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Question about medical insurance

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checka
She's here!

Member since 5/05

1769 total posts

Name:
Me

Question about medical insurance

Can someone explain this to me? My health insurance is supposed to cover pre-natal maternity care 100% and the deductible is waived. I went to the Dr. for my 8 week visit which included an ultrasound. They found out at the ultrasound that the pregnancy is not viable.
Now I received a bill for the ultrasound and office visit with insurance covering nothing.

Is the prenatal ultrasound and office visit no longer covered due to the diagnosis of non-viable pregnancy?

Posted 2/23/17 5:14 PM
 
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twizzlers
LIF Adolescent

Member since 11/14

874 total posts

Name:
x

Question about medical insurance

I had something similar but everything was covered.

Posted 2/23/17 6:48 PM
 

hmm
Sweet

Member since 1/14

8012 total posts

Name:

Question about medical insurance

I cant see why, you had not idea going in it wasn't viable and see if it can be coded as diagnostic. Speak to the Dr office.

Sorry for your loss

Posted 2/23/17 7:15 PM
 

NYCGirl80
I love my kiddies!

Member since 5/11

10413 total posts

Name:

Re: Question about medical insurance

The way it usually works is your 8 weeks appointment is not considered pre-natal until the pregnancy is confirmed. Once it's confirmed, then your 12+ week visits are included at 100%.

That being said, you should dispute the claim with your insurance company. It should get waived or at the least just be a copay.

I'm so sorry for your loss. Chat Icon

Message edited 2/24/2017 8:20:14 AM.

Posted 2/24/17 8:19 AM
 
 

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