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Best Pregnancy Health Insurance No Waiting Period
So, you and your partner have just discovered that you are pregnant and the congratulations are in order. That gives you nine months to invent baby names, have your baby bathe, decorate the nursery and start filling your gift registry before your arrival. In addition, waiting parents should not remain inactive during the three trimesters.
Best Pregnancy Health Insurance No Waiting Period
Without developing the right health insurance strategy. Maternity coverage for mom and taking care of her newborn are some of the largest health care expenses today. And those costs can be out of control without a proper policy within the network. Uninsured, vaginal, and cesarean deliveries can range from $ 30,000 to $ 50,000.
As future proud parents, you will want to know what is covered and what is not covered in your current coverage, what types of costs and expenses you expect, and whether changing your health insurance plan is the right decision.
Health insurance 101
Before beginning to analyze how to evaluate health plans, it is important to review some common terms of health insurance. That will facilitate the comparison-purchase or better understand a health care plan you already have.
Best insurance plan for pregnancy
Health insurance premiums: the monthly rate you pay your insurance provider for coverage
Deductible: the amount you pay for the services before your health insurance begins; For example, if your deductible is $ 2,000, you must reach that amount out of pocket before your insurance takes over
Copayment: Fixed amount payable by a patient during a doctor visit within the network
Coinsurance: the percentage of the costs a patient pays for covered services in the network before their health insurance takes over the payments (in many cases, when it is an important and more expensive procedure)
Out-of-pocket expenses: health care costs not covered by your insurance that you must pay yourself
What the ACA says about maternity coverage.
The Affordable Care Act (ACA) requires that all plans provide 10 essential benefits in the health insurance market, including maternity care before and after your baby is born. According to the ACA, health insurance must also cover check-ups, routine and emergency care, and hospital care / procedures.
Maternity insurance already pregnant
It also guarantees what a health insurance provider can not do. You can not impose a limit on coverage within the network or cancel your insurance policy after you have reached a certain limit. You can not be denied medical care or charged more money if you are sick, have a pre-existing medical condition or if you are a woman. And because pregnancy is considered a pre-existing condition, insurers, according to ACA regulations, can not deny coverage. Nor can they force you to pay infinite out-of-pocket costs. (That is to have a deductible and a maximum disbursement limit).
With all this in mind, here you will find how to find the right health insurance policy when you are pregnant.
Make attention within the network a priority.
Regardless of the type of plan you have (for example, PPO or HMO), you will always have the lowest costs when you receive care in your plan’s network. This is because your health insurance company has preferential rates negotiated in advance with network providers.
Supplemental maternity insurance
To conserve costs and minimize out-of-pocket maternity expenses, become more familiar with your network. It is worth planning with your obstetrician / gynecologist. The last thing any couple wants is to discover that supplemental maternity insurance provider billed a maternity procedure (no matter how important or minor) as an out-of-network procedure and, therefore, out of pocket.
“Prospective parents should look beyond the obvious when choosing a health insurance policy, and focus on limiting their exposure to balancing billing charges from out-of-network providers,” says medical finance expert Kevin Haney. “It is important to verify that all possible providers participate in the network, parents should not assume that all medical professionals working in a hospital are under the same umbrella, many hospitals hire other providers who may or may not participate in the network. with a given supplemental maternity insurance plan. ”
Switching health insurance while pregnant
When this happens, many patients may inadvertently receive care from an out-of-network provider, assuming they are in the network. The total charge resulting from out-of-pocket expenses is usually called a surprise medical bill, which couples expecting a newborn can prevent with some investigations. According to Haney, prospective parents should try to choose a switching health insurance while pregnant plan in which the mother’s gynecologist, the hospital of their choice, the group of anesthesiologists and the nearest NICU unit participate as providers.
Affordable family health insurance