Help! I Need to Do My Own High-Risk Prenatal Care - Page 2 - Mothering Forums

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#31 of 43 Old 01-22-2010, 11:41 AM
 
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Oh crap. I just called the MFM's office... and they offer no cash discounts or sliding scale. Each visit would be over $1400!!! And all they could tell me, is you really need to see somebody.

I hate this country's health system!
What is MFM? Can you try other health care providers? $1400 sounds outrageous. Where in Florida are you? If you're in Miami, I can tell you which provider I use, they definitely have self-pay rates.
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#32 of 43 Old 01-22-2010, 11:43 AM
 
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I would absolutely go to Planned Parenthood in the interim. This is precisely what they are there for.
Good luck to you! I agree, it's a shame that this can happen.

Em, married to Alex, mom to Samantha (11 yrs) and Cullen (5yrs) and Maybe (5/16/2010) Trying to grow 4,000lbs of produce on .2 acres. See my blog!
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#33 of 43 Old 01-22-2010, 11:56 AM - Thread Starter
 
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MFM is Maternal Fetal Medicine...or perinatologist. Basically a high-risk OB.

I guess I'm just going to hope and pray that when I see my endocrinologist next week, he'll be willing to help me manage my blood glucose levels over the next 3-4 months. Hopefully, the little one will cook with no issues during that time.

Mom to DS(8), DS(6), DD(4), and DS(1).  "Kids do as well as they can."

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#34 of 43 Old 01-22-2010, 02:06 PM
 
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I volunteer for Planned Parenthood & we don't provide any prenatal services. Maybe it's different in Florida, but I thought I'd toss that out there.

Even if the big government agencies can't help you, is there a public hospital nearby? I got put on a sliding scale at Bellevue when I was pregnant and uninsured until my Freelancers kicked in. My ER sonogram was $20 rather than just under $800--and I know that their sliding scale would include incomes far above 185% FPL (maybe in the $50-60k range, not sure).

Is Freelancers Insurance an option for either you or your husband? The earliest you could get on at this point is April 1st, but pregnancy is not considered a pre-existing condition regardless of gaps.

Elated mom to Elliott (5/25/10)
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#35 of 43 Old 01-22-2010, 02:37 PM
 
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I volunteer for Planned Parenthood & we don't provide any prenatal services. Maybe it's different in Florida, but I thought I'd toss that out there.
It does vary by location...some of the ones here in MA do prenatal, some don't, calling to ask is certainly advisable

Em, married to Alex, mom to Samantha (11 yrs) and Cullen (5yrs) and Maybe (5/16/2010) Trying to grow 4,000lbs of produce on .2 acres. See my blog!
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#36 of 43 Old 01-22-2010, 03:13 PM
 
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Planned Parenthood won't provide high risk care, though.

Are you within driving distance of UF or FSU? I think an academic center is your best hope of getting free specialty care.

Trying to get my bearings...
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#37 of 43 Old 01-22-2010, 03:41 PM - Thread Starter
 
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I called UF in Jacksonville. Their prices are about half of the private MFM... but that's about the best they can do. I think DH and I are just going to have a serious talk about what we view as necessary and what isn't. I moved my endocrinologist appt up to next week, so I can also get his take on things.

I know from my previous visits to MFMs that insurance doesn't pay any where near the prices I'm being quoted. Like my MFM in Brooklyn used to bill $550 for an u/s (which now sounds good to me...LOL)....and insurance paid $150 or so. Unfortunately, nobody seems to be willing to negotiate with me and give me the insurance rates.

Mom to DS(8), DS(6), DD(4), and DS(1).  "Kids do as well as they can."

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#38 of 43 Old 01-22-2010, 04:30 PM
 
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OP, have you called around to local Planned Parenthoods? Even ones in neighboring counties or cities? I wouldn't bet that all PPs reject high risk patients.

RedOak ~ Momma to DS (8) , DS (4) , DD (3) , & DD 9/10 ~
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#39 of 43 Old 01-22-2010, 04:43 PM
 
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As a former PP nurse practitioner I would be SHOCKED if they took high risk patients. However, it's true that it can't hurt to ask.

Sorry to seem like a naysayer, but PP's scope of practice is very limited.

OP, if you go through their women's clinic or whatever UF calls their typical OB service and then got referred to high risk, it might be cheaper. Also I know Shands (UF hospital in Gainesville) has an Indigent Care program. If you are approved then they will cover all care for 6 months. The approval turnaround is pretty quick. I don't know if pregnancy is covered and I don't know if perinatalology will see indigent patients (it's at the discretion of the specialists whether they take patients in the program), but it's another thought.

I hope your endocrinologist will help you out. That seems like a pretty reasonable short-term solution.

Lord, I hate our system.

Trying to get my bearings...
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#40 of 43 Old 01-22-2010, 06:08 PM
 
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OP, have you called around to local Planned Parenthoods? Even ones in neighboring counties or cities? I wouldn't bet that all PPs reject high risk patients.
And if you explain the situation to them, that you essentially need interim care...I mean, it's certainly better than nothing.

Em, married to Alex, mom to Samantha (11 yrs) and Cullen (5yrs) and Maybe (5/16/2010) Trying to grow 4,000lbs of produce on .2 acres. See my blog!
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#41 of 43 Old 03-07-2010, 04:37 PM
 
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I am going to suggest you call and ask an OB to call you back to give advise. I am sure you can negotiate costs if you are paying cash. Glucose is a significant teratogen and be very damaging in early pregnancy. It is probably more important in early pregnancy than late. Hope you can get somewhere.
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#42 of 43 Old 03-07-2010, 05:31 PM - Thread Starter
 
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I am going to suggest you call and ask an OB to call you back to give advise. I am sure you can negotiate costs if you are paying cash. Glucose is a significant teratogen and be very damaging in early pregnancy. It is probably more important in early pregnancy than late. Hope you can get somewhere.
Sadly, I had no luck with OBs, but did find a midwife who was willing to do my care in the interim (with her back-up OB's O.K.) My endocrionologist has been great, has been helping me to manage my glucose levels--basically by phone/fax. So far, O.K.... I've gotten my fastings under 90... and post-prandials are all O.K. See the midwife again next week, and then I'll probably be going in for a cash-pay U/S at 18 weeks or so. I think that since my endocrinologist offered to help pretty much as soon as I found out I was pregnant, I was able to prevent any major problems (hopefully). I'm really lucky to have found him--and a bit saddened at how unflexible so many physicians were. I ended up finding out about something called Cover Florida which is a health insurance plan for basically people who are uninsurable, so now I have that coverage. Usually you have to be without insurance for 6 months to get coverage, but since I had maxed out my COBRA, was eligible via an exception. It doesn't cover much of anything... limits of about $500 on a lot of things... but better than nothing. Hopefully, I only need to use it another two months and then I should have regular insurance.

Mom to DS(8), DS(6), DD(4), and DS(1).  "Kids do as well as they can."

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#43 of 43 Old 03-07-2010, 08:13 PM
 
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Ok, the FPL is about to change. You are considered a Family of 6 for the purposes of obtaining the insurance for yourself.

So, under the current guidelines, at 185%, your monthly income must be at or below $4,553.

This will be the currently level till March 31, 2010, unless Congress votes to keep it that way for a bit longer. I think in the past, the amount has gone up about $200 a year. So, for next year you are probably looking about $4,900.
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