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Pregnancy insurance billing

mjzmjz
in South Florida Babies

I'm currently seeing a doctor in a solo practice. They told me at my last appointment that they're only going to bill my insurance one time after the entire pregnancy and delivery are done, but I have to make payments everytime I go in for a visit, and my account has to be paid in full by 36 weeks. Is this normal?

I've never experienced this type of billing before. I'm sure it's because he's in a solo practice, but have you ever dealt with this? While it's not a huge deal, it's a bit of a pain on my end because I have a health reimbursement account through my employer to help me meet my deductible, but I can't get that money reimbursed until the doctor's office bills my insurance (I don't think...need to check on that). Regardless, I worry something's going to get messed up and we're going to be out a whole lot of money before we realize something's wrong.

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Re: Pregnancy insurance billing

  • VirginnyVirginny

    At WHP, they said that there is a one-time prenatal/labor/delivery charge at the end, but there are other charges during the pregnancy - vaccinations, blood work, extra ultrasounds, etc. They would send those bills to the insurance company for any discounts/negotiations, then I was left to pay the rest each time I came in for a visit. With my insurance, however, I don't have to pay a co-pay or anything to see doctors or specialists. But with those payments plus the expensive perinatalogist appts, I ate through my deductible pretty quickly.

    After delivery, I received the bill for the lump sum for standard care and then I received the hospital's bill for labor/delivery. And another bill for the mandatory state hearing screening that my insurance didn't cover and one more for the circumcision that wasn't covered either. 

     

     

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  • VandRickyVandRicky
    I am responsible for a deductible (like $400) and that's it and it has to be paid in full by by 24th week.
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  • allison8878allison8878 member
    My dr for this pregnancy does something similar. I have to pay my portion of the delivery/visit costs by 25 weeks and its a group practice. I have a flex spending account too for healthcare but they won't reimburse me until insurance is billed either.
    It seemed odd to me at first but I've heard of other practices doing this too.
    FWIW, my dr in FL for my first pregnancy billed my insurance one time at the end, but didn't collect any payment from me until after delivery.
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  • mjzmjz
    Thanks for your responses! It seems like their way of doing things isn't all that abnormal, so I feel better. :)
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