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SPERM1NATED
LIF Adolescent
Member since 4/14 638 total posts
Name:
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Pre-Authorization for Hospital
If you haven't done this, I HIGHLY recommend that you call your insurance company and see if you need to do this. I have Empire Plan and was told during the tour that my OB's office takes care of all of this- NOT TRUE!!! If I didn't call, I would have had to pay a $200 penalty. Thank goodness I called today to double check.
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Posted 4/21/15 4:48 PM  |
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MrsM84
LIF Adult
Member since 2/13 2352 total posts
Name:
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Pre-Authorization for Hospital
Thanks for bringing this up! I remembered receiving a letter from my insurance company very early on in my pregnancy, but I hadn't given it a second thought until you mentioned it. I just went up to my file cabinet and pulled out the pre-authorization later -- I'm good to go!
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| Posted 4/21/15 5:54 PM |
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Re: Pre-Authorization for Hospital
Omg I have the same insurance, NYSHIP right? And I never heard of this!! Thank you sooo much for posting! How far in advance can we do this?
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| Posted 4/21/15 6:22 PM |
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MrsM84
LIF Adult
Member since 2/13 2352 total posts
Name:
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Pre-Authorization for Hospital
I have NYSHIP and my OB/GYN office had me fill out paperwork at my 9 week appointment, as soon as the pregnancy was confirmed. I got a letter from Empire about 2 weeks later saying I was authorized for a hospital stay for birth of a child. I was confused why it came from Empire, but if you have NYSHIP, that's who our hospital benefits come from. United Healthcare is who our medical benefits come from.
Message edited 4/21/2015 6:30:42 PM.
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| Posted 4/21/15 6:30 PM |
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ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
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Pre-Authorization for Hospital
My OB's office handled it. I called before I left for my induction and they said I was all good to go! Definitely call and make sure though!
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| Posted 4/21/15 7:11 PM |
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MrsG823
Just call me Mommy.
Member since 1/11 5570 total posts
Name:
S
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Pre-Authorization for Hospital
Call!! I have NYSHIP and they tried to charge me 50% of my hospital stay because my OBs office did not get prior authorization like they said they would--I trusted that they would call and did not do it myself. When I delivered my daughter I was admitted through the ER and called within 24 hours for authorization. I was told the stay was authorized but was later sent a bill- a very LARGE Bill. I fought it and it was ultimately paid but only because they stated the reason for declining coverage was that they were not informed I was pregnant BUT they had paid out THREE ER visits with the diagnosis of xxx complication of pregnancy. I was lucky I ended up in the ER or I would have had a huge bill on my hands.
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| Posted 4/21/15 7:44 PM |
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Re: Pre-Authorization for Hospital
Omg thank God I read this forum!! I'm calling first thing tomorrow! So what do I say that I just need per-authorization for my delivery hospital stay?
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| Posted 4/21/15 7:51 PM |
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MrsM84
LIF Adult
Member since 2/13 2352 total posts
Name:
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Re: Pre-Authorization for Hospital
Posted by PrayingForBaby747
Omg thank God I read this forum!! I'm calling first thing tomorrow! So what do I say that I just need per-authorization for my delivery hospital stay?
Yes -- call your insurance company and tell them you want to check to see if you've received pre-authorization for your hospital stay for childbirth. Chances are, if you had gotten it, you'd have already received a letter from your insurance company stating that. See what the insurance company says -- they might tell you to call your OB office to have them submit the paperwork, or they might contact the office themselves requesting the necessary paperwork.
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| Posted 4/21/15 7:53 PM |
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Re: Pre-Authorization for Hospital
Posted by MrsM84
Posted by PrayingForBaby747
Omg thank God I read this forum!! I'm calling first thing tomorrow! So what do I say that I just need per-authorization for my delivery hospital stay?
Yes -- call your insurance company and tell them you want to check to see if you've received pre-authorization for your hospital stay for childbirth. Chances are, if you had gotten it, you'd have already received a letter from your insurance company stating that. See what the insurance company says -- they might tell you to call your OB office to have them submit the paperwork, or they might contact the office themselves requesting the necessary paperwork.
