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piggy007
Mommy of 2!!
Member since 11/08 1742 total posts
Name:
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Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I didnt' receive anything from my insurance company stating that I've been pre-approved for my hopsital stay when the baby is born. I know a friend of mine got something from her insurance company stating she got 48 hours for a vaginal birth and 72 hours for a c-section.
Did you guys get a letter like this from your insurance company? Should I call mine?
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Posted 4/1/10 11:18 AM  |
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jennarose023
Jack's gonna be a big brother!
Member since 11/08 7769 total posts
Name:
Jenna
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
that's a great questions...i have no idea??
Maybe it's something that the doc office handles?
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| Posted 4/1/10 11:19 AM |
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neener1211
:-)
Member since 4/07 22952 total posts
Name:
J
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I didn't receive anything for DS, and I didn't get anything for this child either.
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| Posted 4/1/10 11:19 AM |
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NervousNell
Just another chapter in life..
Member since 11/09 54921 total posts
Name:
..being a mommy and being a wife!
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
It's going to depend on your insurance.
My insurance card said I had to call for preapproval for hosptial stays- including delivery.
I forgot to call. However my Dr's office called to get the approval for me because I got a letter the other day saying that I was preapproved etc.
Call you insurance company to make sure.
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| Posted 4/1/10 11:25 AM |
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seeinstarz
LIF Toddler
Member since 1/08 382 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I received one in the begining of my preg from my insurance company BCBS.
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| Posted 4/1/10 11:25 AM |
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BriBri2u
L'amore vince sempre
Member since 5/05 9320 total posts
Name:
Mrs. B
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I received this letter about a month ago.
My OB office informed my insurance company.
We have BCBS PPO
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| Posted 4/1/10 11:27 AM |
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maymama
my little loves
Member since 8/08 18453 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by BriBri2u
I received this letter about a month ago.
My OB office informed my insurance company.
We have BCBS PPO
same!  we have to bring it to the hospital when we deliver, they should have gotten a copy so this is "just in case"
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| Posted 4/1/10 11:28 AM |
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Madibee
LIF Infant
Member since 3/10 176 total posts
Name:
Madeline
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Sometimes you have to pre-approve, depending on your policy. I would check with the hospital, because as long as the hospital is in-network it is their responsibility to do the pre-approval with the insurance company.
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| Posted 4/1/10 11:31 AM |
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LosCruz
LIF Infant
Member since 9/09 190 total posts
Name:
EVE *DD 4-15-2010
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
All insurances are different. pre-approval is the resposibilty of the hospital once they admit you BUT you should make a follow up call to make sure that the have been informed...
some hospitals are allowed to balance bill you and such and once you sign the paperwork you are at their mercy so it's best to make a phone call now and find out what the procudure is and a follow up call after...
always get the name and first inital of the last name of who you spoke to...
also your OB should have given you forms to fill out and mai lto the hospital so they can get the ball rolling...
sorry for the LONG answer..I actually do this stuff as a jobby job..
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| Posted 4/1/10 11:38 AM |
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mnmsoinlove
Mommy to 2 sweet girls!
Member since 3/09 8585 total posts
Name:
Melissa
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Aetna said I don't have to worry about a pre-approval. The drs. office and Aetna take care of it.
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| Posted 4/1/10 11:49 AM |
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LucyLu21
LIF Adolescent
Member since 5/09 603 total posts
Name:
Lucy
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I remeber getting a vague letter like that from my insurance company, maybe a month ago (around 15 weeks). You can call just to make sure but it didn't look like anything important.
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| Posted 4/1/10 11:58 AM |
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nataliea623
LIF Toddler
Member since 1/10 405 total posts
Name:
Natalie
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Some Dr. offices will do it for you. Mine did once I was out of my first trimester. I would call your insurance company to inquire.
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| Posted 4/1/10 12:19 PM |
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ali120206
2 Boys
Member since 7/06 17792 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by nataliea623
Some Dr. offices will do it for you. Mine did once I was out of my first trimester. I would call your insurance company to inquire.
Mine did it as well.
When I filled out my pre-admission form for the hospital, I needed the number from the letter to put on it (and then the hospital never received the pre-admission form).
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| Posted 4/1/10 12:23 PM |
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GottaHaveFaith
LIF Adult
Member since 10/09 1443 total posts
Name:
Kelly
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
That's funny that you just posted this, because I got one yesterday in the mail. It was from our insurance company authorizing me 2 days for vaginal, and if anything else, the doc will notify them and they'll authorize it! I'm also not even due til August 3rd, so I'm glad they are on top of their game!
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| Posted 4/1/10 12:27 PM |
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piggy007
Mommy of 2!!
Member since 11/08 1742 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I called the insurance company and they said they didn't have anything from the doctor. So I called the doctors office and they said they don't contact the insurance company until a few weeks before you are due. Which i thought was strange!!!
