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insurance only covers 1 ultrasound


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  • 2 Post By ninothebeano

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  #1  
July 1st, 2014, 05:18 PM
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So, I guess my insurance only covers 1 ultrasound. I had asked the doc this last time if I'd get another ultrasound at some point since I only had one at 18 weeks. I am now 30 weeks. They said no, but if I want another one, I can get a free Teaching Ultrasound. I guess it's people in training at the hospital who are supervised while they do it. So I am going to get 1 more ultrasound and a tour of the whole section of the maternity section at the hospital :-)
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  #2  
July 1st, 2014, 06:22 PM
Jenn-F's Avatar Mega Super Mommy
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That stinks that your insurance only covers 1, but neat about teaching ultrasound.
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Mom to Caleb (8) and Nathan (5)and our new arrival Anna Joy born on September 11.
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  #3  
July 1st, 2014, 07:15 PM
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You're lucky you found out you wouldn't be covered. I just got a bill today from my old OB. I had 2 early ultrasounds and the 20 week one and apparently my insurance didn't cover any of it! Grrrr....sorry to vent on your thread, this just happened out of the blue to me.
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  #4  
July 1st, 2014, 07:30 PM
Jenn-F's Avatar Mega Super Mommy
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Quote:
Originally Posted by FlyingFlower View Post
You're lucky you found out you wouldn't be covered. I just got a bill today from my old OB. I had 2 early ultrasounds and the 20 week one and apparently my insurance didn't cover any of it! Grrrr....sorry to vent on your thread, this just happened out of the blue to me.
That's terrible! I had something from my insurance saying they didn't cover my 20 week one, but it turned out to be that the office submitted it wrong. The receptionist said that she would resubmit it and they would cover it, but if they didn't the office would eat the cost. See if you old ob can check to make sure yours was submitted correctly.
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  #5  
July 1st, 2014, 08:14 PM
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ahh.. insurances just makes everything more difficult and confusing. Ultrasounds should always be covered! It's for the safety of the baby!
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  #6  
July 1st, 2014, 08:40 PM
topato's Avatar Mega Super Mommy
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i wasnt offered a third trimester ultrasound with my son- they did the dating one at 8 weeks, the NT scan, and the anatomy scan at 20 weeks. this time i had the dating one at 8 weeks, wasnt offered the NT, and had my 20 week. that would be it. but, this time they're sending me to a specialist for a third one, but only because they've been messing with my thyroid medication and they want to make sure this little one isnt crazy big or small.
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  #7  
July 2nd, 2014, 03:42 AM
Kayakgirl's Avatar Super Mommy
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I'm currently in the appeals process with my insurance company about the ultrasound I got at 24 weeks at the specialist to check on my placenta issue. My OB had sent a letter of medical necessity to state why I was referred to them, but I just learned that it's my insurance company's policy to automatically reject those claims (despite the letter of medical necessity) and just wait until the cardholder contacts them to start the appeals process. What a bunch of cheap bastards... I hate insurance companies! And I know I'm going to have to go through all this again when I go back to the specialist for another ultrasound next month.
So to anyone who's also going through this... try the appeals process. It's a pain in the tush, but may save you a few hundred dollars.
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  #8  
July 2nd, 2014, 04:38 AM
Urchin's Avatar Loving every minute.
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So even if you need one for medical reasons, insurance won't cover it??

Blah. That is insanity. I can't imagine needing to worry about that kind of stuff when pregnant.
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  #9  
July 2nd, 2014, 05:55 AM
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Quote:
Originally Posted by ninothebeano View Post
So, I guess my insurance only covers 1 ultrasound. I had asked the doc this last time if I'd get another ultrasound at some point since I only had one at 18 weeks. I am now 30 weeks. They said no, but if I want another one, I can get a free Teaching Ultrasound. I guess it's people in training at the hospital who are supervised while they do it. So I am going to get 1 more ultrasound and a tour of the whole section of the maternity section at the hospital :-)
Awesome you can get another one for free - teaching ones are great as they generally will go in lots of depth with stuff.

Quote:
Originally Posted by FlyingFlower View Post
You're lucky you found out you wouldn't be covered. I just got a bill today from my old OB. I had 2 early ultrasounds and the 20 week one and apparently my insurance didn't cover any of it! Grrrr....sorry to vent on your thread, this just happened out of the blue to me.
Yuck! I agree with double checking if billings have been submitted correctly - I would think at a minimum your anatomy scan would be covered.

Quote:
Originally Posted by Kayakgirl View Post
I'm currently in the appeals process with my insurance company about the ultrasound I got at 24 weeks at the specialist to check on my placenta issue. My OB had sent a letter of medical necessity to state why I was referred to them, but I just learned that it's my insurance company's policy to automatically reject those claims (despite the letter of medical necessity) and just wait until the cardholder contacts them to start the appeals process. What a bunch of cheap bastards... I hate insurance companies! And I know I'm going to have to go through all this again when I go back to the specialist for another ultrasound next month.
So to anyone who's also going through this... try the appeals process. It's a pain in the tush, but may save you a few hundred dollars.
Hmmm I have had plenty of ultrasounds this pregnancy - dating of my pregnancy at 8 weeks, my nuchal fold scan, anatomy scan at 18 weeks, an in-dept placental scan at 24 weeks, and a growth scan at 28 - and I am scheduled for another growth scan in 5 weeks. Up until this point I think they have all been covered as I have not received specific billings but based on your comments I want to got back an verify that is truly the case with my EOBs to make sure there are no nasty surprises coming in my direction.

I would think that if there is a medical necessity for doing the scan that insurance would cover. I know I asked them about the growth scans but they say it their practice policy to do them for patients with GD to track baby's size.
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