November 2013 Moms

I am seriously freaking out! NBR really

I got a letter in the mail today from my insurance company, informing me that as of Nov. 1st, I will no longer be covered. I did not have insurance through my former employer as they did not offer insurance to their nonsalaried employees. I'm actually pretty embarrassed to admit this, I was on my moms insurance, but I did pay for every cent of my deductible from the time I turned 18.

After I got the letter, I did some research online and the state of MN offers two programs; MN Care (you make low monthly payments if you are employed. If you are not employed, you are not eligible for this program) and Medical Assistance (Medicaid). So, since I am not employed, I am only eligible for Medicaid. I called my mom to tell her and she immediately lit into me about how irresponsible I am (as I have mentioned before, this baby was a complete surprise) and she can't believe that her only child has to go on Medicaid. As if I wasn't down enough already.

I don't know why I am posting this. I guess Im just wondering if any of you have gone through something similar.

Re: I am seriously freaking out! NBR really

  • Here's a creepy internet stranger hug for you  >:D<

    I don't have any good advice to give. You could look into private insurance, but if you're not employed - that's not really an option since it's so dang expensive.

    Why are you getting kicked off your previous insurance? Max out the age requirement?

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  • I am so sorry! I don't know if this helps but have you looked into short term plans? I had to be on a short term plan during college so I could play softball. I honestly don't know if it would work in this situation but it might be something to check out... Hope this helps! Good luck and try not to stress out about it too much! (I know easier said than done)
    Me: 28 yo | DH: 28 yo
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  • krm112013 said:

    Here's a creepy internet stranger hug for you  >:D<

    I don't have any good advice to give. You could look into private insurance, but if you're not employed - that's not really an option since it's so dang expensive.

    Why are you getting kicked off your previous insurance? Max out the age requirement?

    I turn 26 on Wednesday, so that's why. I also looked into the three insurance companies that I have had in the past due to my mom's group insurance and all three consider pregnancy to be a pre-existing condition. My SO owns his own business and does really well, so we could afford a policy for me but the pre-existing condition thing puts a wrench in that. Thanks for the hug, I really needed one. :)
  • I'm so sorry. The timing for this to happen is especially awful and then your mom rubs salt in it. I was on medicaid with DS and am grateful it was available. I would suggest that you get on top of it now as it can take some time and a lot of back and forth phone calls and stuff to finally get covered. I know that in AZ pregnant women are automatically covered, but they still need all of your information. Good luck!!
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  • I'm on Medicaid because since I'm only part-time, insurance isn't offered to me and DH doesn't have any insurance either for me to be added to. After maternity leave, I should be put at full-time and then have the opportunity for their insurance, but as of right now, I'm just thankful that I qualify for Medicaid. 


    I'm not sure why she's so upset that you'd be on Medicaid. Is she embarrassed? At least you'll have some type of medical coverage for now until you can figure something else out if you need to. It's there to help those who need it.

    Sorry you're going through this so close to your due date! :(
    Yes, she is embarrassed. She is also embarrassed that we aren't married and I am having a baby, but that's a whole other post. I'm just worried that I won't get accepted in time.
  • edited September 2013
    So sorry you are going through this!  The same thing happened to my younger sister as she reached the age limit on our parent's insurance and she was only a contract employee at her job.   She ended up going without insurance for nearly a year, and thankfully that worked out okay for her.

    I just wanted to reach out and say that there's no shame in applying for medicaid.  There is a reason that programs like that are in place, and that I would certainly rather ask for assistance if needed then go without any coverage for the remainder of the pregnancy and post-partum. 

    My husband never had insurance growing up and once we started dating, I looked into things that were available to get him any kind of coverage as he had been forgoing any medical care for years.

    Please don't let it get you down. 
  • Here's a question. Do you guys think that the government shutdown will impact how long it takes to finish the application process?
  • Here's a creepy internet stranger hug for you  >:D<

    I don't have any good advice to give. You could look into private insurance, but if you're not employed - that's not really an option since it's so dang expensive.

    Why are you getting kicked off your previous insurance? Max out the age requirement?

