Birth Insurance

I ran across an editorial by Clarence Page today in which he describes the "horror" of a friend of his being denied insurance coverage of the birth of her child:
My friend Sarah Wildman learned the hard way. She's a new mom with what she calls her "$20,000 baby."

That's how much it looked like she and her husband would have to pay out of their own pockets after her insurer decided her baby was a "pre-existing condition."

... Some of them are women who discover the hard way, as Sarah did, that if you bought maternity coverage after the pregnancy began, the fetus is viewed as an uncovered pre-existing condition.

In the end, Mrs. Wildman ended up paying 10% of the total bill.

Again, I ask myself the question "what do people think insurance is?" It seems clear that Thomas and Wildman think insurance is a system in which other people give you stuff for free, e.g. the $20000 medical cost of child birth. That's a pretty nice system for the insured!

Do Thomas and Wildman really think it is reasonable for a woman to get pregnant, buy insurance right before delivery, have the cost of delivery covered by the insurance company, and then cancel the policy right after that? It seems, based on Thomas' editorial, that they do. Why in the world do they think they are entitled to pass along the cost of child birth to someone else? When they see insurance companies balking at such a thing, they attribute it to "corporate greed!"

Would someone make the same argument about collision insurance for your car? Can you drive around without insurance, get in an accident, then buy collision coverage after the fact and file a claim with the insurance company? Cancel the policy after you receive payment, and you have effectively gotten your car fixed for free. Good luck with that.

Let's take a step back and ask why child birth should be covered at all. Say the average child birth costs about $7500. I can envision getting coverage for costs in access of that, in case there is a problem with the delivery. But really, having a child is the choice of the parents. Pregnancy is not an disease. It is not in any way an accident or act of God that could not have been prevented. Why should people who choose not to have children help pay for the delivery costs of those who do?

Would it make sense to have home owner insurance that covered the cost of a room addition, if the owner chose to add on to his home? I don't think so.

2 comments:

Anonymous said...

Read the original story - the author bought insurance years before getting pregnant. This isn't about "gaming the system" this is about a system that doesn't work for freelancers, consultants and entrepreneurs - 10 to 27 million americans who pay for their own insurance.

Coverage caps are legal in more than 30 states and allow insurance companies to limit the amount of total medical coverage for services like labor and delivery for example.


http://www.doublex.com/section/news-politics/health-insurance-woes-my-22000-bill-having-baby#comment-3880

SteveBrooklineMA said...

Clarence Page says:

'Some of them are women who discover the hard way, as Sarah did, that if you bought maternity coverage after the pregnancy began, the fetus is viewed as an uncovered pre-existing condition.'

The original story says:

'I didn’t know any of this 20 months ago, when my partner and I began hunting for health care. [...] A few policies offer the opportunity to buy additional coverage—known as a “rider”—to tack a maternity benefit onto your plan. It’s almost always only available in anticipation; if you try to buy the rider once you’re already pregnant, the fetus becomes a “pre-existing condition.”'

Both articles indicate that they were looking for maternity coverage after the pregnancy began.

Coverage caps should be legal. Why not? Who are you to say I shouldn't be allowed to buy insurance with a coverage cap? If you don't want a coverage cap, buy insurance without. Expect to pay more.