Questions to Ask Your Insurance Representative
When you call member services (the phone number is usually printed on your insurance card), have a pen and pencil handy to write down all the information. First ask if your policy, or your spouse’s, is the primary carrier. Then ask the primary provider the following questions:
I’d like to find a good doctor to care for me during my pregnancy. Can you send me a list of the family practitioners and obstetricians in my area who participate in this insurance plan? What kind of coverage do I have for pregnancy? Are hospital bills covered? What about tests prescribed by my doctor? Which procedures need preapproval? What kind of coverage do I have if I experience complications during the pregnancy? What kind of coverage do I have if I deliver a premature baby? Is there a deductible amount that I must pay first? What percentage of the bills will you pay? Is there a limit to my policy coverage? Will you make payments to me or to the health-care provider? I want it noted on my records right now that when the baby is born he or she should be added to my policy. (If you don’t have this noted before delivery, you will have to call the day the baby is born, otherwise all expenses related to infant care up to the time you make the phone call will not be covered.) Are the expenses of an at-home birth or a midwife or covered under my policy? (If you are considering these options.)
If you don’t have health insurance, don’t let this keep you from getting the prenatal care that’s vital to your health and the health of your baby. Call your local hospital and ask where you can find a free clinic. Also ask whom you can speak to about your eligibility for charity care programs or Medicaid.