    I turn 26 on Wednesday, so that's why. I also looked into the three insurance companies that I have had in the past due to my mom's group insurance and all three consider pregnancy to be a pre-existing condition. My SO owns his own business and does really well, so we could afford a policy for me but the pre-existing condition thing puts a wrench in that. Thanks for the hug, I really needed one. :)

    Boo. I remember reading that on my husband's policy when I switched over to his when we got married. A lot of them require you to be covered for so long before they will cover maternity expenses as well.

    Look into a policy after the baby is born. At least for now you have Medicaid. Not sure why your Mom is up in arms over it, could be worse.

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  • Hugs.

    This is exactly what Medicaid is for. Make sure you take advantage of all the resources you have available to you.

    You know the insurance industry is run by men when they consider pregnancy a "pre-existing condition". Ugh.

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  • ::HUGS:: I wish I could give you the insurance offered with my job, I don't use it as I use Tricare.
  • I didn't know they could kick you off during a pregnancy...

    Shame on her for giving you a hard time about Medicaid!! They can rush applications through btw. I was unexpectedly pregnant and applied right after finding out.  It was at most a week til the approval.  Unfortunately I miscarried but they still covered me for 6 weeks after.  It turned out to be a huge blessing because they caught a significant underlying health problem at my follow up. Anyhow, I hope you get the help you need!! Too bad that's a tad too early for an induction...

  • I don't have any advice either, but wanted to give a big creepy internet hug to you. I know how it is to worry about these things and being pregnant just makes it all that much worse! I hope other posters can give you some insight and you are able to get some coverage in time!
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  • ((HUGS))

    I'm so sorry! What shitty timing. FWIW- I stayed on my parents insurance until I turned 26 because they had better rates/benefits than I did on my own, so don't feel ashamed of that. 

    And don't let your mom make you feel bad about using medicare. That's just ridiculous. You do what you have to for your health and for LO. 
    I agree with Ashley 100%. I didn't know this could happen. I hope it all works out and you get coverage again quickly.
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  • Boston41Boston41 member
    edited September 2013

    I turn 26 on Wednesday, so that's why. I also looked into the three insurance companies that I have had in the past due to my mom's group insurance and all three consider pregnancy to be a pre-existing condition. My SO owns his own business and does really well, so we could afford a policy for me but the pre-existing condition thing puts a wrench in that. Thanks for the hug, I really needed one. :)

    There's no pre-existing condition if there's no lapse in coverage.

    Googled it and apparently there could be if previously on private individual insurance and not group and going to individual but talk to the companies because you may qualify.
  • You should be ok if you apply ASAP. Our hospital's financing department had us apply for Medicaid with DD to cover our high deductible from my work insurance. It didn't end up covering what we needed but I did go through the whole process last time. They keep track of the date you apply and cover everything 30 days prior to your application date. If I remember right. I know we didn't apply until after DD was born an we had received our first bill so I actually may have been more than 30 days and Medicaid said they would still pay for it if we were approved. So you should be fine as long as you get the process started soon.
  • No experience but wanted to say how sorry I am you are going through this.

    Also, with the Affordable Care Act, Medicaid is going to be making some changes for pregnant women (takes affect at different times in different states) so that may help with how fast/easy it is to get approved. Just a thought to keep in mind.

    Again, so sorry you have to deal with this right now!
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  • No similar experience but just thoughts your way!
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  • Your mom sounds so similar to mine! I have a feeling she would also be embarrassed in this situation. In my opinion though, you are doing the responsible thing by pursuing insurance, the irresponsible thing would be to let it lapse and not pay bills (something I'm pretty sure my sister has done before). I don't really have any advice, other than to send you creepy hugs and hope that everything gets itself straightened out. Good luck and hang in there!
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  • babymama619babymama619 member
    edited September 2013
    Totally sucks, I can't believe that can kick you off now. As for you mom, whatever! You need help and that's what the program is for....unless you have 5 grand laying around for appointments and delivery.

    My pregnancy was also unplanned and I'm on Medicaid. Totally did not expect to be having a public aid baby at 33! However let me tell you 1. I'm incredibly appreciative and 2. It's sort of awesome. My out of pocket cost has been about $12 and my OB practice us great and my hospital is wonderful. My birth class was also free b/c I'm on public aid.

