Showing posts with label insurance. Show all posts
Showing posts with label insurance. Show all posts

Wednesday, December 29, 2010

Insurance Woes

Worst case scenario happened...WEA Trust, my school district's insurance plan, has refused to cover any of our Certified Professional Midwife's services.  Not even an out-of-network percentage.  Their reasoning is that LaNette, the midwife we were working with, is not a nurse, and therefore, the plan will not cover any of the claims submitted.  I found this out a couple of weeks ago after the insurance company called me, and I was super bummed.  We have absolutely loved working with LaNette, and she has been everything we were looking for in a provider.

After I had my meltdown, I took the recommendations of LaNette and a Physician's Assistant friend here in the Milwaukee area, and we decided to go with Aurora Sinai Midwifery and Wellness Center.  It's a group practice of Certified Nurse Midwives, and they have birthing privileges at the Aurora Birth Center.  We took a tour of the birthing center, and it seemed nice (like a hotel room nice), except that they don't allow water births.  They do have a whirlpool to labor in, so that's close.  It's on a first-come-first-served basis, and the nurse that gave us the tour said that not many people use it.  Good.  That means that as soon as I get there, I'm jumping in and not getting out until the baby is delivered.  Nate reminded me that if I do that, they'll probably drug me.

I look at it like this: having a baby out of the "standard hospital-OB/GYN birth" box is a luxury birth, even though it costs significantly less.  Some behind-the-times insurance companies refuse to recognize that there are other options to having a baby that cost half the amount of what the traditional methods cost, and these options are just as safe.  Unfortunately, Nate and I cannot afford to pay the near $5,000 it would cost us to have the prenatal care and delivery that we wanted, so we're forced to have the baby in a traditional hospital setting.  Of course, this all happened for a reason, and whatever reason that is, I've been trusted to have this experience, even though this wasn't exactly what I had in mind.