Diaper Swappers

mamamanya · 06-05-2012, 08:10 AM

Anyone have experience with billing your insurance yourself for your delivery at home with a CNM?

Is it pretty easy? How exactly does it work?

Please let me know of any experience you may have with this, good and bad, thanks

I also wanted to add....I have Tricare as my insurance, so if you happen to have Tricare as well, please mention it, thanks

EmilyA874 · 06-05-2012, 12:19 PM

No experience, but I'm watching this thread because I am curious too!

mamamanya · 06-05-2012, 07:59 PM

Anyone?

rosenfried2 · 06-05-2012, 08:19 PM

Have u called them to ask how you should do it ? They may have a form on their website to fill out.

mammacandoit · 06-06-2012, 12:08 PM

I called my insurance today (michigan) to see if they would cover my midwife/homebirth and they won't at all. They won't even cover the prenatals because she doesn't have a licensed facility to bill out of. That's dumb. It would cost them about 20k less by paying for her rather then a hospital.

AniMommy · 06-06-2012, 01:28 PM

Quote:

Originally Posted by mammacandoit

I called my insurance today (michigan) to see if they would cover my midwife/homebirth and they won't at all. They won't even cover the prenatals because she doesn't have a licensed facility to bill out of. That's dumb. It would cost them about 20k less by paying for her rather then a hospital.

Does your midwife have a provider number? I think that's what she needs rather than a facility. Can you ask your provider to try to apply for one with that insurance company?

rosenfried2 · 06-06-2012, 06:00 PM

Mine uses a company that takes care of everything and negotiates with the insurance company for an oop cost of $100 to us. She is out of network but because they negotiated, we will be paying only in-network prices.

rohirette · 06-06-2012, 09:52 PM

A CNM is an accredited provider in all states (with variations on supervision and limitations of practice, of course.)

I think this would just take some creative billing. Does she have a provider number, or privileges at any medical facility?

corey0902 · 06-10-2012, 07:01 PM

I don't have experience with tri-care but we are still struggling to get our first home birth reimbursed (that was 3yrs ago). With our second home birth I sent in a global bill and they asked us to separate it - one for my care and one for the baby's care. Once I did that we received our reimbursement.

mammacandoit · 02-18-2013, 07:50 PM

Quote:

Originally Posted by mammacandoit

I called my insurance today (michigan) to see if they would cover my midwife/homebirth and they won't at all. They won't even cover the prenatals because she doesn't have a licensed facility to bill out of. That's dumb. It would cost them about 20k less by paying for her rather then a hospital.

After my birth I called again to see, And they absolutely will NOT pay for anything. Ugh.

06-05-2012, 08:10 AM	#1
mamamanya Registered Users Join Date: Mar 2008 Location: Alexandria, VA Posts: 516 Ratings: 111 Feedback: 100% My Mood:	Billing insurance yourself for your homebirth?? Anyone have experience with billing your insurance yourself for your delivery at home with a CNM? Is it pretty easy? How exactly does it work? Please let me know of any experience you may have with this, good and bad, thanks I also wanted to add....I have Tricare as my insurance, so if you happen to have Tricare as well, please mention it, thanks __________________ Manya, SAHM to 5 soon to be 6 great kiddos Last edited by mamamanya; 06-05-2012 at 08:16 AM.

06-05-2012, 12:19 PM	#2
EmilyA874 Registered Users Join Date: Feb 2010 Location: NW Maine Posts: 1,337 Ratings: 25 Feedback: 100% My Mood:	Re: Billing insurance yourself for your homebirth?? No experience, but I'm watching this thread because I am curious too! __________________ A, wife to S Mama to DD W born at home in the water on 3/23/11! And my sweet heart baby DS N born 1/11/13! February is Heart Awareness Month! What do you know about CHD?

06-05-2012, 07:59 PM	#3
mamamanya Registered Users Join Date: Mar 2008 Location: Alexandria, VA Posts: 516 Ratings: 111 Feedback: 100% My Mood:	Re: Billing insurance yourself for your homebirth?? Anyone? __________________ Manya, SAHM to 5 soon to be 6 great kiddos

06-05-2012, 08:19 PM	#4
rosenfried2 Registered Users Join Date: Sep 2009 Location: Coconut Creek, FL Posts: 2,524 Ratings: 56 Feedback: 100% My Mood:	Have u called them to ask how you should do it ? They may have a form on their website to fill out. __________________ My name is Amanda, happily married to Ernesto I'm a former HS teacher turned SAHM to Jake 6.7.10 and Norah 7.23.12 Follow me at my blog:Rosenfried's Ramblings

06-06-2012, 12:08 PM	#5
mammacandoit Registered Users Join Date: Jun 2012 Posts: 160	Re: Billing insurance yourself for your homebirth?? I called my insurance today (michigan) to see if they would cover my midwife/homebirth and they won't at all. They won't even cover the prenatals because she doesn't have a licensed facility to bill out of. That's dumb. It would cost them about 20k less by paying for her rather then a hospital.