If you are under 35 and wanted the 12 week testing, did insurance cover it?

I just wrote about this in the quad screen post but wanted to ask here for more info.

I was going to actually have the 12 week sono just to see a glimpse of baby, but the office told me that because I'm under 35 insurance prob woudln't cover it and I'd be looking at about $400 out of pocket. We decided we'd just wait till the level II...

Message edited 1/27/2009 9:20:03 AM.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Really? What kind of insurance do you have?

I did all the testing, never had a lick of trouble from insurance. Give the insurance co a call - I have a feeling whoever told you that was just being super cautious, I'm sure it'll be covered.

ETA: I just did the math and I would have been 28 during the nucheal (sp?). No issues with the pregnancy or anything that would have warranted a special case either.

Message edited 1/27/2009 9:29:41 AM.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Yes, my insurance covered it.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

my insurance covered it too.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

My insurance covered it. I have Empre BCBS PPO

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

my doctor told me the same thing but I called my insurance and it is considered medically necessary and covered at 100%

I would call your insurance

I have aetna

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

I have Empire and it was covered. I did have to pay slightly more than usual bloodwork because no participating labs offered the modified sequential screening, but it was like $40 for each part, for a total of $80 I think.

The sono was totally covered.

Message edited 1/27/2009 9:50:03 AM.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Mine was covered. But there are some tests along the way where I need to pay some co-insurance out of pocket, but it was not the full amount.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Yes. Believe it or not, I got a letter that they weren't going to pay for the 20 wk anatomy sono but I wrote a letter, as did my doctor and it got covered (as far as I know---haven't heard back from them and I've since given birth!)

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

I'm 32 (was 31 at the time of the test) and it was covered.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

i had to pay 100.00 for the quad screen/sono.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Down here in NC you don't even get that test with any doctor or insurance.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

I was never given the option NOT to take it and I was 25 at the time. My insurance covered it.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Posted by CaidensMommy

Down here in NC you don't even get that test with any doctor or insurance.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

It is considered a standard test when pregnant - I have not heard of it not being covered unless maybe you have a not great insurance. It has nothing to do with being under 35 as a reason for the testing. Maybe your OB's office is not coding it properly?

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

My insurance considered it a 'specialist' appointment but it was covered less my $30 co-pay.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Mine was covered -

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

my insurance covered it.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Posted by Mikismom

Posted by CaidensMommy

Down here in NC you don't even get that test with any doctor or insurance.

not true, I am in NC and it is definitely covered and offered by my OB...it is a standard test nowadays

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

Weird...I have great insurance, I don't pay one dime for the whole pregnancy...when I had my son we didn't pay a thing and this time the same...

It was the assistant at the office who told me this....she was very matter of fact about how they woudln't cover it b/c I'm not over 35 and its not a necessary test....

I'm past the point of it anyway (14.5 weeks) and its not a huge deal, but I should have called my insurance to check. I am going to let my office know not to tell people false info like that...how annoying!!!

thanks ladies!

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

yes. It was covered under my policy.

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

my insurance covered the ultrascreen..i have aetna

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

my insurance covered it 100%

Re: If you are under 35 and wanted the 12 week testing, did insurance cover it?

so far, yes...everything has been covered - from the genetic counselling to the ultrasounds (i'm 33 1/2).

i have united...