B.A. asks from Oklahoma City, OK on January 08, 2008
Maternity Insurance
I just recently found out that I am pregnant. I tried to get insurance and found out that I do not qualify because it is a pre-existing condition. I work from home, so the company I work for doesnt offer insurance because I am my own boss, the same for my husband. I would really appreciate any input on what insurance I would qualify for.
So What Happened?™
I just wanted to thank everyone again for their advice. I tried every avenue I could unfortunately nothing has worked for me because I live in Oklahoma. If I lived in Illinois , I would be good to go. I looked at Maternity Card and another one similar to that and when I asked my doctor if they heard of their providers, they knew nothing. The nurse was also able to find out that the provider that they used (Three Rivers) was actually out business. I didn't want us to spend money on a benefits package and be cheated. Thanks again for all your advice
Featured Answers
L.R. answers from Kansas City on January 09, 2008
Pregnancy is NOT considered pre-existing condition as it is not an ongoing medical condition. I would fight that if I were you.
More Answers
K.L. answers from Oklahoma City on February 25, 2008
Try Maternity Card. They assist in getting you good rates.
S.B. answers from Oklahoma City on January 09, 2008
You can get on Soonercare through the state. Just go to the DHS office and fill out the paperwork. It's very easy and they have to provide you with the insurance!!
B.S. answers from Kansas City on January 09, 2008
Yeah, the last lady is right. Pregnancy isn't a pre-exisiting condition. My husband got a new job when I was 5 months pregnant and I'm pretty sure it's illegal for them to deny care to an expecting mother.
J.R. answers from Lafayette on January 09, 2008
oh wow, let me know if you find something because my husband is work from home also, so we've been self insuring also, and everything we've found not only wouldnt accept it as a pre-existing but there is a 90 day wait and a pregancy test just to make sure you're not trying to get one over on them.
C.D. answers from Springfield on January 08, 2008
HealthAlliance offers an HMO plan that will give coverage for maternity, if it is pre-existing I believe they cover 50%.
S.B. answers from Oklahoma City on January 09, 2008
Call Ryan at Cole, Paine & Carlin insurance. A great agent who can help you get covered.
J.G. answers from Oklahoma City on January 08, 2008
You can go apply for state insurance. I believe that if you are pregnant and do not qualify for insurance through work you can qualify for soonercare. They have good doctors too because I had to use it with my second pregnancy.
K.B. answers from Kansas City on January 09, 2008
Yep under the federal HIPAA Law, pregnancy cannot be considered a preexisting condition. However, do expect to pay a huge premium for any insurance that will cover maternity.
This site gives an overview of several individual insurance companies.
https://www.ehealthinsurance.com/ehi/Alliance?allid=Yah26...
Here is an overview of HIPAA
http://www.cms.hhs.gov/HealthInsReformforConsume/Download...
Frequently Asked Questions and Answers about
HIPAA
About Pre-Existing Condition Exclusions
Q: Are there any situations in which exclusions are
completely prohibited?
A: Under HIPAA’s group market rules, there can be no
pre-existing condition exclusion for pregnancy, no
matter when pregnancy began and whether medical
advice, diagnosis, care or treatment was recommended
or received for the pregnancy. An exclusion cannot be
applied to you even if your previous health plan did
not cover pregnancy.
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