Author Topic: Baby and Health Insurance  (Read 1166 times)

LearningMustachian72

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Baby and Health Insurance
« on: September 25, 2022, 09:52:28 AM »
Hey, we just had our first kid!

We went to a hospital where mom was covered and now am thinking through expenses that would be billed to baby at the hospital (nurse checks, etc).

Could the baby be put on my wife’s insurance first then I could claim a life event within 30 days to move them both to my insurance?  My wife will be taking a leave of absence so eventually will all be on my insurance.

Any guidance is greatly appreciated!

surpasspro

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Re: Baby and Health Insurance
« Reply #1 on: September 25, 2022, 11:40:58 AM »
We had a baby a year ago and have another one on the way.  The hospital bills for the delivery would go onto the Mother's insurance.  Typically the pediatrician wants to see the baby several day after birth and then some quick follow ups winthin that first month of life.  My insurance covers all those baby visits.  I did have to put the baby on my health insurance and the pediatrician knows it can take a little bit of time for that to process through your job.  Basically every visit to the pediatrician is covered unless it falls outside of the visits they want you to go to.  So if they want you to go in for the 3 month check and you went two weeks before, because the baby was sick.  That visit cost is on you but the 3 month visit is covered.  Check with your insurance companies as it could be different.

wageslave23

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Re: Baby and Health Insurance
« Reply #2 on: September 25, 2022, 06:23:59 PM »
Any post natal care the baby receives will be billed towards the baby. My wife had $1000 deductible that was met. Then the baby was in special care after delivery so we had to pay another $1000 out of pocket for baby's deductible.

seattlecyclone

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Re: Baby and Health Insurance
« Reply #3 on: September 25, 2022, 08:06:34 PM »
Yes, you can put the baby on your wife's insurance, even if you're planning to switch them both to your insurance later. Should you? It depends. Would your wife's deductible and out-of-pocket max increase if the plan covered two people instead of just herself? That might cause less of the delivery to be covered if so. You'll have to balance that against the extra costs that would be paid by adding the baby to your plan if you have used little/none of your own deductible yet this year.

Sometimes covering the mom and/or baby on both insurance plans can be the optimal choice. Check out the "coordination of benefits" provisions in your respective plans to get info about this. My wife and I double-enrolled her for both times she gave birth, starting from the date of the birth. My plan ended up paying a very large chunk of what her out-of-pocket costs would have been if she had only been covered by one insurance, and all it cost us was a bit higher premiums for the rest of the year after each kid was born.

LearningMustachian72

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Re: Baby and Health Insurance
« Reply #4 on: September 25, 2022, 09:58:54 PM »
Hey, thanks everyone for the responses.

My wife has very good insurance all of the delivery will be covered.

She is taking a leave of absence after her paid leave (6 weeks). I plan to put both her and the child on mine within the allotted 30 days for a ‘life event’.

1. Even if she is switched to mine within those 30 days, the birthing expenses and subsequent 48 hours of hospital care would still go on her insurance plan right?

2. I think the hospital was in both our networks so I plan to put the child only on mine.  Am going to call my insurance to make sure.  If they say it’s in network, anything else I have to worry about (e.g. should I get cost codes from hospital and make sure they are all covered)?  It was a standard birth and checkups afterwards.

Appreciate everyone’s assistance!  Glad to report back after this all plays out in case it is helpful for anyone else.

seattlecyclone

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Re: Baby and Health Insurance
« Reply #5 on: September 25, 2022, 11:13:26 PM »
IIRC any changes you make for this qualifying life event will be retroactive to the date of the birth.

wageslave23

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Re: Baby and Health Insurance
« Reply #6 on: September 26, 2022, 06:19:30 AM »
I think the qualifying life event OP is referring to is his wife going on leave. But yes, OP make sure the life event is the date that you want the coverage to be retroactive to.