3rd Trimester

What are your out of pocket costs for your delivery?

I am just curious to see around the country what you ladies are paying.  I have a pretty good insurance plan (Kaiser Permanente) through my employer and just got an out of pocket estimate for a normal vaginal delivery with no complications of $1660 (maternity is covered at 80%, so this is my 20%) which includes meeting my annual deductible of $250, and $2240 for a c-section.  My max out of pocket under my plan will be $2250.  I thought this was ok, but kind of high.  A friend of mine with a Kaiser plan had a c-section and literally paid $40 out of pocket.  Anyone else know what they are paying?
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Re: What are your out of pocket costs for your delivery?

  • QmommyQmommy member
    I have kaiser and all I have to pay is $250 deductible for the hospital.  I have not paid for a single doctor visit or lab test thus far in this pregnancy.  :)
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  • We have Optimum Choice (United-Mamsi) and I'm pretty sure we don't pay anything.  I have a $15 co-pay with each doctor's visit, so they may make me pay that when I check-in, but I don't remember having any other bills after that.
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  • I have blue cross and blue shield. I just paid my last copay to my doctor. She told me all I owe is $600.00 and that includes the the delivery. Now the hospital stay I am not really sure she just said that I will not recive another bill from her.

  • Just curious...are you getting these estimates from your insurance company, the hospital or your doctor's office?  I have been wanting to review this as well, but was not sure where to start?  Thanks!
  • I have Carefirst BC/BS.  It's a PPO and I have a state job, so I'm very lucky.  I may have to pay a $50 hospital co-pay, if that.  I paid $15 for my first OB visit and haven't paid another dime.
  • Just paid my bill Monday and it was 500, but because I pre-paid they gave me 20% off so a mere 375.00 that is freaking awesome compared to my son where i paid about 500 to the Dr and 1400 to the hospital not including the money I paid for the epi, the doctor who helped with my C-section and the pediatrician. With the plan I have this time I think it is all covered by the 500/375!

     ETA: I have Molina (which is where I work and we have our own insurance), but I use the blue cross blue shield network. And I have no deductible.

  • my insurance situation is wonky.... im covered under tricare (navy brat) so i paid 12 dollars my first OB appt, and my hospital stay will only cost about 40$.... my LO isnt covered under my insurance tho, so we are using my fiancees insurance for her, which has a 3,000$ deductible....
  • brayleibraylei member
    We have CIGNA and I will be paying $1,100 for the hospital and $464 for the doctor out of pocket. I know that it's a little more for a c-section, but I didn't check into that yet. I was okay with these prices. It's not that bad; it could always be worse.
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  • We switched from my PPO to my DH's Kaiser plan and I'm actually glad we did because out of pocket at Kaiser is $250 for entire delivery whether we stay for 1 day or 12 days. I think my PPO would have been in the couple thousand range. We've already paid for it since it was so cheap.
  • Good question.  I wish I knew.  We haven't paid anything yet so far (all of my appts, u/s, and testing have been covered 100%).
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  • Once I have met my $600 deductible, 10% of any costs incurred to a maximum out of pocket expense of $3300 (or so).  DC's delivery is covered under me, but the nursery care, etc. then falls under his own deductible.  I haven't totalled it up because the number makes me very, very sad.
  • LouRN09LouRN09 member

    I have Humana, and work at the hospital where I will be delivering...but my current OOP is $380ish. They contacted my insurance company in the beginning and got an idea as to how much it would all be for a standard delivery, including all visits, co pays, lab work, etc. It will be higher with anesthesia, but it was atleast a good ballpark guesstimate. I had to pay this amount before my 28th week.

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  • imagep092907:
    Just curious...are you getting these estimates from your insurance company, the hospital or your doctor's office?  I have been wanting to review this as well, but was not sure where to start?  Thanks!

    I got them directly from the insurance company, but the hospital I deliver at will be a Kaiser Permanente Facility, so I am not sure for those with different plans if you will have to make several different phone calls.  Ins. co was able to break down the allowed OB fee, anesthesia and facility fee for me to give me the total.

  • Ya'll are gonna hate me.....

     

    I have the HMO provided through my employer (the hospital I work at, I will also be delivering at).  My first OB appt was a $10 co-pay and my hospital stay will be $100 and another $100 for LO.  So essentially, I'll be paying $210 out of pocket (thats not counting my $75 copay for a couple triage visits though.....blah) 

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  • delg23delg23 member
    I got an estimate around that but I actually just emailed to find out when I can expect a more specific number.
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  • $2000 deductible for me, another $2000 deductible for the baby, $250 for circumcision and then 20% on top of that (which right now is about $600). When I talked to them at the beginning of my pregnancy they said to save up about $6000. I don't know what it would have been for a c-section, I was too afraid to ask!

    I have Anthem and am VERY jealous of your insurance!

  • I'm in Northeastern Ohio and have United HealthCare.

