Circumcision and Insurance

  1. You have chosen to ignore posts from poppy609. Show poppy609's posts

    Circumcision and Insurance

    I'm reading a baby book, and the author just mentioned that insurance companies do not cover circumcision because it's considered cosmetic surgery.

    Anyone know if this is true?  I will call my insurance company, but don't really want to do it from my cubicle at this very moment...
     
  2. You have chosen to ignore posts from miss-cellaneousJones. Show miss-cellaneousJones's posts

    Re: Circumcision and Insurance

    poppy i think that's a bunch of hooey :) just had a son in april who was circumsized and we've yet to receive a bill for it. pretty sure it's part of the general "maternity package" insurance wise. is the book that you are reading current?
     
  3. You have chosen to ignore posts from Notanewbie. Show Notanewbie's posts

    Re: Circumcision and Insurance

    Is it a Canadian book?  Canada's health system does not cover circumcisions as they consider it cosmetic. There has been talk of American insurance companies picking up on the trend as a cost saving measure, but as far as I know it is still generally covered.  As always, if you are worried, you should check with your particular insurance.
     
  4. You have chosen to ignore posts from mbg109. Show mbg109's posts

    Re: Circumcision and Insurance

    Yeah, Poppy, I am pretty confident that insurance in the US covers that procedure.  In fact, my DH and I often wonder how the trend in circumcision would change if people actually had to pay for it...  Notanewbie must be on to something with your book being Canadian. 
     
  5. You have chosen to ignore posts from poppy609. Show poppy609's posts

    Re: Circumcision and Insurance

    Thanks ladies.  This is a book written by an American pediatrician (from Brookline) and was published in 2007... who knows, maybe that's what he *thought* but it's actually not true.  I'll call my insurance.

    One other question, simply because I can't remember... the pediatrician does the circumcision or the OB?

    (I don't even know if I'm having a boy or girl, so the whole thing may be moot, but I was surprised to come across that just now in my book)

    And I love the word, "hooey".  :)
     
  6. You have chosen to ignore posts from KAM2007. Show KAM2007's posts

    Re: Circumcision and Insurance

    I think coverage is based on age when done. At birth it's typically covered, beyond that it may be considered "cosmetic." At least that's what my US insurance said, or something similar to that. At by "covered" it mean we had to pay teh 10% deductible, which I think cost us $17 and change.
     
  7. You have chosen to ignore posts from Winter2011Bride. Show Winter2011Bride's posts

    Re: Circumcision and Insurance

    Poppy.  When I had my son...10 years ago Monday (man do they grow up fast).  It was covered.
     
  8. You have chosen to ignore posts from Daisy75. Show Daisy75's posts

    Re: Circumcision and Insurance

    I think the OBs do them.
     
  9. You have chosen to ignore posts from miss-cellaneousJones. Show miss-cellaneousJones's posts

    Re: Circumcision and Insurance

    The OB does the procedure. If you have a midwife, her overseeing OB steps in to it. Your pediatrician will check it out though at your first appt to make sure all is healing well, etc.
     
  10. You have chosen to ignore posts from IPWBride. Show IPWBride's posts

    Re: Circumcision and Insurance

    Hi Poppy,
    I have BCBS and they cover it 100% as part of the whole maternity package.  I called to see what my benefits were a while back, and they confirmed.  And the pediatrician also confirmed that it is the OB who will do it - as MissCJ said.  I believe on their 2nd day.
     
  11. You have chosen to ignore posts from MM379. Show MM379's posts

    Re: Circumcision and Insurance

    Actually, at my hospital, the pedi did the circumcision.  Don't know if it is a So Shore Hospital Policy.  Or, since my OB and our pedi are in the same overall affiliated medical group with eachother, it may be their group's policy and not So Shore Hospitals?  Not sure.  All I know is that there is a father/son in our pedi group and the son did the circumcision but the dad did like a 2 week check up and was cute b/c he was impressed with/proud of his son's job.     
     
  12. You have chosen to ignore posts from sunshinemrs. Show sunshinemrs's posts

    Re: Circumcision and Insurance

    Both OBs and Pedis perform them - just depends on the hospital which one.

