Insurance and NT scan?

jillychris · April 2012

Was yours covered? I have great insurance (though no fertility coverage), but any labwork, test etc that is requested by a dr is usually covered. Just talked to my MFM office that I was referred to. She said the bloodwork and NT scan are not covered.

Is this normal? Is it considered an "extra" thing? Might make my decision for me, unfortunately...

psychmusetls · April 2012

Wow! I never even considered that it wouldn't be covered. Is it something the doctor can argue for coverage?

jillychris · April 2012

psychmusetls:
Wow! I never even considered that it wouldn't be covered. Is it something the doctor can argue for coverage?

I'm a little bit worried, because I already had the 1st tri b/w drawn. Never even crossed my mind that it wouldn't be covered!. I guess I'll find out...

lovebug33 · April 2012

My insurance covered it, but there was an extra 10 dollar charge because it was considered "specialty."

mandalinn25 · April 2012

Mine was covered, I am AMA though, so that might be why.

amandaleigh1 · April 2012

The language in my insurance is very loose and covers anything medically necessary for prenatal wellness. This includes the nt scan and all bloodwork, at 100%. I have a PPO, so things that are not "preventative" would otherwise cost me 20%. I think you should see what your policy says or call them to be sure.

jillychris · April 2012

mandalinn25:
Mine was covered, I am AMA though, so that might be why.

I am AMA as well.

pb_bride · April 2012

Mine is not until next week; but I did a google search on my ins plan and the 1st tri screen IS covered.

However, I noticed that my ins does not cover the new MaterniT21 test. If our 1st tri screen results come back high risk, we may opt for OOP MaterniT21 instead of CVS/Amnio (the latter 2 are covered).

MrsNap_515 · April 2012

mine was covered, i've only gotten co-pay charges

MAbride0808 · April 2012

I never thought of that. I need to call tomorrow.

vanessagorc · April 2012

Mine was covered, but it is not always....there was a disclaimer to sign when i arrived. I would have paid OPP, if needed...so i was fine either way.

naybird · April 2012

I know that here in CA the NT scan and bloodwork are done through the State of CA. It's pretty annoying. I just got a bill for it in the mail for $165.00. I filled out the paperwork and sent back my insurance info. So we shall see what they say.

You may want to call your insurance company directly and check for yourself.

ELF4321 · April 2012

Mine was fully-covered, but I'm also AMA. Find out how much it costs, because I think it was only a couple hundred. Also, talk directly to your insurance company and ask them why it's not covered.

cutebride73 · April 2012

My MFM's office said that some insurance covers it and some doesn't. They gave me the codes for all the tests and suggested that I call my insurance company and ask. I did and luckily it was all covered for me. I was really shocked when the dr office said it might not be.