1st Trimester

Have to take $ to first appointment?

I have my first appointment tomorrow and I got a letter in the mail yesterday saying that I need to bring $1104.  They estimate the total on our end to be $3520.  The letter isn't very clear, not sure if this is just for prenatal care of the whole thing. 

Did any of you have to take money to your first appointment?  That seems pretty high, but then again, it doesn't surprise me!

Re: Have to take $ to first appointment?

  • Do you have insurance or you are just paying out of pocket for everything?  All I had to pay was my $20 co-pay.
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  • Did your MW/OB bill your insurance before your first appt.?  Mine doesn't bill until after my first appt.  But, I was expected to make a payment on my balance my second visit (I'm responsible for 20%).  My full balance is due by 30wks.

    *ETA - My total for prenatal care & delivery is $3k.

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  • I have insurance.  I thought it was good insurance but I guess not! :/
  • I don't have copays, so I never pay for anything when I'm there. I get a letter in the mail telling me what they think my chunk will be and to please pay it by the time I'm 7 months. The lab sends me their own bills for all b/w.
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  • It sounds like that is what they figure your insurance isn't going to cover for the whole thing.

    Call your ins. and double check before you pay anything.  Then call the doctor office and see if you can set up monthly payments of about $400 a month.

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  • Thanks!  I just looked at the letter for the 300th time and it looks like it is an estimate of what my insurance isn't going to cover.  They'll cover 80%, the rest is up to us.  Shoul've studied it more before posting, sorry... :)

  • I was informed at 4:15pm the day before my appointment, which was scheduled three weeks in advance, that I needed to have $1,000 at the appointment, which is half of my deductible.  We will then need to bring $250 to the subsequent four appointments, until the deductible is paid.

    I'm guessing it' normal protocol, although I have to admit that the offices don't handle providing the information in the best or most timely manner.  That will likely be the entire shabang on your end, but baby will incur additional charges (around $3,000) for testing and what not in the hospital.  You also may have increased costs based on certain unplanned things.

  • I was told at my first appointment that i was to pay $639 for the appointments/delivery fee. i didnt KNOW that until i was leaving my first appointemnt.... so i had to call them back later and pay it. but im just paying 100 bucks at a time and i have to pay it off by the 8th month. ask them to put you on a payment plan. they cant expect you to just shovel out 1k. they will always try to be helpful in payments. but i think it is pretty normal, that really sucks you have to pay that much though. i thought my insurance sucked!

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  • Butting in from 3rd tri

    I hate this sort of stuff.  What if, god forbid, someone loses the pregnancy, and has paid all of that money?  Do you get it back or are you screwed?  

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  • With DS, my OB fee was my deductible plus 10% of costs. It was late in 2008 and I had already reached my deductible so all I had to pay was $125 which covered routine visits, 2 u/s, NSTs, and labs. All my PTL appts I had to pay co-pays for and I had to pay 10% for my 2 hospital stays at 24 and 26 weeks. After that I didn't have to pay anything to the hospital for L&D or anestheologist. Most likely those two will bill you separately.

    With this pg (I'm 8wks), I only have to pay a $100 fee for my routine visits, u/s, NSTs, and labs since we don't have deductibles or coinsurance percentage.

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  • imagerobinsokj:

    Butting in from 3rd tri

    I hate this sort of stuff.  What if, god forbid, someone loses the pregnancy, and has paid all of that money?  Do you get it back or are you screwed?  

    Depends - my friend had a late m/c and they refunded her money. I think she did have to then repay them some of it for the d&c. Another friend changed insurances haflway through her PG and her deductibles and coinsurance changed. It lowered her OB fees from $1500 to $300 and the OB wrote her a check for the difference.

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  • I have my second appointment in a week (at 12 weeks to finally hear the hb) and they still havent said anything about payment. I thought that it would all be lump sum in the end but maybe I should ask more questions. At my first appointment all they did was medical history stuff and blood draw. She mentioned that they would go over costs etc. at a later date and since I had insurance not to worry about a thing. I would like to know a couple weeks in advance if they were planning on charging me 1000 bucks.
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  • imagerobinsokj:

    Butting in from 3rd tri

    I hate this sort of stuff.  What if, god forbid, someone loses the pregnancy, and has paid all of that money?  Do you get it back or are you screwed?  

    I was told, "Any payment made that is an overage or error on insurances part, or not fully used during the course of your treatment will be refunded."

    But, you'd honestly be surprised how quickly that deductible gets eaten.  A little blood work, an ultrasound and an appointment or two and it's gone.

  • No, the only thing we ever paid at our appts were the co-pay which was $25. In the hospital after DD was born we had to pay a certain percentage of the total cost. Not sure why you have to pay all that at your first appt.
  • wow, I have never heard of paying your co-pay for delivery up front, especially if you have insurance. 

    I was billed after delivery for everything last time.  I expect the same.   I have really good insurance, no deductable and no hospital copay.

  • i go in for my second appointment on wednesday and i have to bring in $250 for now as a 'deposit' for the services and then in a few weeks i will meet with someone there to go over what my responsibility and what my insurances responsibility is.
  • After my 2nd visit, my dr's office called to let me know what I was responsible for.? I have a one time $35 copay and the total for the prenatal care/ physicians delivery fee is $265 out of pocket.? They automatically divided it into a payment plan of about $45 a month.? I also called my insurance company to verify that my ultrasounds and in particular my NT scan was covered.? Any in office ultrasound and the NT scan is covered 100% as long as it is an "in network" provider.? ?I think having to pay over a $1000 at your first visit is crazy.
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  • I was asked to leave a $400 deposit at my first appt. My dr. doesnt bill anything until after delivery. I am responsibe for 30% of the total. My $400 will go towards that 30%, whatever part of it is not used for any extra ultrasounds or tests that are not standard. This is very normal practice for my area.
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  • i guess i'm lucky.  with DS i paid 20 co pay and then 1500 , which is my deductiable after having him. I havent had to pay anything this time around prob b/c it's been in the same year that my deductable has been met so. nothing has to come outta pocket until after delivery!
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