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Need help - infant wellness visit calendar

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karacg
Babygirl is 4!

Member since 5/05

17076 total posts

Name:
Kara®

Need help - infant wellness visit calendar

I just got a bill from my pediatrician. Our insurance co. CHANGED their policy for 2009 -- only ONE well visit per person per calendar year -- despite the fact that DD just turned 2.

So I am trying to fight this policy by providing some kind of official document that recommends well visits every 3 months for the first 2 years, and then every 6 months up to 4.

Anyone have anything or know where I can find this? I've been searching on the American Academy of Pediatrics web site but haven't found anything yet.

This really makes my blood boil!!!

Posted 6/25/09 3:46 PM
 
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EmmaNick
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Member since 12/06

16001 total posts

Name:
*

Re: Need help - infant wellness visit calendar

I have never heard of that schedule. I know with both of my kids peds. they went at 12 mos, 18 mos, 2 years and then only once per year after that.

Posted 6/25/09 4:29 PM
 

DancinBarefoot
06ers Rock!!

Member since 1/07

9534 total posts

Name:
The One My Mother Gave Me ;-)

Re: Need help - infant wellness visit calendar

Posted by karacg

I just got a bill from my pediatrician. Our insurance co. CHANGED their policy for 2009 -- only ONE well visit per person per calendar year -- despite the fact that DD just turned 2.

So I am trying to fight this policy by providing some kind of official document that recommends well visits every 3 months for the first 2 years, and then every 6 months up to 4.

Anyone have anything or know where I can find this? I've been searching on the American Academy of Pediatrics web site but haven't found anything yet.

This really makes my blood boil!!!



I've never heard that, but check with your ped. Mine told me that the insurance industry was changing their payment policies for well visits by reducing the total number allowed in the first year effective Jan. 1, 2009, but she didn't mention later well visits.

Posted 6/25/09 8:01 PM
 

Melissa77
Mommy of 3

Member since 8/08

2872 total posts

Name:
Melissa

Re: Need help - infant wellness visit calendar

We got 3 well visits in our 2nd year - 12 months, 15 months and 18 months and then it is one a year after that. We also scheduled the 2 year visit for after she turned 2 b/c that it what the doctors office said to do to be covered. Same with the 3 year visit, it had to be AFTER she turned 3 for insurance to cover.

ETA: Kara, did you go before her actual birthday b/c that would put you over one visit according to what my ped told me.

Message edited 6/25/2009 8:33:57 PM.

Posted 6/25/09 8:32 PM
 

karacg
Babygirl is 4!

Member since 5/05

17076 total posts

Name:
Kara®

Re: Need help - infant wellness visit calendar

ONE well visit per calendar year. The first 2 years my DD went every 3 months -- wellness and shots.

Anway we spoke to HR at DH's work since it is their own policy, and it is a mistake. She is covered.

Thank you anyway....I did ask my ped. but he said they don't have anything official, just to print out the CDC vaccination schedule, which I sent to HR.

Posted 6/28/09 8:59 PM
 
 

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