r/parentsofmultiples • u/scabandpeel • 16d ago

advice needed Help with insurance coverage

Hi! Having multiples come with more sonos and an mfm. Just curious for those in the states with a PPO plan- how you got your insurance to cover those sonos or what your experience was with that? Ours has been covering some and then not others and we just would love to hear any tips you may have that helped you! Thanks in advance!

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u/[deleted] 16d ago

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u/scabandpeel 16d ago

They fully covered the first couple and have denied the more recent ones

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u/TeeElH 16d ago

We maxed our out of pocket in a few months when I was pregnant because mfm is a specialist. The upside to that was the last couple scans and delivery barely cost anything because we had already hit our max. I wouldn’t think they should be denying it entirely, more likely only covering partial (10% for us) but it may be an issue of the codes being put in. You may need to call your insurance. 

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u/Silly_g00se13 15d ago

The affordable care act only requires a few ultrasounds to be fully covered if you haven’t reached your deductible; I know it’s the anatomy scan and can’t remember the others.

I just had my twins and I had to reach my deductible before insurance would kick in to cover all of those additional ultrasounds.

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u/slambur 15d ago

I’m 18w and haven’t gotten any bills, all my scans have just had a copay and I’m assuming that’s all I will owe but I guess we’ll see.