    I say figure out how to sign up and figure out which OB you'll have to see if your current one doesn't take public aid.

    Also, it seems like you would have had to do this anyway b/c you mom insurance wouldn't have covered you LO. So what was you plan for LOs insurance? For me LO is covered under mine for 90 days until she gets her own number from the state.

    In il pregnant women are also automatically covered. Here the coverage goes back three month previous to your sign up date. So if your place is the same way as mine you shouldn't have any days without coverage.


    Moral of the story, sucks to have to ask for help, but it's awesome when the help is there, use it and be thankful and not shamed.

  • Can you go on Cobra for a month? Not sure if that applies since you are getting booted due to the age 26 rule rather than termination of employment.

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  • Oh, hugs.  I know how stressful dealing with insurance can be (I'm self-employed, my husband's work doesn't offer benefits, and we're self-insured).

    I'd get on the Medicaid if you can; it's less likely to have restrictions in terms of what they'll cover.  A private plan (we have Blue Cross Blue Shield) will not cover many prenatal things without a "maternity rider" (and coverage for that will not kick in until you've paid a year's worth of premiums, so that's useless - this was our situation, so we didn't get it). 

    However! Because of ACA, they can't refuse you insurance outright, so you'd still be covered for non-pregnancy things (like flu shots or if you injure yourself), and ACA forces them to cover some very, very basic prenatal things (so a handful of my blood tests have been covered, and all of my OB/midwife visits).  It won't cover things like ultrasounds or the labor and delivery, but you can at least add your baby to the plan after they've been born (usually you have a set period in which to enroll the baby - like 30 days - and it applies retroactively).  But a decent plan isn't cheap, either, and that's a lot of out-of-pocket for the most expensive things, so if you can get better coverage through Medicaid, I'd do it.  (We make just enough we don't qualify, sigh.)

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  • Kfran84Kfran84 member
    edited September 2013
    Hugs to you. Were you on your mom's plan as a dependent? I didn't think pregnancy was covered for dependent children under most plans. It is specifically excluded in my group plan, and I have a pretty generous plan. It's nice that you have had coverage all this time, but the timing does suck. Hopefully the act of getting the application in is enough to CYA until approval!

    Edit: iPhone trying to make me look dumb.


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  • Hey, that's why Medicaid is there! Embrace it. I had a surprise pregnancy with DS1, and had quit my job 3 days before I found out I was carrying. Whoops! DH was FI at the time, so I quickly applied for Medicaid, and was quickly accepted (I know it's different for different states). It was a blessing! It covered every penny of my pregnancy as well as a few months pp. I had an emergency c-section too. I feel very lucky to have had it, otherwise it would have been very expensive. Apply as quick as you can if you choose to go that route because it can take some time to process your application.

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  • edited September 2013
    Look up SCHIP for your state. Google search "SCHIP (insert your state)."
    It's intended for children but may apply to you while pregnant. If not, at least lo will have coverage.
    Prudence
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  • Here's a question. Do you guys think that the government shutdown will impact how long it takes to finish the application process?

    Sorry for loving that post but I work in Social Services for the state of Maryland and to the best of my knowledge MA is federally funded but processed through the State so basically those funds that you would be using have already been given to the State for the year...Hope that makes sense. May not be the same for your State...contact your nearest DSS office. If you send me a PM reminding me tomorrow I can check on it with one of those workers tomorrow.
  • That is what Medicaid is there for. I had to go on it when I got pregnant with DS. DH was laid off when I was 4 months pregnant and he carried our insurance. He got a new job and I was laid off shortly afterwards. Do not be ashamed. It's there for those that have temporary hardships.

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  • Health insurance can be such a bitch!!  Here's what I've discovered in the last couple weeks when researching this stuff-- DH and I are in a similar situation.  And I'm in Ohio-- so it might be different in MN.  

    I don't have insurance through my job because I'm self-employed.  DH has worked for the same company for 5 years, and our insurance is through him.  His boss is a sociopath (he could really be diagnosed, I'm not exaggerating) and might very well fire him at any time for no reason.  At the same time DH is desperate to quit because he's literally getting sick from the stress of working for this guy.  

