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Doctor Dropped our Health Insurance

posted 1 year ago in Babies
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    1.
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    Sugar bee
    KellyV    September 12, 2009   New York, NY

    hi guys!  Need some help from anyone who is familiar with this situation or has ANY advice.  So as all of you know, I am about 16.5 weeks along.  My doctor, whom I LOVE, just dropped the bomb on us that after this month he will no longer accept our health insurance (just dropped my company.)  I just got off the phone with my insurance co, and there is no way for them to grandfather me in or anything, so now Im stuck with 2 options.  1-pay out of network costs for him, or 2-find a new doctor.  I hit the jackpot with this doctor so Im kind of in a panic over this.  My deductibles for Out of Network arent awful, but the annual out of pocket is going to be hard to hit after learning what does and does not get applied toward it.  UGH.  Any suggestions or advice?

     
    2.
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    Honey bee
    kitzy    June 2011  

    ooh i hate when this happens!

    as annoying as it is, i would find a new doctor. medical bills really add up, and since you're having a baby there are probably better places to spend that money.

     

     
    3.
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    Buzzing
    Beekeeper
    CorgiTales    February 1, 2011  

    I'd find another doctor. It sucks, but i wouldn't want to pay more. If you can't find another one you like you could always switch back... at least then you'd know he/she was worth the extra. 

     
    4.
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    Sugar bee
    troubled      

    I second kitzy.  There's lots of good doctors out there and you're early enough that you have time to shop around for a good one if you don't like the first one you visit.  And even if you can afford it, it's still nice to be able to save that money.

     
    5.
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    Buzzing bee
    armychica06    December 8, 2012   CT

    find a new doctor- you are going to need that money for the baby.... sorry.

     
    6.
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    Helper bee
    MyFavouriteChords    October 2, 2010  

    Maybe your doctor would be able to recommend someone who he or she likes in the area.  They typically network with each other so you might luck into another physician who is just as good and not as much $$$

     
    7.
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    Sugar bee
    KellyV    September 12, 2009   New York, NY

    ugh, that is what I was afraid of.  Husband said the same thing as all of you, I think I just needed to hear it overwhelmingly.  Im terrified to search for a new doctor, 

     
    8.
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    Busy bee
    Pelikila    August 30, 2008   Houston, TX

    Ask the doctor that you love and no longer accepts your insurance to recommend some of their collegues.  You are bound to find someone else you love again.

     
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    MissAsB    June 6, 2009   Married in CO, Living in AL

    I agree about finding a new doctor.  Yes it sucks but you would rather have that money later on for baby stuff or if god forbid the baby needs to go to the doctor.

     
    10.
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    Buzzing bee
    texasmeredith      

    I think you should find a new doctor.  Ask friends, neighbors, co-workers, etc who they use and I'm sure you'll find a great recommendation.  Also ask your doctor who he suggests. 

    Good luck!!  I'm sure you'll find someone great!

     
    11.
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    Buzzing bee
    heather25       New York

    Why not ask your old doc for a recommendation.  Hopefully you can find someone jsut as great.

     
    12.
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    Sugar bee
    camrie    September 5, 2010   Louisville

    I'd find a different doctor. Paying out of pocket is just an unnecessary expense unless you don't have ANY insurance. I'd see if you could get a recommendation or try a few different docs just so you can find another one your comfortable with.

    If your current doctor is in a practice there could be a chance that he won't be the one to actually deliver your baby - and then you've had all this extra expense with no guarantee that you'd have YOUR doctor there.

     
    13.
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    moderndaisy    June 2010  

    Yes I would also find a new doctor. I know what you're feeling though, I would not be happy if I had to switch mine.

     
    14.
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    Helper bee
    andy113    August 14, 2010   DC

    i don't know. can you talk to him and see if he might be able to work something out with you? like a payment plan? i'm considering using a doc who doesn't take insurance at all simply because he seems really great and is a solo practitioner (many of whom don't take insurance). he charges a flat fee that includes all the pre and post natal visits - i believe he said it was $5000 for vaginal delivery. i started thinking about it and that's like the same amount we paid for our bedroom set - less than my wedding attire - and this is a baby!! for me, feeling like i'm with a good doctor who knows me vs a giant practice where you're treated like just one in a million preggo people is worth it to me i guess. his office files it for you and you get reimbursed some part of it. hospital fees would still be covered by insurance as would sonograms, bloodwork done outside his office. where i am, a good doc is extremely hard to find.....

    of course its up to you, but if it were me, i wouldn't give up yet!

     
    15.
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    Helper bee
    sarahcisme    May 30, 2010   Albany, NY

    I'm sorry to hear about this!  I'm sure the last thing you need is extra stress.  I would definitely find another doctor.  See if your current doctor can possibly recommend one. Good luck :)

     
    16.
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    Busy bee
    beesknees    04.19.08   Florida

    You could ask your dr. what they charge for prepayment not using insurance.  My dr.'s office is $2200 for all visits and delivery.  This fee does not include the 20 week ultrasound which is additional $165 or some of the labs, but at 16.5 weeks, most of your labs should be done already. AND you could just get a script for the labwork and go directly to the lab that is in your network.  KEEP in mind that your dr. if you chose to stay with them, this fee does not include the hospital costs, so make sure your hospital you are delivering at is in your new network.  For me, I'd rather pay a little bit more and have a DR i LOVE. 

     
    17.
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    Bumble bee
    NJmeetsBX    April 2012   DC

    This happened to my sister.  She was able to work something out with the insurance company and her doctor to cover her until she had my nephew.  She then found another doctor.  Perhaps you can try this.

     

     
    18.
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    Busy bee
    cheese    May 2009   Knoxville

    Well, at least look for another doctor, then you're making an informed decision to pay more - or not.

     
    19.
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    Sugar bee
    KellyV    September 12, 2009   New York, NY

    @andy113: and 

    @beesknees:

    I think im going to try that.  A coworker of mine here just told me about this before I checked the replies here and his wifes total care was 10K (NYC costs. Blech.) and that was for the full 40 weeks...since Im into it already im hoping mine will be less.  My insurance would cover 70% of that so really, 3K max isnt all THAT bad for total costs.  Ill see what he has to say. 

    thanks guys!!!!!!!!!!

     

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