Insurance World

If you are pregnant, are considering becoming pregnant, or have someone on your health insurance plan that is pregnant or will become pregnant and especially if you live in the state of Florida then this is “The Maternity Insurance Article” for you. The aim of this article is to explain some of the maternity options available to you and to debunk some common myths concerning maternity insurance, maternity riders, maternity discount plans, and other types of maternity coverage.

First of all, if you are a Florida resident and you are pregnant and do not have maternity coverage then you will not be eligible for maternity coverage under an individual health insurance plan. Those with the foresight to plan ahead and purchase some type of maternity coverage before they become pregnant are rewarded while those who wait until they are actually pregnant are of course not afforded individual maternity coverage. (If you are pregnant and have access to a group plan through you or your spouses’ employer then now is the time to seriously inquire about your enrollment options as many group health insurance plans usually cover maternity just as they do any other illness). Naturally, sick people always want health insurance and people with a pregnancy in the family always want some form of maternity insurance.

If you are not pregnant and would like to add on additional maternity coverage to your individual health insurance plan then there are a few things that you should know. Most individual health insurance policies will allow you some measure of maternity coverage in the form of a rider for an additional cost. It is quite common for a maternity rider to have a waiting period of at least 12 months before they pay out any type of maternity benefit. Still some other maternity riders, such as the one that Golden Rule/United Healthcare offers in Florida allow full benefits to be paid up to a set amount after 12 months and 50% of the benefit paid out beginning immediately.

So how much does a pregnancy in our example state of Florida really cost anyway? How much of a maternity benefit should I be certain to have? How much can I anticipate paying out of pocket for the pregnancy and related expenses? These are all important questions and the answer may be, “Not quite as much as you at first think.” According to FloridaCompare.gov the statewide average charge for a normal delivery is $1,689 while the statewide average charge for a cesarean section is $14,458. As you can see there is quite a range in the cost depending on if there are any complications present during the pregnancy.

The important thing is to know the options that are available to you and to obtain maternity insurance and health insurance before you need it!

To compare multiple quotes from top health insurance companies like United Healthcare, Aetna, and Humana simply view free health insurance quotes.

A woman from Las Vegas thought she was buying health insurance. It looked and sounded like health insurance. The Las Vegas woman is not 65 yet, which means she can’t get Medicare. So, she went online looking for health insurance. She ended up finding something called Healthcare Advantage, and signed up after paying $100. Come to find out, this was not medical insurance at all and the sales representative never told this poor lady. She found that out when her cards arrived in the mail. In tiny writing at the bottom, it read, “not an HMO, PPO insurance or managed care company”. This was a discount plan. These plans do not have the same coverage as a full medical health insurance policy. Make sure you know what you are getting and if it fits your needs.

So what is a discount plan? The plans claims to save people money by offering discounts on physician visits, prescription drugs, dental work, eye care and other treatments for a monthly fee. Unlike normal health insurance, which is very costly and very selective about who it covers, a discount health plan accepts everyone, no matter what health conditions they may have. You will use a list of doctors that are willing to charge discounted rates to the subscriber. Discount is not the same as coverage, and so you will pay more for visits and other services that you wouldn’t with a regular medical plan. The average savings is only 25% that could be very expensive if you have to see a specialist or require surgery. These networks claim to have as many as 400,000 doctors and 50,000 hospitals available to choose from, but what if none of them are near you? You can get a savings of up to 30% on both generic and brand name drugs, which can also be costly if you have multiple prescriptions or they are costly ones. So if you have a health plan already but have a high deductible, this extra plan may help save you some money. But to use as a complete health plan, it really isn’t designed for that and will cost you more than a great HMO.

HMOs and other medical plans can offer full medical coverage at great rates. Managed care plans are the way to go for those who are limited on funds. They offer the best policies for the least amount of money. Most of these plans are available to anyone and can save you a ton of cash. You can make the plan even more affordable by asking for a deductible, which will lower your monthly expense. Most HMO’s do not have one at all but, you can request one, and most basic PPOs and POS only have a small one, usually $200 to $500 per year, which you can also asked to raised. The co-pays are also very reasonable with these types of plans. If you choose to purchase an HMO, expect to pay about $5-$10 per office visit and per prescription. With PPOs and POSs you will have a 20% co-pay with both visits and medications. The differences are how strict they are and you pay more of a co-pay to have extra flexibility. Usually a PPO or POS plan is less expensive and you have more freedom to see whom you want so the insurer makes you more responsible for payment. HMOs tend to be the least expensive and best policies for people with fixed incomes.

Make sure you know what your needs are and double-check what you are getting. If you need full medical coverage with low co-pay then a discount plan will not work for you. If you are already covered by a medical group but have a large deductible then you might benefit from the extra savings a discount plan can offer. Also, ask whether the plan is insurance that covers your treatment, or is a discount plan that still requires you to pay all medical bills yourself. Beware of slippery sales pitches. Make sure you know what’s being offered. Discount health plans may only sell you access to a large mailing list of medical providers that it purchased commercially. Don’t assume you’re getting access to a large provider network just because your discount card displays the network’s name and logo. If you plan to use a specific listed doctor, hospital, pharmacy or other provider, ask a few questions before you sign up.