Thank you, thank you, thank you!! I'm doing this tomorrow morning!!
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| Posted 4/21/15 8:17 PM |
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Strawberry2468
It's summatime
Member since 3/09 4739 total posts
Name:
Christine
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Re: Pre-Authorization for Hospital
Hmm. I didn't do anything last time for Aetna. Idk if dr did. But they know I'm pregnant bc they called me with the on staff nurse info and see the bills.
Message edited 4/23/2015 8:25:00 AM.
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| Posted 4/21/15 8:45 PM |
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drpepper318
MIR MIR MIR!
Member since 6/07 8274 total posts
Name:
me
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Re: Pre-Authorization for Hospital
So glad you posted this as I just went through the same thing. I actually had a hunch recently that my OB's office never informed my insurance like they said they would... I was on the phone w/ Empire the other day about something else entirely & remembered to ask about it (my OB's office told me they'd taken care of it but I still had never gotten an authorization letter like last time).... well Empire told me they had NOT been informed by my OB's office & that I could do the authorization myself right then over the phone because I needed it, and I did... but if I hadn't, I wonder what kind of penalty I would have gotten!!! UGH, I hate how there are a million little things to take care of & the people who are supposed to take care of it DON'T do it.
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| Posted 4/21/15 9:49 PM |
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SPERM1NATED
LIF Adolescent
Member since 4/14 638 total posts
Name:
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Re: Pre-Authorization for Hospital
Yea I just calle to double check. I never got a letter or anything. Also, there's a "Future Moms" program with Empire that you can enroll in. That's the first thing that tipped me off that maybe the insurance company doesn't know I'm pregnant. I'm just glad I found out before I had this kid.
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| Posted 4/22/15 2:03 AM |
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ThreeforTea
Girls just want to have fun..
Member since 5/12 7482 total posts
Name:
Mama
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Pre-Authorization for Hospital
I just called Empire Plan right now and got my pre- authorization number. They said they will send me a letter and just to call 2 days after giving birth.
Message edited 4/22/2015 11:27:56 AM.
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| Posted 4/22/15 9:30 AM |
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backfor3
LIF Adolescent
Member since 9/14 568 total posts
Name:
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Re: Pre-Authorization for Hospital
Thank you for this. Just called myself they said I should have received a letter in the mail by now saying I was preauthorized and since I didn't they are sending me another letter now.
Thanks again!!!
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| Posted 4/22/15 11:24 AM |
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Re: Pre-Authorization for Hospital
Just got my pre-auth. code, my OB never did it!! So frustrating but I'm so grateful for you ladies. I never would have known that I had to do this so thank you again!!
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| Posted 4/22/15 11:24 AM |
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ThreeforTea
Girls just want to have fun..
Member since 5/12 7482 total posts
Name:
Mama
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Re: Pre-Authorization for Hospital
Posted by PrayingForBaby747
Just got my pre-auth. code, my OB never did it!! So frustrating but I'm so grateful for you ladies. I never would have known that I had to do this so thank you again!!
That's why this site is the best!!
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| Posted 4/22/15 12:43 PM |
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SPERM1NATED
LIF Adolescent
Member since 4/14 638 total posts
Name:
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Re: Pre-Authorization for Hospital
Posted by PrayingForBaby747
Just got my pre-auth. code, my OB never did it!! So frustrating but I'm so grateful for you ladies. I never would have known that I had to do this so thank you again!!
Glad I could help!! 
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| Posted 4/22/15 1:08 PM |
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Re: Pre-Authorization for Hospital
Posted by Strawberry2468
Hmm. I didn't do anything last time for Aetna. Idk if dr did. But they know I'm pregnant bc they called me with the on staff nurse info and see the bills.
I sent in the pre-auth forms to the hospital myself (that my doc provided) and at the hospital tour (NHUM) the post-natal nurse suggested we all call our insurance and make sure there's nothing else to do and she said no today when I called Aetna.
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| Posted 4/24/15 2:37 PM |
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