r/HealthInsurance • u/milwaukee4 • Dec 20 '24
Plan Choice Suggestions Girlfriend is pregnant with $3500 deductible and 20% copay
My girlfriend has Aetna insurance through her job with a $3500 deductible and $7000 OOP max. Her OBGYN gave us a paper today to sign stating that we will have to pay them $3803 for the delivery because of the $3500 deductible plus $303 for a 20% copay. It also said that this does NOT include the hospital stay fees, which I guess could be another couple thousand or maybe even another $3500 and eat up her entire $7000 OOP max.
She makes $65k a year so she won't qualify for most programs and we could pay it if we have to but I am wondering if anyone has any advice/ideas for us to help lower this massive amount? Some sort of supplemental insurance or a government program that anyone knows of? My insurance deductible is only $500 but we are not married so I don't think that my insurance can be used in any way. Even if we had a shotgun wedding could my insurance somehow be used to help?
edit: she is only 11 weeks pregnant
Thanks In Advance
4
u/cottonidhoe Dec 20 '24
FYI median price for uncomplicated vaginal delivery is 11k-13k, it will heavily depend on OP’s location in the USA.
Even if it’s close to 20k, 20% of 20k is 4k, and she’s paying 3.8k for prenatal care, you can see how it’s right around 7k, so in a rural hospital with no anesthesia or complications I can’t guarantee that they’ll hit 7k.