How to Save on Maternity Medical Expenses
Having a baby costs a lot of money. I know plenty of parents who joked about how they were still “paying off” their kid, i.e. maternity hospital bills, well into the child’s toddlerhood.
For my first pregnancy, we had a hospital co-pay which made the whole endeavor less expensive. But when our second child arrived, we had a completely different plan: a high-deductible HSA. We chose the plan hoping to have another child that year and had crunched the numbers to determine it was a prudent choice. It was, in part because the company was offering a $2000 HSA stipend. But we still became much more cost-conscious since we were essentially paying for more of our medical expenses directly from our own pockets. The great side-effect was that I become more proactive and informed about my care.
The first thing I did was start questioning some of the procedures at my first prenatal visit. Were the many blood tests (that I’d just had two years ago) covered fully by insurance? They were, so test away.
But my practice had also added an early ultrasound “for dating” as a routine procedure. This was not the case when I had my first, and since I knew when I got pregnant, I didn’t feel I needed it. With the second baby I also felt comfortable waiting to schedule my first appointment until I was far enough along to hear the heartbeat. This made the ultrasound less necessary, as well. In the end it saved me at least $250.
I know others who received the ultrasound (some practices require it), but were strategic about timing it in the same calendar year as their due date so it would count towards the deductible.
Of course, if your pregnancy is high risk, you might need to see your practitioner sooner. There are some problems, such as low progesterone, for which early interventions exist. But in a textbook pregnancy they don’t even test hormone level changes (at least at my practice).
Near the end of both my pregnancies, I was told I needed an ultrasound because I was “measuring small.” In both cases it was user error, because in fact I measured perfectly. The first time, it was a simple matter of the intern writing down the wrong number. In the second, I saw a different practitioner and he just didn’t seem to take the same careful measurements as the person who had been measuring me for months.
In both cases, an ultrasound was ordered. Intrauterine growth restriction is a real, serious problem that can be minimized with early delivery, so I didn’t want to write it off, but I also felt that careful re-measurement by a nurse-midwife was probably all I needed. In both instances, I checked out perfectly and saved another $250 on ultrasounds. Why make use of expensive equipment and procedures when a simple tape measure will do the trick?
I also turned down early screenings for genetic disorders. While these decisions are very personal, I think helps to understand that screenings do not provide a yes or no answer to whether your child has the disorder (though some tests do); there is nothing that can be done medically to fix the problem; and if you’re not willing to terminate the pregnancy, it might make sense to save yourself the worry and expense.
It’s often confusing to figure out whether a procedure is covered by your insurance. If you’re not sure, ask for the diagnosis and procedure codes and call your insurance before accepting it. Since some tests in pregnancy are time-sensitive, you may want to ask at your first appointment which procedures will be offered throughout the pregnancy, or at your next visit. I’ve found that using these codes has helped me get much more concrete answers from the insurance company than even inquiring with the procedure’s name.
I also researched hospital charges and discounts, since my practice and insurance were compatible with two area hospitals. I’d heard from a friend that one hospital offered a 30% discount if you requested to pay your bill upon leaving the hospital. In my case, the maternity bill was prepared, but the newborn’s bill wasn’t ready yet. So they said to call and inquire about the prepay discount which had been noted on my account. In the end I saved around $1000 by asking for this discount (and having the money in the HSA ready to go).
So having a baby is going to be expensive, no doubt, but you can minimize the cost by becoming informed about what your insurance covers, why a procedure is being offered, and what discounts are available through your local hospitals. This, paired with saving in advance, can make bringing home that bundle of joy a little more joyful.
Have you found ways to reduced maternity costs? What are some ways to save up ahead of time?