STAY INFORMED

It is your responsibility EARLY in pregnancy to check with your insurance company to determine benefits and requirements. You need to know the facts concerning medical payments, filing requirements, etc.

RECOVERY PERIOD/LEAVE PAPERWORK

We recommend a postpartum recovery period of 6 weeks for a vaginal delivery and 8 weeks for a cesarean delivery. The recommended recovery period is extended only in the event of postpartum complications. If paperwork, such as FMLA, needs to be completed for your employer, please submit such paperwork and allow 1-2 weeks for completion.

CIRCUMSICION

If you deliver a male baby and opt for circumcision, the circumcision must be filed to the applicable insurance company under the baby's name, date of birth and identification number. It is your responsibility to contact the billing office at Jefferson Ob/Gyn with the required insurance information and the name/date of birth of your newborn so that this may be filed correctly. If this information is not received in a timely manner, your insurance company may reject your claim, and you will be responsible for payment in full.

NEWBORN INSURANCE

Most insurance companies allow up to 30 days from the date of birth to add the newborn to an insurance plan. If this is not done within the required time period, the insurance company may require you to wait until open enrollment, which could be up to a year.

MEDICAID

Currently, Jefferson OB/Gyn is unable to bill Medicaid for patients initiating care with any form of Medicaid. However, if you are a prenatal patient that initiated care with a commercial insurance policy and have now switched to Medicaid, WE ARE able to bill Medicaid for the remainder of your care here.

Please note! If your Medicaid policy changes to an HMO plan, it is your responsibility to provide us with that information ASAP so we can bill the correct insurance and request a PRIOR authorization, if needed. Failure to do so will result in balances becoming the patient’s responsibility.

 Examples of Medicaid HMOs include (but are not limited to):

• Anthem HealthKeepers Plus

• VA Premier

• Optima Family Care

• Magellan Complete Care

 Note: WE ARE able to bill Medicaid for child circumcisions.

Click to download a printable PDF of this information.

For accounting or insurance-related questions, call 434-977-4488 and choose option 3.