T.R | Title | User | Personal Name | Date | Lines |
---|
1287.1 | set limit? | SCAACT::COX | If you have too much to do, get your nap first! | Sun Jan 26 1992 20:13 | 6 |
| I think they have a set limit ($1000?) on a pre-existing condition but
the 800 number should know. Regardless, they should pay all costs of
your newborn, whether you marry or not!
Good luck,
Kristen
|
1287.2 | GIVE IT YOUR BEST SHOT- IT CAN BE A BITCH ! | NEMAIL::FLAHERTYL | | Mon Jan 27 1992 08:45 | 15 |
| I don't think that they will cover you...I think that you would have
to have your girlfriend on your plan for a least 6 months in order
for John Hancock to pay. But I'm not sure...that's how it is for
my husband plan (Blue Cross Blue Shield Master Medical) and they
pay for EVERYTHING but I wasn't on his plan for 6 months so I
had to go thru John Hancock.
You should also try to change the coverage to 100%, 80% really doesn't
do much. I was able to change..and it made a difference they paid for
everything, cause the cost having a baby (normal) is $3589 more or
less mostly more...
Good Luck
and Congrats !!
Linda
|
1287.3 | | PEACHS::MITCHAM | Andy in Alpharetta (near Atlanta) | Mon Jan 27 1992 08:48 | 10 |
| Do definitely call the (800) number to get the answer.
I looked in the 1991 edition of "Your Benefits Book" and didn't see anything
which covers your question. Personally, I am skeptical that John Hancock
will cover this (they will likely view it as a pre-existing condition) but
I am hopeful they will.
Good luck and congratulations...
-Andy
|
1287.4 | We were covered..... | DPDMAI::CAMPAGNA | | Mon Jan 27 1992 10:21 | 3 |
| For What It's Worth, when I joined Digital in 1986, I was 7 months
pregnant, and delivered a premature baby about 7 weeks after my hire
date. Everything was covered.
|
1287.5 | They may cover it | MARX::FLEURY | | Mon Jan 27 1992 10:25 | 17 |
|
I asked my personnel rep a similar question regarding pre-existing
conditions last month.
If I were to get pregnant in the fall, say September. And then switch
health plans during open enrollment in December, say from John Hancock to
Harvard Health. Would the new health plan cover the costs of delivering my
baby? Her answer was "Yes definitely".
My experience to date is that Digital carries alot of clout and the
insurance companies are willing to comply in some cases where they might not
otherwise. Especially John Hancock - since all they do is administer DEC's
money.
Good luck. Let us know what you find out.
- Carol
|
1287.6 | I think it will be covered | TLE::RANDALL | liberal feminist redneck pacifist | Mon Jan 27 1992 11:44 | 16 |
|
When I re-started at Digital after taking some time away from the
company (kids and alternate career development), I was able to
sign up for long-term disability that includes coverage of an eye
condition that caused me to be denied LTD when I applied for it
separately.
A friend of mine started at Digital a couple of years ago when his
wife was 5 months pregnant, and all the birth and prenatal
expenses that were incurred after his start date were covered.
I think that basically if you sign up within the 31-day grace
period, everything is covered. Digital is much more generous in
this area than a lot of other plans.
--bonnie
|
1287.7 | change in family status | VERGA::STEWART | Caryn....Perspective is Everything! | Mon Jan 27 1992 12:17 | 23 |
| As previous notes suggest, contact your PSA or check with JH (I'd go with
Personnel myself....)
I think what you'll find is:
The catch here is the "change in family status" that your marriage creates
and therefore there is no problem with the pre-existing condition stuff.
That's why they told you to add her on after your wedding. In order to
make those kinds of changes in your coverage outside an open enrollment,
you need either a change in family or employment status.
There may be some way to cover an unrelated dependent though. I recall reading
where Digitial was looking into changing its personnel policies in some
areas to treat unrelated dependents the same as related. I don't know if
anything has come of that, but it may be worth asking about. Then
too, some states have commonlaw marriage laws that may apply as well.
Some food for thought....
Good luck and congratulations!
~Caryn
|
1287.8 | | IRONIC::BRINDISI | | Tue Jan 28 1992 13:11 | 10 |
| I was 5 months pregnant during open enrollment time and I "enrolled" in
an HMO. No questions were asked re: pre-existing condition. And it
wasn't that I switched from one carrier to another. Previous to open
enrollement I was uninsured through Digital.
I hope you don't run into problems. Those doctor and lab bills can be
pretty expensive.
Good luck.
Joyce
|
1287.9 | | VMSSG::KILLORAN | | Wed Jan 29 1992 10:15 | 20 |
|
I don't know how your fiancee's OB/GYN does the billing,
but mine worked like this. They first gave me a form
to sign that listed what a normal vaginal birth would
cost and what was included. I told them I had JH, but
did not show them any proof. They estimated that it
would cost $1800.00 and that my cost 20% would be $360.00.
This $360.00 could be paid at $60.00 for six months.
After the delivery they then billed JH for the total amount
of their services. Ultrasounds were not included or
any lab work.
I did find that once we met the deductable to JH that
the OB/GYN group and the lab did submit bills to JH for
the lab work and ultrasounds.
So all your Fiancee has to do is tell them she has JH.
Jeanne
|
1287.10 | I think you're ok on this one | MIVC::MTAG | | Wed Jan 29 1992 15:55 | 11 |
| I used to work with a man who was planning on getting married, then
found out she was pregnant. He did all the same checking and I believe
Hancock would cover the complete cost of the pregnancy, even though she
was pregnant when they got married. Unfortunately, she ended up
miscarrying so the insurance never became an issue.
I think you should have no problem, but do contact the 800 number as
suggested.
Mary
|
1287.11 | It was JH! | MVDS02::BELFORTI | Time to get a new Timmy! | Thu Jan 30 1992 09:10 | 6 |
| If you plan on getting married anyway, why not go in and put her on
your insurance now... as common-law! Oppp, I forget, MA. does not
recognize common-law! (if this is in MA.)
I had my husband on my insurance for 6 months before we got married!
This was in Colorado!
|
1287.12 | Rich lives in GA -- it recognizes common-law-marriage | PEACHS::MITCHAM | Andy in Alpharetta (near Atlanta) | Thu Jan 30 1992 10:01 | 0 |
1287.13 | Good news from personnel! | ODIXIE::FINK | Son of the New South | Thu Jan 30 1992 23:00 | 19 |
|
Thanks for all the replies! I called my PSA today, and she
told me that DEC does *not* have a "pre-existing condition"
clause. So all we have to do is get married, and everything
is covered!! :-)
This is really a load off our minds, as we weren't really sure
how we were gonna pull this off. Now we can spend our time
*enjoying* impending parenthood, and not worrying about it
as much. :-)
Thanks for all the congrats, too. It's nice to feel so welcome
in this file. You can be sure y'all will be seeing me around
more often from now on. :)
-Rich (and Becky)
|
1287.14 | | WMOIS::BARR_L | I'm the mother, that's why! | Fri Jan 31 1992 09:36 | 5 |
| Yah Hoo Rich, GREAT news!!!
Lori B.
P.S. It was great talking to you on the phone the other night!!!
|