    It always cracks me up that OBs do them - um, isn't this the opposite of your area of expertise? :-P
     
  13. You have chosen to ignore posts from Notanewbie. Show Notanewbie's posts

    Re: Circumcision and Insurance

    The reason it is more typical for OBs to do circs is because they are considered surgical specialists, whereas pedis are primary care specialists.  I agree it does seem contrary to their area of expertise. :-)

    I know if it is done when boys are older, circs are usually done by urologists...another surgical specialty area.
     
  14. You have chosen to ignore posts from lobstahsaurus. Show lobstahsaurus's posts

    Re: Circumcision and Insurance

    I also have BCBS.  My OB did the circumcision on the day before I went home (I had a c-section, so I was at the hospital longer).  I was also told the OB did it, for the same reason - it is considered a surgery.  It was covered by my maternity coverage when my son was born 3 years ago and will be covered for baby boy #2 this fall.  I do know that one of my co-workers had an issue with insurance coverage for her son's circumcision b/c the hospital billed it to her and not her son (and why would a woman need a circumcision?), but once that was cleared up it was completely covered. 

     
  15. You have chosen to ignore posts from rysmom. Show rysmom's posts

    Re: Circumcision and Insurance

    When I had DS I was told to call my ins and make sure it was covered.  It was covered for us (we had HPHC PPO at the time).  There are some that will not cover it but I would imagine they are more obscure or the "value" insurances.  A friend has some kind of HMO Blue Value plan and is finding that there is a lot they don't cover (IDK about circ's) but is it always best to check with your insurance.
     
  16. You have chosen to ignore posts from ml2620-2. Show ml2620-2's posts

    Re: Circumcision and Insurance

    Poppy, everyone has solid advice, I just wanted to say I don't think this will be an issue for you. I've been convinced for a while you are having a girl. :)
     
  17. You have chosen to ignore posts from bean78. Show bean78's posts

    Re: Circumcision and Insurance

    In MA, in most cases, the OB does the circ which yes...seems strange. At birth, your insurance will cover it 100 percent. If it has to be redone or just done at a later age it is covered but with a copay..i think ours at the time was 150 for an outpatient procedure with BCBS. There is a very high rate of that in MA..OB's have become very conservative in what they remove. We had that issue with our son and had to be redone by a urologist at Children's when he was 20 months old. At the time, just THAT doctor was performing TWO recirc's a day, 5 days a week!) it is covered but with a copay..i think ours at the time was 150 for an outpatient procedure with BCBS.
     
  18. You have chosen to ignore posts from poppy609. Show poppy609's posts

    Re: Circumcision and Insurance

    ML - you're too funny!  what makes you think that?  My husband thinks that too, but by all the "old wives tales" it's likely a boy (not that I put stock into those...)

    I talked to my OB today - he does the circs.  Because of the surgery thing - he said most pedi's opt not to do them for insurance reasons...

    I've heard of a lot that have to be "redone" for various reasons - poor little babies!
     
  19. You have chosen to ignore posts from framerican51008. Show framerican51008's posts

    Re: Circumcision and Insurance

    Cute post, ML :o)
    I actually hav a feeling it's a boy, Poppy... but then I think mine is a boy too so I guess I just have boys on the brain!!
     
  20. You have chosen to ignore posts from hotcinnababy. Show hotcinnababy's posts

    Re: Circumcision and Insurance

    hmm, the ob's do the procedure?  We had a girl at MGH, but we didn't know what we were having so while I was laboring and they were verifying all my questions the nurse told me that if we chose circumcision it would be done the following day (I went into delivery at 8pm) in the nursery, which I would assume would be the pedi's domain.  We don't know what #2 is, so maybe I'll ask who does the procedure this time!
     
  21. You have chosen to ignore posts from bostonhime. Show bostonhime's posts

    Re: Circumcision and Insurance

    I had my boy in July this year and it was covered 100% (I have Harvard Pilgrim and delivered at BI). There are parameters...you have to request it and it needs to be done during a certain time period. If you wait until after your baby has been discharged I think you have 2 wks to have it done (by your pediatrician) or else it won't be covered. All insurances are different. i checked with mine before I went to the hospital (and got it in writing).
     
  22. You have chosen to ignore posts from MichelleandtheBoys. Show MichelleandtheBoys's posts

    Re: Circumcision and Insurance

    Mine were both covered 10 and 8 years ago and at two different hospitals, the OB's did it both times.
     

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