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01-29-2013 at 4:37 PM
somerandom...
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Joined on 11-05-2012
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somerandomchick is not online. Last active: 05-23-2013, 5:20 PMBronze

Family deductible

Hi ladies! Hoping someone in the know about insurance can help me out since my own insurance company is too Fing stupid to be able to tell me... Wasted half an hour on the phone ugh.

So my insurance has a FAMILY deductible, not individual. We are planning to set aside enough money to cover family deductible and OOP max for birth expenses.

But, when I add baby the family deductible increases. It becomes 3k instead of 2k and my OOP max also increases to 3k.

If I go into the hospital with a 2k deductible on July 8, my EDD, cone out with a baby, and add baby to insurance by 31 days thus increasing my deductible to 3k.... How much do I get charged for my delivery? Does the new deductible and max apply to any charges made that month or only charges made after I actually change the plan?
 
01-29-2013 at 5:07 PM
mabenner1
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mabenner1 is not online. Last active: 05-23-2013, 6:10 PMGold
My deductible increased the day Ds was born and added to my insurance from 1500 to 3000. I had to cover all 3000, luckily I have a work funded hsa for that.

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01-29-2013 at 7:24 PM
Audrey1787
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Audrey1787 is online. Last active: 05-23-2013, 6:55 PMBronze
OMG I should have done the max for my flex spending. I totally didn't think of this! Right now my deductible is $750 and I already met that by pre-paying my prenatal care and other MW services. After I have the baby it's $1,500 so it looks like I'll be adding that to my list of things to save up for. I have really good insurance (by my standards anyways) but things add up quickly.

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01-29-2013 at 8:22 PM
ms.mittens
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Joined on 03-31-2008
Houston, TX
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ms.mittens is not online. Last active: 05-23-2013, 4:54 PMBronze
They give you time to add them, but the effective start date of the baby's insurance is the day he or she is born.

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01-29-2013 at 10:57 PM
luvmyducks
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Joined on 05-18-2011
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luvmyducks is not online. Last active: 05-23-2013, 4:49 PMGold

It depends on the insurance.

Mine didn't update their system until mid-Sept and DD was born 9/6.  So everything billed to the insurance company before they upped my deductible went towards my old deductible plan.

01-29-2013 at 11:27 PM
KMS416
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WA
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KMS416 is not online. Last active: 03-28-2013, 1:01 AMBronze
Seems to me that the charges should apply to the situation on the date it happened. So, if you had your baby today, you should be charged for the lower deductible. Then when you add your baby to your plan, any charges from the birth on would apply to the larger deductible amount. What do I know though...

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01-30-2013 at 9:10 AM
kcox123
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Springfield IL
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kcox123 is not online. Last active: 05-23-2013, 9:05 AMBronze

It will be the higher deductible. The deductible is going up because the addition of the child to the plan/coverage right? So if you want any of baby's bills in the hospital to be covered, (which they will be assuming you do go an add baby within the month) then the effective date of baby's coverage will be retroactive to the birth even if you wait the full month to add him or her. So since the coverage will be retroactive so will be the new deductible/OOP max. This is better than the alternative which is that baby's bills not be covered at all during the hospital stay.

I remember one of the things that most surprised me as a new first time mom was getting the hospital bills for my child who was only weeks old. I was like - "No, this child is (still) an extension of me..Not a billable person!" It was just strange to me that this being that had been a part of my body was now getting massive bills in her own name at our address. And we had no complications - delivery or healthwise and we did have insurance..but due to the lag on the insurance coverage from needing to add her..I saw a lot of what we would have paid and it was CRAZY. We were billed for her pediatric checks, bathing, nursery time, immunizations, bedding, socks, take-home care package (thermometer, guaze, a few diapers, wipes, etc..).

To be even clearer - none of the care your baby receives will be covered/billed under your care. It's not a package deal  As soon as your baby comes out of your body - the baby will be treated/billed as a separate person.


-K Mom to 3 girls ages 2, 4 & 6!  
01-30-2013 at 9:21 AM
purdiegirl...
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purdiegirl2 is not online. Last active: 05-23-2013, 2:29 PMNewbie

So glad that I live in Canada and dont have to worry about this. My jaw hit my desk when I seen 3K just to have your baby!

 
01-30-2013 at 11:54 AM
all1005
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all1005 is not online. Last active: 05-23-2013, 9:36 AMNewbie
Coverage is backdated to the babies DOB, otherwise you would be paying out of pocket for all of babies stay!  Your deductible will increase as well as your OOP.

 
01-30-2013 at 2:32 PM
alexandra1...
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alexandra1818 is not online. Last active: 05-23-2013, 6:32 PMBronze
purdiegirl2:

So glad that I live in Canada and dont have to worry about this. My jaw hit my desk when I seen 3K just to have your baby!

 That was exactly my thoughts, too!

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