Reply to Blue Cross Blue Shield PPO and home birth?

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Reply to "Blue Cross Blue Shield PPO and home birth?"

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[quote=Anonymous]NP saying that I know Mairi and Erin have a great billing company and you should be able to get covered at a regular out-of-network rate.  Basically, the birth itself will be billed with a code of "regular vaginal birth" and the only difference will be that there won't be any hospital charges also billed.  So, from the insurance company's perspective (with a PPO) the location doesn't matter.  As long as your insurance company knows you are pregnant and pregnancy is covered, you shouldn't need preapproval for the birth (this I would check on).

HOWEVER, if you call ahead they might flag your account as an out-of-hospital birth and give you the runaround.  I would definitely talk to Mairi and Erin first and see what they advise.  Often they do a sort of test run for regular services for one of the checkups and see what the response is.

I also had a great birth with them!  We were in an HMO so we paid completely out of pocket, but it was well worth it.  Good luck! [/quote]

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