The joy of becoming a parent is priceless, there’s no doubt about that. However, after adding up medical bills, diapers, car seats, etc. it can also get pricey if you’re not careful. The most important things to remember when you’re pregnant are to research, ask questions and understand your insurance policy — this is especially applicable when it comes to pregnancy costs.
I have health insurance. What should I expect to pay for prenatal care and delivery?
Even if you have health insurance, the out-of-pocket costs you’ll have to pay can greatly vary depending on your type of insurance and what exactly it covers. The first thing you need to do is determine if your policy covers maternity costs. If you have insurance through your employer and the company has at least 15 people full-time, then your insurance is required to provide maternity services. However, if you have an individual policy, you should call to find out if any costs are covered, what are the deductibles, copays, etc. and then estimate what your costs will be.
I’m covered — If you are covered, employee insurance plans typically cover between 25 percent to 90 percent of costs after the deductible is met. In short, if each family member (including your newborn child) has a $2,000 deductible, you’ll have to pay the first $4,000 of expenses for both your and baby’s medical care, in addition to any of expenses your plan doesn’t cover.
I’m not covered — In 2012, about 88 percent of individual policies did not offer maternity coverage. The good news is that it’s usually possible to purchase a maternity rider to cover your pregnancy expenses. As soon as you find out you are pregnant, call your insurance provider to discuss your options and decide on an affordable plan.
I don’t have health insurance. How much will I have to pay out-of-pocket?
If you are pregnant and don’t have health insurance, don’t panic! While the costs of prenatal care and childbirth can be steep, you still have several options available. Depending on your financial situation, you may qualify for a federal or state health insurance program that will help take some of the burden of maternity costs. Here are a few that are available:
For help finding private and government health insurance options, use the Families USA program locator.
If you are still planning on paying out-of-pocket for your pregnancy and maternity costs, you need to set aside a budget for prenatal care, decide on the type of birth, and the place. When your OB knows that you are self-pay, you should be able to work out a payment plan together.
Then there’s the cost for where you choose to deliver. If you choose to deliver in a hospital, the typical cost of a vaginal delivery without complications ranges from about $9,000 to $17,000 or more. The typical cost for a C-section without complications or a vaginal delivery with complications ranges from about $10,000 to $25,000 or more.
Pregnancy is stressful and sometimes overwhelming enough — don’t let the costs add to your stress. Remember, you always have options! If you are pregnant, call Contemporary Women’s Care and we will work with you to find the best solution.