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June 2013 Moms
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insurance rant

AbbeyGirlBrideAbbeyGirlBride member
in June 2013 Moms

So I noticed on my online account that my first OB appointment was coming back as being all my responsibility(!?)  Figured it was either a coding error or someone forgot a referral number or something dumb.  Also had a couple of coverage questions, so I decided to call my insurance company today.  

My goals were to 1.  Sort out what happened with that first claim and 2. Get a written list or pamphlet or SOMETHING that said what the maternity benefits/ what's covered are other than the stupid copay.  From what I've seen, many insurance companies have a little "Congrats!  Your pregnant!" pamphlet that outlines what special things they offer.  Never got anything like that with mine (Anthem Blue Cross HMO)

Results?  I explained how I wanted to know what's covered and not to 2 different people.  All I got was a pdf that had the exact same info on copay (did you not understand my question!?) and referred to a different person who could answer specific questions.  When I asked if a doula was covered, he said "let me look that up" (let me have that document you're looking it up on!) and told me no.  But I did ask about breast pumps and I guess they do cover them for me, if I get the preauthorization and note from my OB.  

I got the other claim cleared up too - someone didn't include the preauthorization # on the claim.  So that's being taken care of.

 Still - I can't believe I have to look into a crystal ball, as a FTM anticipate what I will need and call to see if it's covered every time.  I'm sure they don't want to offer up that info in a handy pamphlet so people won't know that it's available to them.  Grrr!  

 Ok. I know this is somewhat hormone induced, so I'll stop.

<end of rant> 

 

 

Married 9/15/2007 - TTC #1 since 9/2012 - BFP 10/16/2012 EDD 6/20/2013 BabyFruit Ticker BabyFetus Ticker
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Re: insurance rant

  • RissNRussRissNRuss member
    Oh no! I better have Hubby check his online account (we're through his office for ours). I know we've already had some BS from trying to get me on Zofran for my HG. It's time to get the low-down, plus I want to start the procedure for obtaining a pump too. Good luck to you!
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  • flerlgirlflerlgirl member

    Lame sauce. I hate it when they aren't helpful! I have Kaiser and they are super nice but my particular office is a little disorganized - drives me nuts!

     






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  • dmlk413dmlk413 member
    That sucks.  I had issues with the lab who did my bloodwork.  They sent me a big bill saying that my insurance company denied the claim.  Come to find out they billed a completely different company!  Now I have to wait for them to resubmit the claim to my actual insurance company to find out if I owe anything or not.  The whole insurance side of things has been a huge pain during this pregnancy.
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  • hoopduckhoopduck member
    I'm sorry you have to go through this, OP. I can't imagine having to worry about insurance on top of being a FTM, really it makes me thankful to live where I live. I wish I could lend you my healthcare plan :(
    TTC since 2004, Ectopic 2005, lost right tube. Multiple miscarriages. Baby girl born June 2013.
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  • bumpuser8448316bumpuser8448316 member
    I don't know why insurance companies have to be such idiots. We pay good money, you would think part of what they provide could be some decent customer service.

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