Newborn Insurance Advice: Switching Coverage and OOP Concerns

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1

Hello, My wife and I recently had a baby, and both of our employers provide medical insurance. Right now, my wife is on my insurance, but we’re planning to switch her to her own insurance and add our newborn to it.

Here’s the situation:

  • Our newborn spent a week in the NICU, and my wife also spent a week in the hospital.
  • My insurance has an OOP (out-of-pocket) limit of $4.9k, while my wife’s is $2k.

I have a few questions:

  1. Will the costs related to my wife’s pregnancy and delivery be covered by my insurance or hers?
  2. When we switch my wife to her insurance, will her OOP and deductible reset for the rest of the year?
  3. I’m considering adding the newborn to my wife’s plan primarily because of the lower deductible and OOP. Are there other factors I should consider before making the switch?

Thanks in advance for your help :blush:

2

Howdy pals,
newborn insurance is essential for safeguarding your baby’s health against unexpected medical expenses. It typically covers a variety of conditions, including congenital defects, premature birth, and common childhood illnesses.

3

Congrats on the new baby. Costs related to your wife’s pregnancy and delivery will probably be covered by the insurance you had at the time. So, if it was your insurance, that’s where the costs will go. When your wife switches to her own plan, her deductible and OOP will likely reset, kind of like hitting the restart button. Adding the baby to her plan sounds like a good move given the lower OOP, but just make sure to check for any specific rules or waiting periods.