Originally Posted by deymm
The rep told me that they had a Nurse Midwife in network but she doesn't do homebirths. But they consider Homebirths a "personal preference" so therefore they were denying my request.
I WILL be appealing this! How can you say that Homebirth is a covered benefit but then not cover any providers in network???
I am right there with you!!! I applied & was told that since they cover CNM's working under a DR that they will not cover her....even though I was told last Dec that SHE WAS COVERED!!!!!
I am currently working w/ my DH's HR dept. to see if there was a change in policy....but from what she told me there was not (double checking to verify). My personal feelings here ~ the first person who spent over 30 mins checking things for me on the phone was not a nurse.....the second person who then denied my claim ~ they are nurses who decided what gets covered for gap extensions....KWIM?
I did explain to the nurse that they saved over 50% by paying for TWO homebirths already for me....and they were not paying the hosp for me to stay there since my house will not bill them
I was told also that I could appeal it after the birth coverage is denied.....yea, just what a new momma wants to #$#$# deal with!!!!