or Connect
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › Hospital births: did you have a private recovery room?
New Posts  All Forums:Forum Nav:

Hospital births: did you have a private recovery room? - Page 3

post #41 of 64
Quote:
Originally Posted by eclipse View Post
So, wait - you already had the baby, and they're refusing to pay for the private room at the hospital you went to, even though the hospital only has private rooms? That's messed up. I wonder if the hospital billing department has some advice on how to handle it with them. They might be willing to help you, since they're more likely to get paid that way.
I would contact the hospital billing dept as well since they encounter this EVERY day most likely. Is it possible that you only be billed the difference between private vs. shared room? I know my insurance does that, if say they cover $500 for a room and private is $900 I am responsible for the the remaining amt. Now they would still cover all the nursing/supplies jus tthe actual "cost" of the room. I would also check your policy regarding that since you were in labor lots of policies have a disclaimer that when you are in need a emergent care they will cover you entirely (or a larger percentage) because in those cases its prudent you seek immediate care and not shop around for a hospital that covers you. Dont know how yours works but its definately worth looking into. Also if the hospital is in their network of providers and they only have private rooms then you shouldnt have to pay anything out of pocket.
post #42 of 64
You need to take this up with your state ins commissioner. And also talk to the HR dept if you get your ins through an employer.

Despite not a single hosp in my area having had shared PP rooms, we had to pay a higher deductible per day for a private room. It's common. If they are refusing to pay for the room at all b/c it was private, that's another issue entirely that needs to be dealt with as described above. Since there are no semi private rooms w/in a reasonable area for you to have chosen then they should have to pay for at least part of it. I think this is just some bean counter saying no just for the sake of saying no to see what they can get away with.

Get this for a laugh: My mother had to go to the ER recently b/c she got dehydrated from a massive virus - vomiting, diarrhea for 2 days; she was really sick. The ins co said that while it was o.k. for her to go to the ER it wasn't necessary for her to see the ER dr and they weren't going to cover that part of her visit. WTF??? She appealed it right away, b/c why would she pay to just sit in the ER for a night and they reversed the decision and paid the bill. Sometimes all it takes is a written appeal and the ins. co backs off.
post #43 of 64
Quote:
Originally Posted by Evie's Mama View Post
I would think that shared rooms would have to go out the window with the new HIPPA codes. If a nurse needs to discuss anything with you, there can't be some other random woman and her family in the room. I would tell the insurance company that to share a room would violate your HIPPA rights.
Except that every other floor in most hospitals has shared rooms.

My hospital has only private rooms on the labor/delivery side of the floor and mainly private rooms in the mother/baby unit. I never had to share a room.
post #44 of 64
I had a private room at the military naval hospital for DS.
post #45 of 64
Private L&D room, but shared recovery room. They had both, and we were willing to shell out of pocket for a private room (our provincial insurance covered a semi-private - 2-bed room) but they were all full when we got there. So I spent 2 days in a semi-private - DD had suspected heart problem and we had to get her checked out by a pediatric cardiologist who was in no hurry.

My first room-mate watched movies with her DH all night - I got no sleep. The second room-mate had had an unplanned C-section and was totally freaked out because her newborn wouldn't breastfeed at first. I got a first-hand play-by-play of how breastfeeding is sabotaged by lack of information and over-worked nurses who don't have the time to help with BF problems.

I got no sleep while I was there - between that and the nurses coming in every 3 hours to make sure DD was nursing properly I started off exhausted. We're going to a different hospital this time, with a midwife who can check me out early and then come to our house for post-natal care. woohoo!
post #46 of 64
Quote:
Originally Posted by Perdita_in_Ontario View Post

My first room-mate watched movies with her DH all night - I got no sleep. The secomd room-mate had had an unplanned C-section and was totally freaked out because her newborn would breastfeed at first. I got a first-hand play-by-play of how breastfeeding is sabotaged by lack of information and over-worked nurses who don't have the time to help with BF problems.

I got no sleep while I was there - between that and the nurses coming in every 3 hours to make sure DD was nursing properly I started off exhausted. We're going to a different hospital this time, with a midwife who can check me out early and then come to our house for post-natal care. woohoo!
Tell me about it. My first I was there 4 days recovering from a c-section. All the other women snored really loudly and none had their babies (all in nicu from c-section related complications). DD1 nursed all night as well so between that and the snoring I got no sleep.

With the second there was a young Native woman with her baby, no one there for support. The baby bawled constantly and she had trouble getting him to nurse. She spent a lot of time crying with him and the nurses were unbelievably rude to her. They were nice enough to everyone else though. I felt so bad for her and if I could have moved (I was in a ton of pain from tearing and hooked to a cath) I would have went over and consoled her.

I'm crossing my fingers that the third attempt at a homebirth results in actually having the baby at home this time.
post #47 of 64
Thread Starter 
Quote:
Originally Posted by eclipse View Post
So, wait - you already had the baby, and they're refusing to pay for the private room at the hospital you went to, even though the hospital only has private rooms? That's messed up. I wonder if the hospital billing department has some advice on how to handle it with them. They might be willing to help you, since they're more likely to get paid that way.
Yes that's exactly right.
I spoke to the billing person and she advised me to appeal with the ins. co.
I have also filed a request for advocacy from my husband's employer which is where we buy the insurance.

