July 2015 Moms

Money Curiosity

Reading your guys comments on a thread about Ultrasounds, I have a question, did you guys not have to pay for some of your anatomy scan after insurance? We had to pay about 260 out of pocket for the anatomy scan, and I had an ultrasound at my first checkup because they were worried it was twins and that was 180. So, I don't understand when some people refer to the ultrasounds being covered by insurance, neither of mine were fully? I also read a comment that an extra non-medically necessary one would cost $50 for someone, that seems very cheap to me?

I am just curious, I am not complaining because I expected those costs. I am just wondering about other insurances coverage of it, I guess. 

Re: Money Curiosity

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  • My insurance covered 3 us. I had to have one every month cuz baby was small and since they were medically necessary they were covered by insurance as well. I guess it depends what coverage you have. There are ultrasounds you can get through a different company other than your dr and the packages vary $50-$200.
  • beeishbeeish member
    I agree with PP, it depends on your insurance. Everyone will have a different cost.
  • Yea, I'm sure insurances widely range. Just crazy that it can be none out of pocket through some insurances. 
  • I have Health Net and had to do one copay when I had my first appt at my OB which was $20 and she did the dating ultrasound. Every visit I've had since with my OB there has been no copay. At a specialists office, my anatomy scan was a $20 copay and then I had a diagnostic one on Tuesday to confirm my date because I was measuring behind that also was $20. I feel pretty lucky now reading how much you had to spend!
  • I had to pay $600 a month for the first 6 months to my dr office out of pocket. I'm hoping that covers everything but im sure I'll end up getting more bills. Not to mention $4500 I have to pay out of pocket for vaginal delivery because my deductible is 6500 and I don't think I'm going to reach it. Stupid insurance companies!
  • mfitch9191  wow that is a lot...just for appointments/tests/ultrasounds 3600 and that doesn't include any hospital/delivery fees, yikes. 
  • I've had 7 ultrasounds (dt high risk), but we have fantastic insurance and have hardly paid anything out of pocket for anything thus far (maybe 200-300 at the most for everything). We are fortunate and blessed in that way.
  • Depends on your insurance. I paid nothing and had 7 US because of high risk in the beginning. I also pay nothing out of pocket for any of my prenatal care /birth of the baby.
  • Mine were 100% covered
  • Never had to pay anything with any of my kids.
    DS #1 Born 01/23/09
    Married 03/18/10
    DS #2 Born 05/19/11
    DS #3 Due 07/26/15


    image
  • We haven't received any bills for our ultrasounds. Our insurance has a $2,000 out of pocket max so it's amazing that everything including delivery will only cost that much.
  • I am fortunate that I have good insurance through my husband. I had been warned by my friend that most insurance companies only cover the anatomy scan, and no other ultrasounds. I was on the phone with my Insurance co prior to my first appointment so I knew what I was getting myself into. Generally speaking, the insurance covered 80 to 100% of everything. My OB office planned out my general path and figured out how much I would end up owing them in the end (if things went according to plan) and then broke the total up into payments. I pay $65 per visit to avoid a huge bill at the end. I can have as many ultrasounds as I want, and have had 5 so far. Every now and then I'll have an extra $20 I'll need to pay it there was an unexpected ultrasound, culture, or bloodwork. I am ending up with a c section instead of a vaginal birth, so I am not sure how that might change the OB costs. Plus there is still the hospital bill and anesthesia to expect... so even with great insurance, it does all still add up... 
  • Completely depends on your insurance, what your deductable is, is the doctor/ultrasound place in network etc. I have only paid my $5 copay for visits. I had to pay about $20 for blood work because they ended up sending it through a lab that was out of network and my insurance only covers 80% of the cost.
  • VTomanVToman member
    It all depends on what your coverage is. I had two plus the one when they were checking for downs syndrome.
  • The ones done in my OB's office were free, but we had a $50 co-pay for the 20-week anatomy scan because it had to be done at a radiology center.
    image
    Mama to two crazy kiddos
    J -- 9/04
    L -- 11/10
    E -- 7/15


  • My insurance covers 90% of all ultrasounds. So, I had to pay something each time.
  • My ultrasounds have always cost an extra $60. I'm guessing it depends on your insurance and your doctor's practice.
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  • This completely depends on your insurance. Most plans have a deductible that you have to meet prior to them covering anything for you. Once the deductible is met, the plan usually covers 70 or 80 percent of the total bill and you pay the rest. Once you have paid a certain amount out of pocket you are covered 100 percent by your insurance. Your deductible, out of pocket, and coverage are all factors. As for the non medical ultrasound, those are typically very cheap. There's no real benefit to them though besides seeing your baby.
  • My insurance stinks! Anything that is outside of the normal maternity care is not covered. So since I have to go see a specialist every week (baby is really small) it's costing an arm and a leg! We had to pay my doctor $2500 up front for the delivery, but that won't be applied to my deductible until I actually give birth, which means I'm over paying like crazy! Insurance is horrible! It costs so much monthly and then tons more at the doctor! I'm a teacher and don't make tons of money to start with either! Ugh! I just keep telling myself it is all worth it in the end
  • mrsb30mrsb30 member
    We didn't receive any bills for the ultrasounds. The way my office works is you prepay your bill monthly and everything is included in what you are prepaying. We had to pay $500 a month until the bill was paid.
  • We've had an ultrasound every month until 32 weeks and now I have them every 2 weeks and some weeks I have 2 ultrasounds. I'm high risk since I'm having twins. So right now I have about a $1000 in medical bills because of all of the appointments. I had to meet my deductible before everything was covered at 80%. So it's very expensive already and I had to get on payment plans on all of my doctor bills. And that doesn't even include the hospital bills after the twins come. So you're not alone with the bills. It's very expensive to be pregnant. It just depends on your insurance and the plan.
  • kamio92kamio92 member
    edited July 2015
    I'm from Australia. I got around $100 per medically recommended scan (week 12 & week 20) back. The cost for those scans were about $195.

