IMPORTANT INSURANCE/BILLING INFO
We contact your insurance company once you have visited our office confirming
that you are pregnant. We verify your benefits, and determine your out of pocket
medical expenses to our office. We recommend you contact your insurance company
as well, so you can be prepared for the out of pocket costs associated with your
pregnancy. The code for your pregnancy/delivery is 59400 - vaginal delivery
or 59510 - c section delivery. This does not include a tubal ligation, or
the assistant surgeon fees which are coded separately.
We bill our services for your pregnancy globally, which means that we
bill for our services related to your office visits, the delivery and postpartum
care AFTER your delivery. The exception to this is sonograms and lab
services. Sonograms and lab tests are billed by us and the lab (Quest, Labcorp,
Ameripath...) when they are performed. This can be confusing, because you will
be paying us your estimated fees, but they will not be credited on statements
you receive from your insurance company. Save all your receipts from our office
documenting your payments, or we can provide you with a summary of your
payments. Our charges will go in to your insurance company AFTER you have
delivered, and if there is a small balance or refund, we will notify you after
your claim has been paid to our office. We generally submit charges the week of
your delivery, and wait 30-45 days for your insurance company to pay your claim.
Please notify your insurance company after your delivery as required by them to
facilitate the claims process.
We calculate your out of pocket expenses to our office, and give you a
written estimate of what we calculate these expense to be. We collect our
portion of your out of pocket expenses by your 6th month of pregnancy. We have a
convenient online bill pay option, or accept check, mastercard or visa.
Your pregnancy and delivery will create other expenses outside our office
that you will be responsible for. These include, but are not limited to, the lab
(Quest or Labcorp), the hospital (Baylor Grapevine), anesthesia (Pinnacle
Anesthesia) and your pediatrician. You can contact them to get estimates on out
of pocket expenses they will bill for in relationship to your pregnancy.
Below are several documents that we provide in our New OB folders to pregnant
patients. You can view or print the files below:
New OB Welcome Letter
Obstetrics Financial Policy
Understanding Your
Sonogram Coverage
Insurance Terms
www.aetna.com
Aetna
www.bcbstx.com
Blue Cross Blue Shield
www.beechstreet.com
Beech Street
www.cigna.com
Cigna
www.firsthealth.com
First Health
www.galaxyhealth.net
Galaxy Health Network
www.nthn.com
Healthsmart
www.greatwesthealthcare.comGreatWestHealthcare
www.humana.com
Humana
www.interplanhealth.com
Interplan Healthcare
www.pponext.com
PPO Next
www.texastruechoice.com
Texas True Choice
www.unicare.com
Unicare
www.myuhc.com
United Healthcare
Helpful Links
www.radiantreflectionsmedspa.com
with Dr. Rebecca Robert
www.eatcleandiet.com
www.lowglycemicdiet.com
www.zrtlab.com
www.womeninbalance.org
www.oldwayspt.org
www.johnleemd.com
www.hopkinshealthwatch.com
www.pccarx.com
American Society for Reproductive Medicine
www.asrm.org
American College of Obstetricians and Gynecologists
http://www.acog.com
This official Web site of the American College of Obstetricians and
Gynecologists provides a physician directory, health columns, post-graduate
courses and much more.
American Heart Association
http://women.americanheart.org
The American Heart Association Women's Web site gives women of all ages the
facts on women's heart disease and stroke.
American Medical Association
http://www.ama-assn.org
The official Web site of the American Medical Association.
American Psychological Association
http://www.apa.org
The official Web site of the American Psychological Association.
Ask NOAH About: pregnancy
http://www.noah.cuny.edu/pregnancy/pregnancy.html
This site created by the New York Online Access to Health provides valuable
information for women all over the country.
Health Devil Online
http://h-devil-www.mc.duke.edu/h-devil/women/
women.htm
Health Devil Online offers extensive FAQs on topics of interest to women, such
as vaginal infections and premenstrual syndrome.
Mayo Clinic Health Oasis
http://www.mayohealth.org
This online information source has an extensive women's health section.
National Alliance of Breast Cancer Organizations
http://www.nabco.org
The official site of the National Alliance of Breast Cancer
Organizations
National Library of Medicine
http://www.nlm.nih.gov
The National Library of Medicine Web site provides diverse health information.
National Osteoporosis Foundation
http://www.nof.org
The National Osteoporosis Foundation is a leading resource for up-to-date,
medically sound information on the causes, prevention, detection and treatment
of osteoporosis.
National Ovarian Cancer Coalition
http://www.ovarian.org
The National Ovarian Cancer Coalition seeks to raise awareness and promote
education about ovarian cancer.
The New York Times Women's Health
http://nytimes.com/specials/women/whome
Extensive women's health information is offered, including statistics, a
searchable database of information on women's topics, and an online bookstore.
The North American Menopause Society
http://www.menopause.org
The North American Menopause Society (NAMS) is a nonprofit organization that
provides a forum for a multitude of scientific disciplines with an interest in
the human female menopause.
OnHealth
http://www.onhealth.com
In-depth medical information, health tips, a free e-mail newsletter and access
to the powerful Health Tracker that brings you health information from the media
for free, according to your personal specifications.
Online resources for diabetes
http://www.cruzio.com/~mendosa/faq.htm
This Web page provides a large collection of links to diabetic
resources.
Prevention Magazine's Healthy Ideas
http://healthyideas.com
Health-related information from the publishers of Prevention
magazine.
