So Bummed

iVillage Member
Registered: 08-04-2003
So Bummed
19
Fri, 08-27-2010 - 10:52am

I had my "16" week appointment today and met w/ the other OB in the office. She seems really nice and all that... but after being seen 30 minutes late (and I was the 3rd appointment of the day) I was in a bad mood.

She started getting all excited about talking about scheduling my 20 week anatomy scan, and seeing the baby, etc... and I had to remind her about my insurance and how they won't cover it. She was all like of yeah and tried to think of ways to bill it different, but couldn't come up with anything.

I am OK not knowing if the baby is a boy or a girl. DH and I have come to terms with this, and we've even agreed on not settling on a name before the baby is born but rather go in with a top 3 of each sex and take it from there.

But I feel like I am missing something by not having the scan. It seems such a vital part of prenatal care. How can it possibly NOT be covered by our insurance.

She did tell me "all smiles and sunshine like" if I had any spotting or strange cramping to call and they would get me in for an US, but that seems so deceptive. And I don't want them looking for a problem that isn't there. KWIM?

It's hard being around the EC right now, as it's all everyone is talking about.

Ugh... it just bums me out. Ice cream for lunch perhaps.

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iVillage Member
Registered: 05-11-2010
In reply to: kdoerpholz
Fri, 08-27-2010 - 11:56am

Honestly, if you were a different kind of person, I'm sure there would be some "strange cramping" sometime between now and then. Pregnancy seems to be full of strange cramping to me, and if you were the kind of person to be concerned about it, then there is your legitimate reason for the u/s.

I feel like it isn't deceptive because, like you, I would consider the 20 week scan to be a vital part of prenatal care, and so I would want to raise concern about not getting it. I don't think they would be looking for anything specifically wrong, they would probably just check that everything is okay, which is what you want.

I don't know, I would try for it.

On the other hand, some 3D u/s places have a "quick peek gender confirmation" (that usually isn't advertised on their websites and stuff) for less than $100--maybe that would be worth looking into if you are really concerned and it is bothering you that much.

(((HUGS))) Sorry your insurance company is putting you through this, what a PITA.

Silly Expecting Siggy

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iVillage Member
Registered: 04-22-2006
In reply to: kdoerpholz
Fri, 08-27-2010 - 12:23pm

This just sucks :( I agree that a 20 week scan should be considered mandatory for any pregnancy, and it's so frustrating that your insurance does not cover it. Even if you didn't want to find out the gender, it's still nice to get a look at the baby and make sure everything is developing okay.

I was going to make the same suggestions Adrienne did. Hopefully you can figure something out.





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iVillage Member
Registered: 10-11-2005
In reply to: kdoerpholz
Fri, 08-27-2010 - 1:04pm

That just really sucks. I can understand not paying for the 8 week or so dating ultrasound or the one at 11 to 13 weeks if someone is under 35, but I can't believe your insurance doesn't cover the 20 week ultrasound. That is the most important one since they do scan for abnormalities and any other major issues.

I have to admit if we couldn't afford it out of pocket and my insurance won't pay for the routine one, I probably would end up with some sort of cramping or other issue that was really bothering me so I could get one. Part of it probably would be because not getting the 20 week ultrasound would stress me out enough that issues that would normally not bother me would seem magnified by 100.




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iVillage Member
Registered: 09-24-2009
In reply to: kdoerpholz
Fri, 08-27-2010 - 3:38pm

Awww Kate, ((((BIG HUGS))))

iVillage Member
Registered: 12-18-2007
In reply to: kdoerpholz
Fri, 08-27-2010 - 4:26pm

I don't know if this will be of any help to you or not.

iVillage Member
Registered: 12-05-2006
In reply to: kdoerpholz
Fri, 08-27-2010 - 9:25pm
I think I'd make up cramping or spoting or something.

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iVillage Member
Registered: 02-26-2008
In reply to: kdoerpholz
Sat, 08-28-2010 - 5:09am

Hugs I can't remember if you said if you did this but have you tried to appeal it or anything? Otherwise I agree with Adrienne I don't think it's deceptive at all in fact I think you should do it but that's just me.

Good luck and sorry it's such a PITA I have been ther with other coverage so I feel your pain.









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iVillage Member
Registered: 08-24-2005
In reply to: kdoerpholz
Sat, 08-28-2010 - 9:50am
Oh Kate! the insurance people are complete b*stards!!! I can't believe they won't cover the 20th week u/s!! I mean, I live in a third world country and even the cheapest insurances cover for it here!!!
I probably would fake the cramping. But I understand that if it would make you feel uncomfortable, you shouldn't do it. You don't need the stress of guilt!
BTW... Ho is it possible that you are already 16 weeks!?!?!?
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iVillage Member
Registered: 08-04-2003
In reply to: kdoerpholz
Sun, 08-29-2010 - 7:52pm

Thanks ladies for your support.

It's like Kim said, I really want to US make sure everything is were it's suppose to be and working like it's suppose to be KWIM? The gender is just an added bonus.

We don't have any 3rd party US centers in our area, so it's not even like I can go price shopping for US. So frustrating.

I'm just going to go with the flow and see where the next few weeks take me.

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iVillage Member
Registered: 05-11-2010
In reply to: kdoerpholz
Mon, 08-30-2010 - 2:59pm

I thought you lived in CT? Check out these places (I might go to one for a 33 week u/s):

http://www.atinyperspective.com/
http://www.astorksstudio.com/

Silly Expecting Siggy

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