Insurance
Okay, so as many of you might know already, Miguel and I are pregnant. Yes technically I'm the only pregnent one in the equation but he did a good half of the damage so he's included as well despite what anyone might think. Anyways, I know I'd always said I would wait but what can I say. Celibacy is hard when your married and the insurance wasn't covering my birth control for awhile, especially since we changed insurance plans, so here we are at 1 and 1/2 months pregnant. It hasn't been so bad really either, had I not felt so tired all the time it probably wouldn't have noticed that something was different about my body. Damn my body for wanting to hide things from me until it's too late. Aside from the excessive tiredness I've been okay. I can eat pretty much anything I want except for mac & cheese which isn't a fave of mine anyways, and pastas with white sauces like alfredo or something on them. It's not like I'm puking at the sight of them or anything, the smell of them just makes a tad bit more nausous than I would care to feel y'know. As for weird cravings nothing really out there except that although I can still eat eggs they don't really call my attention unless I put ketchup on them. Then they taste quite delicious. That might really be the only thing. I still like sweets and cake and stuff but they don't cause the sme excitment as before when I see them now. Fruit has made it to the top of my list. I was in Publix yesterday with my mom and they sell pieces of watermelon if you don't want the whole thing. Well, watermelon is out of season right now anyways so I didn't really have much of a choice so I bought just a section of a watermelon. I had all the intention of taking at least half of it home to Miguel to have with some yoghurt or something but needless to say it didn't make it. Not only did I eat the whole piece of watermelon after I'd cut into chunks, I did so in one sitting while helping my mom make lunch, and then I had lunch. That was followed later on into the evening with a fudge pop and a half a small basket of strawberries that I'd picked up as well. I might be eating a little too much despite the fact I'm pregnant but at the veru least I'm eating thing I know are good for our little peanut.
Speaking of our peanut, today was to be my first appt with my OBGYN. Not that I was excited to be poked and prodded or anything but my primary doctors nurse and my mom told me that during the first visit I would get to hear the babies heart beat so that's what really had us both excited. So I was really disappointed when we left the office without getting into the back even once. My husbands company just recently changed health insurance providers from Blue Cross Blue Shield to AvMed Health Plans. I like AvMed so far, they're accpeted everywhere so I haven't had to change any of my doctors or anything like that. We've only had one problem with them and that was at the very beginning when we started with them. I never changed my last to take my husbands name. This was something that he suggested and has worked out for us. AvMed though wanted to verify that we were married so before my coverage could begin with them we had to send in a copy of our marriage certificate to prove that we were married. No big deal really, I can understand why they would need that. sine then I've been able to see all of my doctors so far as I've normally done. Today when though when I went to my OBGYN they said that they called to verify my insurance and told me that the insurance had said that they wouldn't cover my maternity needs. Needless to say I was very upset and stressed, because the payments our of pocket are of about $3000 all together and Miguel was fuming of course the cost of the insurance is coming out of his paycheck. I called AvMed to try and clear up what was going on and it turns out that they never denied my maternity coverage or anything of the sort, just that my coverage is on hold while my paperwork (marriage certificate) clears through the enrollment dept. That though in no way denies me coverage is what the guy told me. I called the office back but could only get a hold of their Sun City branch and she told me that if that was the case then the office can't turn me away since I'm a pregnant patient. I don't know how all of that works but she told me that since I do have insurance what they should have done was either have me pay the initial $750 and then have the insurance reimburst me or charge it to my patient account so the insurance can cover it once everything is cleared. My one instance in life so far where it wasn't the insurance that gipped me but the office. I'll write more later but not I have to call the office back. They are being nice enouh to call the insurance and get things straight so I can be seen tomorrow first thing in the morning. Be Back in a bit.
Speaking of our peanut, today was to be my first appt with my OBGYN. Not that I was excited to be poked and prodded or anything but my primary doctors nurse and my mom told me that during the first visit I would get to hear the babies heart beat so that's what really had us both excited. So I was really disappointed when we left the office without getting into the back even once. My husbands company just recently changed health insurance providers from Blue Cross Blue Shield to AvMed Health Plans. I like AvMed so far, they're accpeted everywhere so I haven't had to change any of my doctors or anything like that. We've only had one problem with them and that was at the very beginning when we started with them. I never changed my last to take my husbands name. This was something that he suggested and has worked out for us. AvMed though wanted to verify that we were married so before my coverage could begin with them we had to send in a copy of our marriage certificate to prove that we were married. No big deal really, I can understand why they would need that. sine then I've been able to see all of my doctors so far as I've normally done. Today when though when I went to my OBGYN they said that they called to verify my insurance and told me that the insurance had said that they wouldn't cover my maternity needs. Needless to say I was very upset and stressed, because the payments our of pocket are of about $3000 all together and Miguel was fuming of course the cost of the insurance is coming out of his paycheck. I called AvMed to try and clear up what was going on and it turns out that they never denied my maternity coverage or anything of the sort, just that my coverage is on hold while my paperwork (marriage certificate) clears through the enrollment dept. That though in no way denies me coverage is what the guy told me. I called the office back but could only get a hold of their Sun City branch and she told me that if that was the case then the office can't turn me away since I'm a pregnant patient. I don't know how all of that works but she told me that since I do have insurance what they should have done was either have me pay the initial $750 and then have the insurance reimburst me or charge it to my patient account so the insurance can cover it once everything is cleared. My one instance in life so far where it wasn't the insurance that gipped me but the office. I'll write more later but not I have to call the office back. They are being nice enouh to call the insurance and get things straight so I can be seen tomorrow first thing in the morning. Be Back in a bit.