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Natural Birth & Parenting Natural Birth & Parenting

New to the group, but need advice!

Posted by on Jul. 3, 2013 at 8:48 PM
  • 29 Replies

 

Hello ladies, my name is Amanda, I am 36 weeks pregnant with my 3rd child. Had my first two naturally... And here is the situation.Sorry it's long.


I was diagnosed with GD this pregnancy, and have been testing my numbers 4 times a day and they are always under 100. Doctor says that the test was probably a fluke since my numbers look so good. (Everything is controlled by diet, and I have not changed anything in my diet, have even had ice cream and my numbers are below 100)

Today at my visit I was told that baby is measuring right on track, but because of my GD they will NOT let me get to my due date of Aug 1, that if I don't have the baby in the next three weeks they will induce in the 39th week. I DO NOT WANT THIS!!!!!!

I am on state insurance, have called and asked what I can do, and they said that I have to follow doctors orders or they will refuse to pay. And if I am deemed "non compliant" that I will have to pay back everything they have paid for so far.


So I need some advice, what can I do? What information do you have that I can possibly take to my doctor to try and change his mind.... I feel so defeted about all of this, and really want to have this baby naturally and I don't want to be forced to have an induction if it's not medically necessary, and based on what the doctor said today, it's not MEDICALLY necessary...

by on Jul. 3, 2013 at 8:48 PM
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Replies (1-10):
larissalarie
by Gold Member on Jul. 3, 2013 at 9:08 PM
1 mom liked this
In the other group you said switching physicians isn't an option, right?

You could try using logic with the doc. By 39 weeks, that baby is about as big as it's gonna get. Ask how inducing to shave off a few ounces is beneficial?

Or you could start preparing to do an unassisted childbirth at home.

I would be questioning if it's legal for medicaid to refuse to pay for your care if you refuse an induction. That sounds like a scare tactic to get you to comply to me.
You can always stop seeing your doctor and just show up at the hospital in labor. They have to treat you and you can make a payment plan to pay for your care.
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tabi_cat1023
by Group Mod - Tabitha on Jul. 3, 2013 at 9:21 PM
1 mom liked this

Insurance is lying, they can not do that! Its a huge myth that if you go against a doctors order they can refuse to pay.

That being said they can not force you to induce, just dont show up.  They cant refuse to delvier you when you do show up.

tabi_cat1023
by Group Mod - Tabitha on Jul. 3, 2013 at 9:21 PM

BTW I am on medicaid too...

Precious333
by Gold Member on Jul. 3, 2013 at 9:24 PM
They used that scare tactic with my.sister and.she ended up with.a.csec because of it :(
I would switch caregivers, maybe midwife or do a UC before giving into scare tactics
MaryJarrett
by Silver Member on Jul. 3, 2013 at 9:26 PM
This exactly!

Quoting tabi_cat1023:

Insurance is lying, they can not do that! Its a huge myth that if you go against a doctors order they can refuse to pay.

That being said they can not force you to induce, just dont show up.  They cant refuse to delvier you when you do show up.

Hembymom
by on Jul. 3, 2013 at 9:27 PM


Quoting larissalarie:

In the other group you said switching physicians isn't an option, right?

You could try using logic with the doc. By 39 weeks, that baby is about as big as it's gonna get. Ask how inducing to shave off a few ounces is beneficial?

Or you could start preparing to do an unassisted childbirth at home.

I would be questioning if it's legal for medicaid to refuse to pay for your care if you refuse an induction. That sounds like a scare tactic to get you to comply to me.
You can always stop seeing your doctor and just show up at the hospital in labor. They have to treat you and you can make a payment plan to pay for your care.

Yeah, I called the other ob in town and he said he wouldn't take me on this late, and when I called medicaid they said that they wouldn't allow me to switch providers this late in the game.

When I talked to them (medicaid) , even talked to the supervisor and they told me that they only go by what the doctor codes the medical forms for, they don't go back and actually look if something was medically necessary or not but if the doctor says you are "non-compliant" they will refuse to pay for anything and could possibly make me back pay for the services that they have already paid for.

larissalarie
by Gold Member on Jul. 3, 2013 at 9:34 PM
I guess if that's really true, your choices are: UC, paying for your own medical expenses through payment plans (that's what I did as a pregnant 17 year old, it's certainly doable), or complying with your doctor if you can't change his mind.
I guess the price of having $10,000-$30,000 in expenses (depending on the area) taken care of for you is giving up some choices in your care? Though that hardly seems like it could be legal, idk, I'm not an expert.


Quoting Hembymom:


Quoting larissalarie:

In the other group you said switching physicians isn't an option, right?

You could try using logic with the doc. By 39 weeks, that baby is about as big as it's gonna get. Ask how inducing to shave off a few ounces is beneficial?

Or you could start preparing to do an unassisted childbirth at home.

I would be questioning if it's legal for medicaid to refuse to pay for your care if you refuse an induction. That sounds like a scare tactic to get you to comply to me.
You can always stop seeing your doctor and just show up at the hospital in labor. They have to treat you and you can make a payment plan to pay for your care.

Yeah, I called the other ob in town and he said he wouldn't take me on this late, and when I called medicaid they said that they wouldn't allow me to switch providers this late in the game.

When I talked to them (medicaid) , even talked to the supervisor and they told me that they only go by what the doctor codes the medical forms for, they don't go back and actually look if something was medically necessary or not but if the doctor says you are "non-compliant" they will refuse to pay for anything and could possibly make me back pay for the services that they have already paid for.

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Heymamashakeit
by on Jul. 3, 2013 at 9:42 PM
1 mom liked this
Medicaid is lying. They can't do that.
hapababies
by Silver Member on Jul. 3, 2013 at 9:47 PM
It sounds like you are in a tough spot. I think Medicaid is trying to save its own butt by telling you that you have to pay. I am sure that you aren't the only "non compliant" pregnant lady ever. Can you try calling the hospital billing department and see what they say? See if the story Medicaid is telling you adds up with the hospital billing department.
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Hembymom
by on Jul. 3, 2013 at 10:01 PM
1 mom liked this

I have not thought of that... I will try to call them Friday and see what they say. Thank you!

Quoting hapababies:

It sounds like you are in a tough spot. I think Medicaid is trying to save its own butt by telling you that you have to pay. I am sure that you aren't the only "non compliant" pregnant lady ever. Can you try calling the hospital billing department and see what they say? See if the story Medicaid is telling you adds up with the hospital billing department.


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