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| Posted 4/1/10 12:28 PM |
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Karen
Just chillin'!!
Member since 1/06 9690 total posts
Name:
Karen
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
We have United Healthcare and have always gotten a preapproval in the mail. Usually it comes super early (around 8 week mark), because 2 times I m/c'd after the letter came for preapproval for the delivery.
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| Posted 4/1/10 12:29 PM |
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piggy007
Mommy of 2!!
Member since 11/08 1742 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by piggy007
I called the insurance company and they said they didn't have anything from the doctor. So I called the doctors office and they said they don't contact the insurance company until a few weeks before you are due. Which i thought was strange!!!
I go to Dr. Mesbah's office in Garden City..
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| Posted 4/1/10 12:40 PM |
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Gdesq
LIF Adult
Member since 5/05 1314 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I have Empire BCBS which requires you get pre-approval for pregnancy. I had to give them notice of the pregnancy within the first three months. After I did that, I got a letter from them approving a 48 hr hospital stay for vaginal birth.
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| Posted 4/1/10 1:40 PM |
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kristin597
Mama!
Member since 8/08 1688 total posts
Name:
Kristin
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by seeinstarz
I received one in the begining of my preg from my insurance company BCBS.
Me too.
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| Posted 4/1/10 1:47 PM |
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Madibee
LIF Infant
Member since 3/10 176 total posts
Name:
Madeline
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by LosCruz
All insurances are different. pre-approval is the resposibilty of the hospital once they admit you BUT you should make a follow up call to make sure that the have been informed...
some hospitals are allowed to balance bill you and such and once you sign the paperwork you are at their mercy so it's best to make a phone call now and find out what the procudure is and a follow up call after...
always get the name and first inital of the last name of who you spoke to...
also your OB should have given you forms to fill out and mai lto the hospital so they can get the ball rolling...
sorry for the LONG answer..I actually do this stuff as a jobby job..
The balance billing is done only if your hospital is out-of-network. Girls, please make sure your hospital is in the network to avoid this. As long as your hospital is in the network, u do not have to worry about the balance billing. Your only responsibility will be the copay or deductible/coinsurance.
Also check with your doctor/hospital to make sure they did the pre-approval, as it is their responsibility for in-network services. Hope this helps!
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| Posted 4/1/10 1:53 PM |
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Salason
♥
Member since 6/05 9878 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
I think it's all handled when I do my pre-registration with the hospital (it was with DS).
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| Posted 4/1/10 1:58 PM |
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sasha96
lovin' my 2 little ladies!
Member since 5/05 7401 total posts
Name:
Julianne
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
it depends on your ins. i had to and got a pre-auth. number. you can check with your OB's office to be sure.
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| Posted 4/1/10 2:00 PM |
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LosCruz
LIF Infant
Member since 9/09 190 total posts
Name:
EVE *DD 4-15-2010
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by Madibee
Posted by LosCruz
All insurances are different. pre-approval is the resposibilty of the hospital once they admit you BUT you should make a follow up call to make sure that the have been informed...
some hospitals are allowed to balance bill you and such and once you sign the paperwork you are at their mercy so it's best to make a phone call now and find out what the procudure is and a follow up call after...
always get the name and first inital of the last name of who you spoke to...
also your OB should have given you forms to fill out and mai lto the hospital so they can get the ball rolling...
sorry for the LONG answer..I actually do this stuff as a jobby job..
The balance billing is done only if your hospital is out-of-network. Girls, please make sure your hospital is in the network to avoid this. As long as your hospital is in the network, u do not have to worry about the balance billing. Your only responsibility will be the copay or deductible/coinsurance.
Also check with your doctor/hospital to make sure they did the pre-approval, as it is their responsibility for in-network services. Hope this helps!
Actually, any private hospital has the right to balance bill whether they are in network or not..it has to do with their contract with the specific plan.
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| Posted 4/1/10 2:26 PM |
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JJN4
LIF Adult
Member since 5/09 1109 total posts
Name:
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
Posted by seeinstarz
I received one in the begining of my preg from my insurance company BCBS.
Me too.
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| Posted 4/1/10 6:38 PM |
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Arodisi
"My 3 Sons!"
Member since 3/06 3515 total posts
Name:
KT
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Re: Hospital Pre-Approval from Insurance Company? Are we supposed to get one?
i think it depends on your insurance company/policy.
i have GHI. with my DS in 2007 i didnt have to do anything. now they changed their policy and they require pre-certification for all hospital stays. i was actually at my OB today (im 25 wks) and they told me to make sure i call and get the pre-cert # from my insurance.
i would double check with your insurance just to be sure...
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| Posted 4/1/10 7:56 PM |
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