(Closed) Any health insurance know-it-all-bees out there?? Baby related..

posted 4 years ago in Pregnancy
Post # 3
Member
1613 posts
Bumble bee
  • Wedding: June 2012

@dogsrule86:  have you shopped around for private insurance for the baby?  I’m a teacher as well, and our insurance is luckily really good, but in my sister’s district it cost an arm and a leg to add a dependent, so most people get private insurance for their child.

Post # 4
Member
1626 posts
Bumble bee
  • Wedding: September 2012

@dogsrule86: Replying so I can follow. Sorry I don’t have any advice. DH & I are expecting in December and insurance through our employer for the baby will be $500 as well. We have budgeted that in to everything already but I’m curious to see what other bees have to say. The fact that your insurance is no cost to you is a giant plus! We already pay a pretty penny for our own.

Post # 6
Member
1613 posts
Bumble bee
  • Wedding: June 2012

@dogsrule86:  That is funny!  It does start as soon as the baby is born.  If you research some plans online and find some you like, I would call the company and talked to them about it.  I’m sure they can give you info!

Post # 8
Member
2378 posts
Buzzing bee
  • Wedding: June 2014

Honestly, $500 a month for insurance for 2 people is quite low, I’d be THRILLED to be paying that little to cover both myself and my fiance.  You don’t have to add the baby until it’s born, so you’ll want to let your HR and insurance company know now, but you won’t be paying the additional premium for several months yet.  Realistically, you’re not going to find an individual plan that will provide equal coverage for a lower amount.  You can get bare bones coverage for less, but that’s not really an option that you’d want.

Post # 9
Member
1096 posts
Bumble bee
  • Wedding: June 2011

As long as you’ve had no lapse in coverage the pre-existing condition clause shouldn’t apply. Usually you are allowed up to a 90 day lapse but I’m not sure if the 90 days still applies with the new healthcare laws.

The $500+ a month is pretty standard because your company (school) only contributes to your healthcare not your families. The same would apply if you switched yourself to your DH’s policy. The expensive cost has nothing to do with the new healthcare laws. With my new company I only pay $60 a month because my company pays 80% but if I wanted to add DH it would be $537 a month and if I wanted to add DH and a baby it would be $900 a month. The nice thing is, if you’re planning on having more than one child, the extra $500 a month you pay probably covers all of your children. You don’t have to add $500 a month each time you have a child. 

Definitely look around at private policies for yourself and for the baby. You may even find a better deal shopping around for a private family plan for all three of you depending on how much DH pays for his insurance. If you don’t pay anything for yours you’ll probably be better of staying with that insurance and switching DH to private insurance if for some reason they require adult coverage in order to cover baby. 

 

Post # 11
Member
408 posts
Helper bee
  • Wedding: September 2012

In addition to looking for private plans, your state may have health insurance for children available (here in PA it’s CHIP – children’s health insurance plan) that would be worth looking into.

Also, insurance can no longer turn you down for having a pre-existing condition, so if you found a private plan for the both of you you wouldn’t be “screwed.”

Post # 13
Member
1096 posts
Bumble bee
  • Wedding: June 2011

@abbylyn:  I forgot about that! Has that been put into place yet? I know a lot of the pieces of the plan won’t be put into place until October. If she gets a plan just to cover baby though that wouldn’t apply anyway I guess.

Post # 14
Member
336 posts
Helper bee
  • Wedding: September 2009

@dogsrule86:  Does the $500 give you a family plan or just cover one dependent?  I’m on my DH’s insurance plan.  His insurance would be free if not for me, but for a family plan it’s $200/month.  Since it’s family, it will be exactly the same when our baby arrives in November.  If yours is a family plan as well, switch your DH when you can to save the $180/month that’s taken out of his paycheck.  Also, it’s $500 pre-tax.  If you can eliminate your DH’s cost/month of $180, it’s $320 extra pre-tax.  After a typical 30% tax rate between state and federal taxes, it will end up being $224 per month more than what you are currently paying now.  Still a lot, but much easier to swallow than $500!!!  

I hope this all makes sense!  Some things are easier to explain in real life than online and it does depend on whether your plan is a family plan or covers just one dependent – so here’s hoping it’s a family plan 🙂  Congrats and good luck!!!

Post # 15
Member
2378 posts
Buzzing bee
  • Wedding: June 2014

@dogsrule86:  My coworkers who have themselves + spouse + child on their insurance said that’s about right.  I don’t have kids, I know our insurance gets cheaper per person the more you add.  The other thing to keep in mind is that the care that you and your child will be receiving is insanely expensive.  When my coworker had her standard pregnancy checkup and ultrasound, it was over $900.  She paid the $30 deductible and I want to say around $70 for the portion that wasn’t covered (I know it was less than $100 total).  She totally freaked out about the bill until she saw what part insurance paid. 

I agree with the PPs, I would look at state programs, they may have a discounted insurance plan for children.  Also, if you’re coverage shopping, check and see exactly what they cover.  Cheaper per month isn’t better if you’re paying hundreds of dollars per visit.

The topic ‘Any health insurance know-it-all-bees out there?? Baby related..’ is closed to new replies.

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