prematurely and needs to stay in the hospital for like a month or longer? Could this cost go up into the hundreds of thousands of dollars range? And even if you have insurance but that covers only 80%, would you stil to pay 20% of like  200K? Or is it usually capped because holy cow, 40K is still a lot of money to come up with! I guess you really hope for a smooth delivery and no complications?

    It's almost always capped at a certain amount like $1,500.00, $2,000.00 or $5,000.00 I think those are the normal numbers.

     

    As much as it may cost, I'm pretty happy about the Doctors in the practice I'm going to.  It's a big hospital with excellent doctors and a state of the art new maternity wing.  I know that a lot of people think that medical care should be "free" for everyone, (and if you live in a country where it is free and your government can afford to provide excellent medical care, then great and I'm jealous! :)

    But, I do know that hospitals cost a lot of money to run, there is research to fund, doctor's salaries to pay (who have whopping student loans and need decent salaries), etc... And my opinion is that if I have to pay a mechanic a few hundred bucks everytime something goes wrong with my car, and if I happily pay $100.00 for a pair of shoes I love, I will fork over $85.00 for a season of softball or volleyball for my team, I happily paid $2,000 to get my hardwood floors installed, I don't think paying $2,500.00 one year for having a baby is really all that bad. 

    That's just my personal opinion, but of course my husband and I have jobs that allow us to pay for our medical care this year and I understand plenty of people may not have the money to pay high deductibles for insurance or who can even afford insurance at all.  Given the financial situation I am in, meaning that my husband and I have decent jobs (although I have whopping student loan payments that make me pretty poor each month) I do not  really expect to have to pay nothing for 10-20 doctor's visits, countless consultations with doctors, ultrasounds, labor and delivery, prenatal care, and post-natal care.  To me, medical bills are a part of life and they have to be budgeted for.  This is of course only applicable for people who DO have decent medical insurance. 

    Without medical insurance, and assuming you are above the poverty line, you may be pretty screwed and usually people have to file bankruptcy to eliminate their ridiculous medical bills. (I'm a bankruptcy attorneys so this is pretty common).

     

  • Oops, sorry, I posted my last response twice!
  • My first child we had an HMO insurance plan so all my prenatal visits ultrasounds etc, were covered we had a preemie which according to the NICU nurses runs $20,000 a day, because we had an HMO it was covered the only thing we had to pay was $100 a day copay for my hospitilization nothing else.  This time my husband's insurance changed to a PPO which doesn't cover maternity care until you meet the deductible which will be $1500 and then pays part of it until we reach our out of pocket maximum which is $3000.  It must be nice to have prenatal and maternity care covered.  I can't believe my husband pays hundreds of dollars a month for our insurance and his company pays the other half and we still have so much we have to pay for out of pocket!
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  • Out of pocket we are looking at just over $3000 for prenatal, labor and delivery.
  • I don't think all Canadians are happy with the care they recieve. i worked in a family practice on the NE border and was shocked by how many Canadians came down to our office and paid out of pocket for care. I never really get into it with them about why. I just treated them and always wonder what drove them down here.
  • We will not have to pay anything out of pocket for the birth of this baby.  We are very fortunate that my husbands company pays the insurance premium for our family and my company cover the premium for me as part of our benefits.  Because I am double covered we won't have to pay out of pocket.  In America individuals pay insurance premiums in Canada tax payers pay them.  Either way someone is paying.

  • imageSharon&Paul:
    I don't think all Canadians are happy with the care they recieve. i worked in a family practice on the NE border and was shocked by how many Canadians came down to our office and paid out of pocket for care. I never really get into it with them about why. I just treated them and always wonder what drove them down here.

    You can have that both ways. At a office I used to go to, the Dr. told me that he has plenty of people from the states come here to see him... and we aren't even near the border. 

  •  

     

    You get the same care whether or not you are insured. You just have to pay more.

     

    not true.  ppl who aren't insured are less likely to look for care b/c they can't afford it and therefore are at risk for all the possibilities that came w/ being pg and no prenatal care.  OR they go to free clinics/county clinics/what have you where they are given either free care or reduced care based on income, but if you think about it it's kinda like "social health care" anyway cuz guess who pays for it...

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