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soon2Bmomof3
LIF Zygote
Member since 4/16 11 total posts
Name:
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Maternity 21 and co-insurance
Anyone have the Maternity 21 test done and have an insurance with a 20% co-insurance?
If so can you please share your cost?
I am 36, so I know I will get the pre-authorization but with my insurance I have a 20% co-insurance and I cant seem to get anyone to tell me what my out of pocket will be
I have UHC if that matters, thanks!!!
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Posted 4/26/16 3:45 PM  |
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loveus
LIF Adolescent
Member since 9/13 684 total posts
Name:
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Maternity 21 and co-insurance
Most likely your insurance will deny the claim.
If you met the criteria (age, history, etc) you should get a bill from the company who did the test for about $150.
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| Posted 4/26/16 4:26 PM |
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NYCGirl80
I love my kiddies!
Member since 5/11 10413 total posts
Name:
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Re: Maternity 21 and co-insurance
Posted by loveus
Most likely your insurance will deny the claim.
If you met the criteria (age, history, etc) you should get a bill from the company who did the test for about $150.
Not nec true. I had UHC and it was covered at 100% b/c it was an in-network test and I was over 35 when I delivered. Not sure about your co-insurance question. I didn't have Maternity21, but a different test, so I can't help there.
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| Posted 4/26/16 4:34 PM |
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momofone
LIF Infant
Member since 10/13 174 total posts
Name:
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Re: Maternity 21 and co-insurance
my insurance didnt cover it and they sent me a bill for 3k!!! I called them right away and they no questions asked reduced the bill to around 160.
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| Posted 4/26/16 5:00 PM |
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pumpkinmom
LIF Adult
Member since 5/12 2911 total posts
Name:
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Maternity 21 and co-insurance
I called maternit21 the other day. Gave them my insurance info (cigna) and they are now in network and the cost estimate was $800 (I didn't meet my deductible yet, so I would pay the whole cost). Call them and find out. They even knew what was left on my deductible, so if they contract with UHC, they can probably give you a good estimate of your out of pocket expense.
When they were out of network, they knocked it down to $200 for me, but they told me to expect to pay $800 this time since it's in network.
Message edited 4/26/2016 5:28:01 PM.
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| Posted 4/26/16 5:21 PM |
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soon2Bmomof3
LIF Zygote
Member since 4/16 11 total posts
Name:
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Re: Maternity 21 and co-insurance
I did call UHC and they couldnt tell me my 20% without receiving the bill 
I just dont really think the test is absolutely necessary just bc of my age and I dont want to get stuck with a several hundred dollar bill when I can do the regular NT scan for about 60 bucks
Message edited 4/26/2016 5:33:56 PM.
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| Posted 4/26/16 5:30 PM |
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pumpkinmom
LIF Adult
Member since 5/12 2911 total posts
Name:
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Re: Maternity 21 and co-insurance
Posted by soon2Bmomof3
I did call UHC and they couldnt tell me my 20% without receiving the bill
Call maternit21 at 877-821-7266. They are open now (til 4pm pacific time).
My insurance company wouldn't give me the cost either, even with CPT code. They needed to know a lab name, which I didn't know.
Message edited 4/26/2016 5:45:35 PM.
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| Posted 4/26/16 5:36 PM |
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MikesWife
Wanting...........
Member since 1/06 6887 total posts
Name:
Karen
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Re: Maternity 21 and co-insurance
Posted by pumpkinmom
I called maternit21 the other day. Gave them my insurance info (cigna) and they are now in network and the cost estimate was $800 (I didn't meet my deductible yet, so I would pay the whole cost). Call them and find out. They even knew what was left on my deductible, so if they contract with UHC, they can probably give you a good estimate of your out of pocket expense.
When they were out of network, they knocked it down to $200 for me, but they told me to expect to pay $800 this time since it's in network.
This was me as well. I have UHC but I have not met my deductible. The bill was about $800 but once I pay it, it will come off of my annual deductible.
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| Posted 4/27/16 9:06 AM |
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soon2Bmomof3
LIF Zygote
Member since 4/16 11 total posts
Name:
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Re: Maternity 21 and co-insurance
I called them today, the copay on the test would be $$765 bc they are in network and insurance would cover it given my "advance maternal age"
if it wasnt covered by my insurance then I would qualify for their reduced fee of $200
Health insurance is the biggest scam going
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| Posted 4/27/16 7:16 PM |
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pumpkinmom
LIF Adult
Member since 5/12 2911 total posts
Name:
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Re: Maternity 21 and co-insurance
Posted by soon2Bmomof3
I called them today, the copay on the test would be $$765 bc they are in network and insurance would cover it given my "advance maternal age"
if it wasnt covered by my insurance then I would qualify for their reduced fee of $200
Health insurance is the biggest scam going
Whaaaat? That can't be 20% - that would make the in network cost $3825.
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| Posted 4/27/16 7:51 PM |
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soon2Bmomof3
LIF Zygote
Member since 4/16 11 total posts
Name:
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Re: Maternity 21 and co-insurance
Posted by pumpkinmom
Posted by soon2Bmomof3
I called them today, the copay on the test would be $$765 bc they are in network and insurance would cover it given my "advance maternal age"
if it wasnt covered by my insurance then I would qualify for their reduced fee of $200
Health insurance is the biggest scam going
Whaaaat? That can't be 20% - that would make the in network cost $3825.
Thats what the woman from Maternit21 said, I think thats insane!!!!
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| Posted 4/27/16 8:33 PM |
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