Antenatal packages - claiming them back - experiences please! | ExpatWoman.com
 

Antenatal packages - claiming them back - experiences please!

32
Posts
EW NEWBIE
Latest post on 14 March 2013 - 08:35

We're getting different answers from our insurance company and the hospital so I would really appreciate feedback from all of you lovely pregnant people, and mummies, as to how you went about paying for your scans, tests and appointments.

We are currently being seen at American Hospital and are due to have our 12 week scan and blood tests etc next week. The hospital has said that our insurance comapany (BUPA/OIC) will only allow us to have diurect billing on a treatment-by-treatment basis, they will not authorise direct billing of the antenatal package. BUPA Intl have confirmed to us that they do no pay for treatment in advance, so no we cannot direct bill a package, even though it is cheaper for them (and us paying 20% co-pay) in the long run.

We are therefore trying to weigh up whether it is worth the risk of buying the package ourselves and then trying to claim it back months down the line once all of the treatments are complete. Has anyone done this? We even wonder of it may well be cheaper for us do do this even if we can't claim back than paying 20% of each test/scan/appointment every time... American Hospital won't give us a price list so we can't calculate the total cost to comaper it to the package!

We would really appreciate some advice - every time we call BUPA or Oman Insurance we get different answers!

What did you all do?

345
Posts
EW EXPLORER
Latest post on 24 March 2013 - 11:45
I think that is your best option. most insurers have a deadline after which they wont accept claims, and it doesnt make sense to risk them not paying at the end of the package. If your colleagues have been reimbursed the 20% co-payment then I'm sure you will be too. I am using direct billing as well, I didnt even consider the antenatal packages as I hate dealing with insurance companies here. I just show up, present my card, see the doctor/ do the tests, pay 75dhms per visit and leave the rest for the hospital to sort out.
32
Posts
EW NEWBIE
Latest post on 24 March 2013 - 09:42
Hi Luvsherbear (& KH) I didn't get any answers to my initial post (thanks KH for yours!), but I decided to tell a couple of colleagues early so that I could quiz them about their experiences with our insurance company! Both had seen local ob/gyns at clinics (and then direct billed hospital delivery packages) so they weren't offered an antenatal package, but after talking to them about claiming back we have decided to pay the 20% at each appointment/scan/test at AH (the rest being direct billed) and then submit claim forms every month to try to get the 20% back because maternity is technically fully covered. It's worth a shot, if we get money back (which they did) then that's fab, if we don't then it's probably still better than the risk of being left with the full cost of a package at the end beacause we have a 6 month deadline for claims. Hope that helps? :)
345
Posts
EW EXPLORER
Latest post on 23 March 2013 - 15:05
Our insurance policy has a max 3 month period during which you can claim back medical fees. In this case, they wouldn't pay the package costs 9 months later, once all treatment is complete. If your insurer says they won't cover antenatal packages, I wouldn't risk it. Rather pay 20% each time than end up paying 100% at the end IMO. If you can get in writing from your insurer that they will reimburse the costs of the antenatal package after delivery, then you may want to opt for this. But make sure you get it in writing, and be prepared for to-ing and fro-ing afterwards trying to get your money back. people here are so 'process' oriented that anything out of the ordinary is usually 'sorry maaaaaam, we cannot pay as this is not our policy.'
12
Posts
EW NEWBIE
Latest post on 21 March 2013 - 16:11
Hi, Just wondering if you were ever provided an answer to this question? Just interested to know for my next pregnancy.
 
 

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