    No health care insurance provider would insure me, because pregnancy is a pre-existing condition-- and our current insurer won't even allow us to continue to pay our premiums at our current rates to maintain coverage.  They offered to allow me to open enroll in October for maternity coverage, but the coverage would begin in January---- so yeah, that wouldn't work.

    Federal COBRA allows you to be fired (as long as it isn't gross misconduct) or quit, but the employer isn't required to provide it unless they have 50 full-time employees or more.  DH's employer has 48 or 49 employees-- go figure.  

    Ohio COBRA only is available if you get fired and only covers the employee and not dependents.  So no dice there either.  

    Basically DH is trying to suck it up and play nice until this baby comes (If not we might have to go some route like Medicaid, but I don't think we would qualify because of income.)  However, our insurance did get us a quote for a plan that we can pay for the day the baby is born.  It won't cover L&D, but will cover all 3 of us after the baby is born, including NICU or other baby expenses if needed.  It's similar to our current insurance-- all check-up appointments are free (mine post-partum and baby's), regular doctor's appointments, annual exams, etc. 80/20 insurance after deductible, and I think our deductible is $1500 and $5000 for a hospital stay.  It's under $300/month for all 3 of us, so that might be something to look into for after baby is here but doesn't help with the cost of L&D.  

    Hope you find something that works!  Why does insurance have to be so hard?!?!?!?
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  • I'll join the hugs group!  I had to take out a temporary insurance plan for when I was in between school and my job and they're crazy expensive!   I agree with PP, I'd go the Medicaid route as a temporary fix and then find a plan to cover you and the LO after arrival.

     

  • Huge hugs! I'm sorry this is happening, really shitty timing! I have no advice for you, I just hope you are able to get insurance coverage prior to baby being born!
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  • As a psa, someone already mentioned this, but most dependent health care plans do not cover pregnancy or childbirth.
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  • Sorry for stepping away for a bit. I was doing some research and talking to a woman in HR for the county my mom works for. My prenatal is apparently mandated by the state to be covered by my insurance even though I am listed as a dependent. I found out from her today that maternity would not have been covered anyway, because of my dependent status. That's totally weird because my mom called after we told her about the baby and the person she talked to said I would have full coverage, even maternity, until I deliver. The person I talked to today did mention COBRA, however it's over 1,000 a month and I would be required to commit to 24 months.

    If I can get Medicaid, I'm going to see how long LO will be covered. My SO and I are going to look into getting our own plans ASAP so when I'm no longer pregnant, she can go on either one of ours.

    Thank you all for your advice and support. This board is seriously awesome!
  • If you can apply for medicaid, do it. There is no shame in needing a little help temporarily. When I found out I was pregnant I applied for BadgerCare (WI medicare) and am so grateful it is available to me.

    I'm not sure how MN medicare may differ but I am covered up until 1 month after birth and baby girl will be covered for a full year. If you have someone in your county office that can help you with enrollment, they would be a great resource. They will help you get all your ducks in a row as far as paperwork and they can express enroll you which means your coverage starts immediately.

    Good luck, hope everything works out for the best.

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  • I also have no advice to offer- just want to say that I'm sorry you're going through this.


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  • So sorry you're going through this right now. Medical insurance is a pain to deal with at an already stressful time. Hugs to you
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  • I'm on Medicaid. Don't be ashamed. You pay into the program so that you can use it in these situations. My care has been very good. I love my MWs and my hospital.
    Also, it took VERY little time to process my application. A week at the most. I'm sure it's different depending on the state, since the funds are state controlled. Not only did it process quickly, they paid for the visit and labwork that was done on the day I applied. Once I was approved, I was considered a member from the day I applied, so there was no interim period.

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  • When you "age out" at 26 you must still be offered COBRA so you can continue to pay for the same level of coverage for a minimum of 18 months or until you get covered by another plan. You should receive a notice in the mail and have 45 days from the date of the notice to pay your first cobra premium.

    Also- pre-ex will not apply for a new plan unless your coverage lapses for more than 60 days. You just need to provide your certificate of creditable coverage from your current plan which is available upon request and often mailed to you at termination with your cobra notice.

    Good luck!

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