    I've had countless scans since I was 16 weeks and they were done through the hospital I'm giving birth in. None of my medical care has cost a red cent since my week 16 scan besides my 20 week scan conducted elsewhere. It's all covered by the government because I'm high risk. Most women don't have as many scans as I have. I think here it's normally like 3-4?

    I had scans at:
    6 weeks
    12 weeks
    16 weeks
    20 weeks
    24 weeks
    26 weeks
    28 weeks
    34 weeks
    With another on Monday at
    36 weeks.

    9 in total plus 2-3 bedside scans and an MRI.
    [color=purple]Married July 2014[/color]
    [color=pink]First Monkey July 2015[/color]
    [color=green]Baby No2 March 2018
    ~Team Green~[/color]

  • Definitely depends on the insurance plan. With our plan we pay ALOT a month for just me but for one ultrasound we pay $25. And appointments we don't pay anything.
  • All my prenatal care is 100% covered. I work for the company that I have my insurance through.
  • Gosh, I feel pretty lucky. Only out of pocket costs are my appointment co pays at $5. #:-S

    DS1 7/24/15

    DS2 5/7/17

  • qtjo5qtjo5 member
    I have had 3 ultrasounds and haven't paid out of pocket for a copay or fee for service. Everyone said it, it depends on your insurance. But my advice is you know and understand your insurance 100% before you pay for anything because most people think because the hospital or office says you owe, a lot of times you don't. Always call your insurance about any fee or co pay or bill to make sure you aren't being over charged for what the insurance is paying anyway. This happened to me w my OB office, they gave me a bill for over 2 grand and said it needs to be paid before week 30. We called BCBS and they said no, you are covered 100%. All the office said was "oops, sorry our mistake."
  • I had two ultrasounds. First one I had in network and was a $15 co-pay. Second one I went out of network and the clinic waived the co-pay so I paid nothing out of pocket

    I have chosen to give birth at a birth center that is not the preferred delivery site for my insurance. As a result I have a $600 co-pay plus a $250 administrative fee not covered by insurance. This amount covers all of my prenatal visits, delivery, and post partum visits. Since I am giving birth at a birth center I am required to have a birth assistant, which is around $900 out of pocket

    If I gave birth at my insurance companies preferred hospital, I wouldn't pay more than $100 in co-pays.
  • Gosh, guys.  I really wish we had a single-payer healthcare system here in the US.  It amazes me how arbitrary and vastly different all of our hospital bills are.  <3<3<3 to you that have to worry about medical bills on top of the pregnancy and upcoming childcare.
  • I have never heard of an insurance that you don't need to meet a maximum deductible or out of pocket for them to cover things 100%, very interesting! Co pays are nice, I wish more insurance plans had them these days but they're really going away from them.
  • I pay nothing as long as I don't want extras. So maternity care, the two mandatory ultrasounds and delivery are all free of cost. If I wanted a special ultrasound to find out gender (which I did) I went to a special place and pay out of pocket. The office I went to with my first they offered that right in thier clinic but it would cost $50.
  • I have a deductible for ultrasounds I had to meet so I paid like 200 something for my dating scan and like 200 something again for my anatomy scan. That met the deductible so any other ultrasounds would have been covered other than like a 20 dollar copay. I wasn't supposed to have anymore scans but they did one that was considered medically necessary this week because I had lost some weight. I think I paid 22 dollars for it. But the ultrasounds and a couple of inexpensive copays on some lab work is all we have had to pay. We have to pay a copay for any problem appointments as well but I've only had one of those.

    We will pay for the hospital stay by after talking to my insurance company the doctors office estimate that will be around 300 so all in all we are very fortunate.
  • Just depends on insurance and what coverage you have. I personally just will pay a 200 copay at time on delivery and that is all. Everything else has been covered 100%.
  • I paid $40 first appointment and $50 for a non medically necessary ultrasound because we wanted to find out the sex as soon as we could. I was pretty annoyed at having to pay $1400 for delivery but now I hear everyone else's costs I feel lucky. Hospital also gave us a $300 deduction to pay early so we did! Hoping I don't have a c section though as that is 20% of total costs we would have to pay..
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