    I had a $15 co-pay for my first OB visit, and that's it! $0 for everything else. I have to be in-network but since in-network includes all docs at University Hospitals and The Cleveland Clinic, I'm good to go!  I consider myself pretty lucky.  I have pretty good insurance.

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  • imageQmommy:
    I have kaiser and all I have to pay is $250 deductible for the hospital.  I have not paid for a single doctor visit or lab test thus far in this pregnancy.  :)

    Nice - I have to pay a $15 co-pay at every visit and have paid $10 co-pay for each time I had to do labs.

  • Should be $350.00 which is my in-patient admission copay. My plan doesn't have a deductible and covers 100% including lab and x-ray as long as I go to in network providers. I did have a $20.00 copay for my initial OBGYN visit because it was my second within a calender year (had my anual in September and my first OB visit in December).
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  • Kaiser: $5 each visit and $500 for delivery.
  • bancbevbancbev member
    I also have to pay 20% for all OB, labor, delivery and hospital costs.  My max OOP is $4k so that is about what it will cost me.
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  • I have Kaiser too and pay $500 out of pocket for delivery (regardless of vaginal or c-section) and $5 co pay for each prenatal and well-baby visit (up to 2 years old). Lab work was $10 co pay.
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  • $3000 for me, $3000 for her max out of pocket deductible.  I've already paid about $1500.  But I'm not complaining - mostly was ultrasounds. 

    I've been putting aside cash every paycheck.  It's daunting to consider how expensive it could be.  My OB tells me that the total OOP for her will be approximately $500, but that is not the same as the hospital costs.  

    So...$6000 max OOP. 

  • If I pay my copay after I deliver its $100.00 if I pay before I get a $2.00 discount. I have bluechoice high and its fabulous.
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  • We have aetna my DH works for a Charter School, the benefits are amazing our co-pay for delivery is $15.00
  • I believe it's around $600 (I have the bill/estimate around here somewhere).  Our max OOP is $1000 and we're almost there (DH had an MRI earlier this year) so it won't be too much more expensive. 

    And I have Blue Cross Blue Shield.

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  • I spoke directly with my insurance (Capital Blue Cross) about this issue. Since I have already paid my yearly deductible ($500) in lab work/ultrasounds I do not pay anything for delivery unless there are any complications or I opt for somethng not considered medically necessary.
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  • augs06augs06 member
    I just have to pay my hospital co-pay.  My doc visits have all been covered 100%.
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  • I have Alliance and my yearly out of pocket max is $200 for the whole family (no copays.)  Since that is paid they will be covering 100% for vaginal or c-section delivery. 
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  • imageQmommy:
    I have kaiser and all I have to pay is $250 deductible for the hospital.  I have not paid for a single doctor visit or lab test thus far in this pregnancy.  :)


    I have BCBS and this is exactly how my plan works.
  • Tricare: $0
  • I have Kaiser, my out of pocket is $750 regardless of vaginal or c-section.  I used to have the plan it sounds like you have (patient pays 20%) but I switched to the richer plan during open enrollment since I knew I would be giving birth this year and would rather have an exact dollar amount than wonder what the grand total would be.  Love that all pre-natal care was $0 (except when I had to pay the specialist co-pay of $30 when I had my growth ultrasound).
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  • No co-pays or fees for any visits/test/lab work so far. I pay nothing for labor & delivery - no deductible of co-pays for anything at the hospital EXCEPT circumcision I pay a surgical deductible for because it is covered as "surgery" not as a maternity procedure.
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  • I had a vag. delivery with a vacuum extraction plus two nights in the hospital...no complications, very healthy baby.  Our out of pocket was around $2,500 with Anthem Blue Shield. Our hospital is allowing us to do monthly $100 payments. Every OB appointment involves a $20 co-pay.

  • last time we paid $600 for maternity care and delivery. that was our 20%

    Then for the hospital stay we also paid 20% and it was about 600 as well.

     

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  • I paid my $20 co-pay and I'm done. My husband added me to his insurance so I would be double covered. As soon as we have the baby, he's dropping me. I would have paid $1160.00 though, which is 20% of my total costs + a $500.00 deductible.
  • zero for the hospital. its covered 100% with no deductible. thank goodness.

    prenatal care was one $10 copay for my first visit and 10% of any labwork & ultrasounds (which I think were about $100 total)

     eta- I have Aetna, but had BCBS with DS & it was the same way. 

  • I have Keystone Health Plan East, which is a division of Independence Blue Cross.  To date, I've only paid copays ($40) on my ultrasounds and all my OB/GYN appointments were covered in full.  As for the hospital, I have a $100 copay for each day in the hospital that will max out at $500.  So after day 5, I pay $500 and nothing more.  I don't anticiapte being in the hospital longer than 4 days so I'll probably have a bill of $400.  Worse case scenario I'll have a bill of $500.
  • imagestacymartz:
    Kaiser: $5 each visit and $500 for delivery.

    This.

  • Tricare-0$!! Woot Woot! Finally its good for something!

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