Looking for Health Insurance Options for Pregnancy

Updated on October 18, 2010
J.M. asks from Adrian, MI
10 answers

My husband and I want to have another baby. The problem is that he is self-employed and we currently have to purchase our health insurance. I have looked into buying a maternity rider but it seems like there are not many options out there. The one I have been looking at is a BC/BS option. Has anyone ever purchased a maternity rider on their insurance and if so in the end did you have to pay a lot of out of pocket expenses? Just looking for some feedback from others who have had similar situations. Also, not sure if there is any other options out there, any suggestions are greatly appreciated. Trying to weigh out all my options.

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H.S.

answers from Detroit on

Pregnant women will qualify for medicaid ... I know this because when I was pregnant with my daughter, I lost my job and I had all the health benefits. The medicaid is really great (MI has theirs go through two diff. companies including BC/BS) Good luck.

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A.K.

answers from Charlotte on

Hi J., We have HAP through my husband's work. While we have a doctor's office co-pay, when pregnant, you are only paying for the initial visit. I'm 25 weeks along and have only had to pay one co-pay. This is my first child with this insurance so I'm not sure how it will be in the end. If you want more information after delivery, send me a message in April. Good luck.

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J.D.

answers from Lansing on

Well if you had healthy pregnancies and deliveries before, why no concider finding a birthing center? We have one local, it's a building, with rooms set up like a bedroom. The midwives help you deliver how ever you want. Ours is 3 min from a reg. hospital. The cost is much less than w/o insurance, but may be cheaper than purchasing a rider. My SIL delivered at ours and had a wonderful experience. Just an idea if a rider doesn't work out.

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K.M.

answers from Detroit on

I have Blue cross Blue shield Perferred plus. I am high risk. So I get alot of ultrsaound and if i take an epidurl at birth. Well I get bills after for the epiduryl. But very rearly for the ultrasounds. Those are picked up if the dr office rights the right codes. I don 't know if this helps or not.

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M.V.

answers from Detroit on

Apply for healthy moms and healthy kids Michigan Medicaid. I did when my husband lost his job and was able to get right on the insurance (in the middle of my pregnancy, no problems) and the new baby was completely covered 100% too. I had no deductibles, no co-pays, and everything was great. After the baby I was able to stay on for a little bit (enough at least to get my checkup and that was covered too) and everything went well. It saved us such a headache when he lost his job and gave us a real piece of mind. I then was required to get my own insurance or risk losing all coverage, but at least I got through the hardest part.

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D.D.

answers from Detroit on

Sorry J. - after fighting with BCBS to reinstate my health insurance due to their computer glitch (payments have all been made ontime)I am looking moving to Canada just so i don't have to choose between feeding my family or keeping them healthy.

If you can hold off for a while, I would wait to see if the government can come up with a realistic healthcare solution.

Good luck.

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S.A.

answers from Tampa on

Wondering where you are with this situation at this point in time as I am now dealing with the same issue. Neither myself nor my husband can get insurance through our jobs. We wanted to try to have a baby next year. I live in FL and the only company I can find right now that even offers maternity coverage is BCBS at a high price. Not everyone qualifies for medicare as someone had stated earlier. I'm wondering if it's even worth it. Doesn't seem like they pay much and I know you can negotiate prices with hospitals. The only thing that worries my is possible complications which can dramatically increase your bill and no one can predict a trouble free delivery. This will be my first pregnancy.

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M.B.

answers from Saginaw on

I am having the same problem. We currently have high deductible insurance ($4000 for family) and pay about 6000 per year for our premiums. I will probably have to have a c section which cost about 15,000 just for the hospital stay and birth. That doesn't include prenatal visits etc. It is so difficult to compare premiums and coverage but it seems to me they either get you coming or going. If you don't pay a high premium, you will get less coverage and end up paying more in deductibles etc. Someone I know ends up paying 13,000 per year for family coverage with a low deductible so it seems like either way the cost will be approx. 10,000 to 13,000 after it is all said and done. I hope this helps.

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F.D.

answers from Detroit on

I was in the same situation like your husband(self-employed)and the insurance for a self-employed is so high that after I made all the calculation I discover that it was cheaper for me to pay then to have insurance. The total cost for me was $2500 for the doctor(all the visits during pregnancy plus the delivery of the baby) and the hospital was an other $2500. The only part really expensive was the anesthesist because I want epidural (and for his services I had to pay $1000).
I also tried the "so-called"discount services, but that ones are working only if you find a doctor which accepts it and most of the time the discount is unsignificant.
I am not saying do not get insurance, I just couldn't find with a price tag for pregnancy acceptable.
I know things could changed in 2 years (I had my baby 2 year ago), I just want to let you know how much it might cost if you do not have insurance.

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J.D.

answers from Saginaw on

I have BCBS w/ a maternity rider. Our ins has a $3000 family deductible and/or a $1500 individual deductible. After meeting the $1500 deductible for myself, BCBS picked up the rest of MY costs for delivery (my hospital stay was $4000 w/ a natural vaginal delivery w/out meds). My baby cost us another $1000 b/c no one else in the family had filed any medical claims for the year. Did we save $$ in the end? I'm sure we did and if I would have had another c-section (like I did w/ my first), it definitely would have been worth the $$.

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