Congratulations, you are pregnant! Now go check your health care insurance coverage. Great, the baby’s nursery is painted, decorated, and ready! Now go check your health care insurance coverage. Wow, you’ve just received a ton of baby gifts for your baby shower! Now go check your health care insurance coverage. Oh boy, your hospital bags are packed and it’s almost delivery time! Now go check your health care insurance coverage.
Well, maybe it’s not quite to that extreme, but health care insurance problems can creep up at any time. Regrettably some individuals learn that the hard way when they receive a hospital or doctor’s bill that’s numerous times higher than what it should be. The problem is that with most of today’s health care networks, there are in-network and out-of-network providers. Pick a provider that’s in-network and your bills will be substantially lower. Pick an out-of-network provider and you’ll likely pay three times as much or more.
At this point, you are probably thinking, “No problem. I checked my network directory and chose an in-network OBGYN and hospital. I’m covered.” While that was probably true when you first checked the directory, that may not be true today. Unknown to numerous patients is that medical providers and hospitals often fail to renew contracts or drop insurance companies for some reason. That is why each and every time you visit your OBGYN or check in to a hospital, you are asked to complete the same insurance forms and sign the same payment guarantees you’ve signed countless times before. At that time, they should inform you if your insurance is no longer accepted, but that’s not always the case. Doctor’s offices and billing departments aren’t always up-to-date and aware of insurance contract changes. The only time you may find out a problem exists is when you get the bill. Even if they are aware of the insurance change and you are informed, you certainly don’t want to get that information when you’rechecking in to deliveryourbaby.
Your best bet is to call both your insurance carrier and your chosen delivery hospital well before your big day and again as your due date gets nearer. Make sure they accept your insurance and are an in-network provider. If possible, find out when their contract expires and if it’s being renewed. Just because they accept your insurance today doesn’t mean the same will be true tomorrow or next week or on your day of delivery.
If you do find a problem with your insurance, your options may be limited to paying the higher rates, switching insurances, or switching medical providers and/or hospitals. Before you go to any of those extremes however, contact your insurance carrier to see if they will grant you an exception where you can continue with your out-of-network provider at an in-network rate. Also, call your hospital or medical provider to see if they can come to some type of compromise with your insurance company. While neither of those are likely to happen, it’s worth a try. If you end up needing to switch insurances, make sure you check their rules regarding pre-existing conditions.
So, go on celebrating your pregnancy, decorating your baby’s nursery, unwrapping your baby shower gifts, and obtaining ready for your baby’s entrance into the world. Then, GO CHECK YOUR HEALTH INSURANCE COVERAGE.