I can't imagine having a stranger roommate in the room with all the visitors, and all the checking of private areas, etc. How would you sleep/nurse/anything like that?
post #48 of 64
Quote:
Originally Posted by Maxine45 View Post
Yes that's exactly right.
I spoke to the billing person and she advised me to appeal with the ins. co.
I have also filed a request for advocacy from my husband's employer which is where we buy the insurance.

I can't imagine having a stranger roommate in the room with all the visitors, and all the checking of private areas, etc. How would you sleep/nurse/anything like that?
Mine was private. My insurance did say they only covered semi-private (read:shared) if both were available, but since private are all there is, they paid up. That sucks. I'm sorry you have to deal with this when you should be all babymooning.
post #49 of 64
Quote:
Originally Posted by Maxine45 View Post
Yes that's exactly right.
I spoke to the billing person and she advised me to appeal with the ins. co.
I have also filed a request for advocacy from my husband's employer which is where we buy the insurance.

I can't imagine having a stranger roommate in the room with all the visitors, and all the checking of private areas, etc. How would you sleep/nurse/anything like that?
I hope the appeal is successful. I can't believe how nasty some insurance companies can be.

As for sleep/nurse/anything - well, you don't. Not easily. They had curtains around the bed, and I kept mine drawn constantly. So I had visual privacy. And nursing was easy only because DD was a natural. Otherwise - ugh.

I have to feel a little badly too because the second night I did fall into a fitful sleep, and I woke up to a crying baby and my first thought was "can't someone do something about that baby...." only to realize it was my DD .
post #50 of 64
Hrm - I think we need to distinguish between recovery and postpartum; I think the original question wasn't clear. Technically, "recovery" is just the first few hours, and any hospital that's been renovated in the past decade or two has private LDRs, though post-surgical recovery might be shared. Postpartum is where you see the variation. In New York, most hospitals still have shared rooms (from what I'm told) with privates on first come, first served for more money, but I've moved and all 3 hospitals here are private rooms.

I had shared recovery (2 bed bay, then I got moved to an extra overflow room because I wasn't fit for the postpartum wards--there was room for 2 but I was alone). Postpartum was a 6 bed ward (with mandatory rooming in if your baby didn't need the NICU)--THAT was noisy.
post #51 of 64
At our hosp, the birthing suites are all private, and you only move to a semi-private recovery room if all the private rooms are taken up. But there are a lot of private rooms, so it seems like it would be unusual to have to move. We stayed in hosp for two days after the birth, and kept the same spacious corner suite the whole time.
post #52 of 64
No Hospitals or Birth Centers that I know make you share with other women. The Hospitals here are designed to be for precious bonding time with your family.
post #53 of 64
Thread Starter 
The insurance company called today to say they're eliminating the charges for the private room.
thanks for all your replies.
I'm glad to know it's a practice (semi-private rooms) that's probably on its way out of style.
I'll still change insurance plans during open enrollment though - it's ridiculous to have to fool around with this when there's a newborn in the house.
post #54 of 64
I had a private delivery room and a private recovery room.
post #55 of 64
Quote:
Originally Posted by Maxine45 View Post
The insurance company called today to say they're eliminating the charges for the private room.
thanks for all your replies.
I'm glad to know it's a practice (semi-private rooms) that's probably on its way out of style.
I'll still change insurance plans during open enrollment though - it's ridiculous to have to fool around with this when there's a newborn in the house.
I;m glad you got the ridiculousness solved!
post #56 of 64
All of the birthing and recovery rooms in my hospital are private, so there really isn't any choice. Maybe you can find a hospital covered by your insurance that only has private rooms in it's birthing center???
post #57 of 64
I work at a hospital and if you did not request a private room, you should not pay extra for a private room and the people who should take this off the bill is the hospital.

Call the hospital billing and tell them you never requested a private room, but was assigned to one and should not be paying the difference. At my hospital, there is literally a person who walks around with a notepage and marks everyone who is in a private room, if they requested one or not. Not so very accurate.

I would absolutely not pay this... goooooo OBAMA care!
post #58 of 64
Quote:
Originally Posted by Maxine45 View Post
The insurance company called today to say they're eliminating the charges for the private room.
thanks for all your replies.
I'm glad to know it's a practice (semi-private rooms) that's probably on its way out of style.
I'll still change insurance plans during open enrollment though - it's ridiculous to have to fool around with this when there's a newborn in the house.
Good!
post #59 of 64
great news about them paying up!
post #60 of 64
I've never heard of non private rooms!!! I couldn't imagine having to bunk with someone else!

In the hospital where I delivered my private delivery room had a bed for me, couch for dh, they brough extra cushions for dd to sleep on, tv, mini fridge, dvd, good food, private bathroom with tub, extra sink in the main room, 2 big windows, and was about 25 ft x 18ft or so in size. A couple hours after delivery I was moved to my recovery room. It was totally private, closet, couch, bed, tv, mini fridge, good food, bathroom with shower, extra sink in the main room, closet, window and about 18ft x 10ft or there abouts. My medicaid paid for everything. I had non-medicaid group health with dd (same hospital) and everything was paid for then as well. I honestly don't think I could handle rooming with another mom.

I'd check out the facilities at every hospital your insurance covers and see if you can find one that doesn't offer anything but private rooms. In my city that is the standard. All 4 hospitals have only private rooms.

ETA: sorry, didn't read replies prior to posting above. Glad you found a loophole!
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Birth and Beyond
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › Hospital births: did you have a private recovery room?