FSA Cuts Hospital Bills

Baby Delivery Costs

Baby Delivery Costs

Baby delivery costs can be better managed by knowing the tax code, using flexible spending accounts, and purchasing hospital indemnity insurance to cover your normal labor and delivery costs.

Look at your insurance policy closely to estimate what your portion might be for your hospital delivery cost for normal labor and delivery, plus consider the possibility of NICU stay for your infant.    For help in estimating the bill, look for the following in your policy:

  • Hospital deductible
  • Hospital co pay
  • Out of network charges
  • Customary and reasonable fees

Maternity Leave IncomeMaternity Leave IncomeA hidden cost associated with any baby delivery is lost income. Just when you get the surprise bill from the hospital with those charge for deductibles and out of network fees, your income goes away. How can you pay these extra bills without money coming in? Buy short term disability coverage before getting pregnant and worry less about these unexpected bills.

Cut Baby Delivery Costs

Parents are often unprepared for the unexpected costs an having an infant in the NICU.  Insurance policies are complex contracts, and parents often learn how their coverage works the hard way.  Each plan differs.  It pays to take a hard look at your policy right away, as fast action can translate into important savings. 

A healthcare flexible spending account allows you to make changes to your annual election if your expect large hospital bills.  The birth of a child is a qualifying life event.  Increase the amount of your contribution to cover these expenses.  If you do not have access to an FSA, ask your employer to set one up. 

Hospital indemnity insurance is a great way to cover many of your baby delivery costs as your normal delivery is a covered benefit.  Also, an extra benefit may be paid if your infant is born premature, or needs to spend time in the NICU for medical reasons.

Cost of Baby Delivery - Hospital Deductible

Know the hospital deductible associated with your health insurance plan.  You may have expected paying the deductible for mom, but when your infant stays longer than mom, some plans will charge a 2nd deductible.

Hospital Delivery Costs - Co Pay and Co Insurance

Many plans leave you with a daily co-pay for hospital stays.  You may end up with a set of co-pays for mom, and another set for your infant - if extra medical attention is required in neonatal intensive care.

Many plans ask you to cover a percentage of the hospital costs.  This is called co-insurance.  You may have to pay a percentage of the hospital charges for in-network coverage, and often a much higher percentage for out-of-network care.  The longer the NICU stay, the higher the  amount you may owe.

Hospital Indemnity InsuranceHospital Indemnity InsuranceBaby delivery costs can leave a growing family with large unpaid hospital bills. 12% of babies are born pre term and may spend time in Neonatal Intensive Care (NICU). This may trigger extra deductibles, large co payments and/or co insurance, and out of network fees. Hospital indemnity pays cash benefits directly to you to help cover your left over bills.

Labor and Delivery Costs - Usual Customary and Reasonable

(UCR) This is a dirty secret of the insurance industry.  You insurance plan pays on a percentage of UCR.  When you use out-of-network providers, you are responsible for 100% of the fees above the UCR limit.  The UCR rates are often absurdly low compared to what is billed.  This issue is just now getting some attention in political circles, and is the focus of an investigation by the New York State Attorney General.  Read how these charges Put the Onus on Parents.

Cost of Hospital Delivery - Out of Network Charges

When your child is seriously ill, you want the best possible care.  That sometimes means selecting the NICU in your local area best suited to treat your child.  The best place to treat your child may be an out-of-network hospital.  That means your insurance plan may pay a smaller percentage of the costs.  See all those specialists tending to your infant?  Do all of them participate as In-Network providers on your plan?  If not, they may bill you at their higher Out of Network rate.  You will be responsible for these higher charges.

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