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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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If you have Oxford Health Insurance
I was told that they only pay for 3 sonograms. After that I have to get an approval. Is that true?
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Posted 11/30/09 2:59 PM  |
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Long Island Weddings
Long Island's Largest Bridal Resource |
jessbaby
My boys!
Member since 1/06 5292 total posts
Name:
Jessica
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Re: If you have Oxford Health Insurance
Posted by lucamon
I was told that they only pay for 3 sonograms. After that I have to get an approval. Is that true?
Yes. Oxford is a pain in the Butt. The dr. office will get the approval though.
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| Posted 11/30/09 3:13 PM |
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mishka
love my little emmy monster
Member since 8/09 1473 total posts
Name:
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Re: If you have Oxford Health Insurance
it might depend on your plan
mine says this:
Type of Service - General: BASIC SERVICES: ULTRASOUND Oxford covers this service when medically necessary and appropriate. This benefit has no maximum payment or visit limit.
as far as maternity stuff...mine just says covered at 100% after the first visit...so i just paid 1 co-pay.
that being said...i dont think my ultrascreen was covered at 100%...but im checking into it.
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| Posted 11/30/09 3:18 PM |
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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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Re: If you have Oxford Health Insurance
I have the Freedom Plan. I was surprised my OB office told me I have no copays for all my visits. But when I called the hospital for my ultrasound she told me Oxford only covers only 3, I was shocked. Maybe she doesn't know which plan I have.
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| Posted 11/30/09 3:23 PM |
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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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Re: If you have Oxford Health Insurance
Posted by mishka
it might depend on your plan
mine says this:
Type of Service - General: BASIC SERVICES: ULTRASOUND Oxford covers this service when medically necessary and appropriate. This benefit has no maximum payment or visit limit.
as far as maternity stuff...mine just says covered at 100% after the first visit...so i just paid 1 co-pay.
that being said...i dont think my ultrascreen was covered at 100%...but im checking into it.
I just checked online, mine says the same thing. You're at 20 weeks. Did you have 3 ultrasounds already?
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| Posted 11/30/09 3:27 PM |
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kms717
St Philomena Protect My Son
Member since 2/06 2747 total posts
Name:
Kelly
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Re: If you have Oxford Health Insurance
Yes, but I don't think it's hard to get an approval since I've had about a dozen and I'm going for another one on Tuesday and one on Thursday. I am high risk, but I think as long as the doctor submitts a request for it, they grant it.
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| Posted 11/30/09 3:27 PM |
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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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Re: If you have Oxford Health Insurance
Posted by kms717
Yes, but I don't think it's hard to get an approval since I've had about a dozen and I'm going for another one on Tuesday and one on Thursday. I am high risk, but I think as long as the doctor submitts a request for it, they grant it.
Oh good, thank you so much. So the doctor does all the paper work? Is there anything I have to do?
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| Posted 11/30/09 3:29 PM |
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CoutureMaMa
nicholas is one!!
Member since 9/07 6081 total posts
Name:
Michelle
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Re: If you have Oxford Health Insurance
they told me radiology is 100% covered when i asked about sonos.?
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| Posted 11/30/09 3:39 PM |
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Tine73
Member since 3/06 22093 total posts
Name:
*********
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Re: If you have Oxford Health Insurance
I had Oxford with my last pregnancy. I had a TON of sonos due to a low lying placenta and I never paid a dime for any of them. I had the Freedom plan at the time (this was in 2007).
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| Posted 11/30/09 3:48 PM |
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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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Re: If you have Oxford Health Insurance
Posted by Tine73
I had Oxford with my last pregnancy. I had a TON of sonos due to a low lying placenta and I never paid a dime for any of them. I had the Freedom plan at the time (this was in 2007).
 Thank you! I'm going to call Oxford to confirm. I just can't do it now because I havent' told anyone at work yet.
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| Posted 11/30/09 3:54 PM |
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mishka
love my little emmy monster
Member since 8/09 1473 total posts
Name:
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Re: If you have Oxford Health Insurance
i have the freedom plan too...and ive had more than 3 sonos already (at 20w).
when i called they didnt tell me anything...if u find out let me know!
i had the first one at the like 6w apt...then again when i switched drs (say 8w)...and again at 10/12...the ulttrascreen...and today's...the level II.
so far i only got part of a bill for the ultrascreen but the dr said that might happen because it was done by another lab and not "necessary". im calling to ask about it though.
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| Posted 11/30/09 5:02 PM |
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