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Old 02-17-2011, 07:14 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335

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Hi All;

I just enrolled for medicaid STAR program and got accepted.

Currently 5 months pregnant, was originally looking to give birth at the San Antonio Birth Center, but now that I have medicaid I want to look into giving birth at a hospital.

I heard St. Lukes had good mid-wives there.

Any other hospitals I should look into?

I am on the Medicaid STAR program with Community First as my health care provider.

I should have asked when i enrolled, but in the packet I receive, there was no sign of me partially PAYING for services to be receives e.g. giving birth/hospital stay??


has anyone ever been on the STAR medicaid program?
did you have to pay ANYTHING?
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Old 02-17-2011, 07:26 PM
 
Location: San Antonio, TX
11,167 posts, read 20,502,915 times
Reputation: 26446
They pay for all doctor's visits, lab fees, etc. You'll be covered for several months after you have the baby. The baby will be covered for the first year. After that, you need to reapply for the baby's coverage. Medicaid will cover everything, even specialists and NICU if there are any problems.

At some hospitals, if you want a private room, you have to pay extra. At Methodist, I had to pay $115 to have a private room for a night. If you're planning to breastfeed, you'll probably prefer a private room. Also, there's some blood involved after you give birth and it's not the nicest thing to be sharing a restroom with someone else who's also bleeding. That's why I ended up with the private room...the person I was sharing a room with was bleeding all over the floor and commode and no one would clean it up. You should call the different hospitals and ask if they have private rooms or if it's extra. University Hospital had private rooms with no extra charge...I had my first baby there and it was very clean. There was a fold-out bed for my husband to sleep in and I didn't have to share a bathroom with anyone. They didn't let me go home until I knew how to take care of the baby...bathing, feeding, diapering...and they had me and my husband take a CPR class too. The downside to University was having to pay for parking. My baby was in NICU for ten days and I was in the hospital for five days, so the parking really added up.

You should enroll in WIC too. They'll provide healthy food for you during the pregnancy, and formula for your baby if you need it, or breastfeeding support. It's better to get on WIC before the baby is born, even if you plan to breastfeed.
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Old 02-17-2011, 07:45 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335
Hedgehog_Mom

thank you thank you thank you for your informative response.

Yes the private room does sound Ideal

thank you again
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Old 02-17-2011, 07:47 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335
will ambulance rides be covered also, to get you to the hospital when I go into labor? or no?
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Old 02-17-2011, 07:52 PM
 
Location: San Antonio, TX
11,167 posts, read 20,502,915 times
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You'll need to pick a pediatrician too. Most of them will let you make an appointment to come in and talk to the pediatrician before the baby is born, to make sure that the pediatrician is someone you'll be comfortable with. You see them a lot the first year of your baby's life.

Your OB/GYN can probably recommend a pediatrician, if you ask. You'll want to make sure that the ob/gyn and the pediatrician both see patients at the hospital you want to have the baby at.
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Old 02-17-2011, 07:56 PM
 
Location: San Antonio, TX
11,167 posts, read 20,502,915 times
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They will cover an ambulance ride for an emergency. Usually you'll have enough time to have your husband or a friend drive you to the hospital, and won't need an ambulance. Having a baby doesn't happen as quickly as it looks on tv shows. Ambulances aren't that comfortable to ride in either

If you don't have transportation to your doctor's visits, look on the back of the monthly Medicaid eligibility form and there's a number you can call to get rides or bus fare. You have to call them in advance though.

Also, if you haven't gotten the monthly eligibility form yet, you need it to be seen by the doctor. You can get a temporary eligibility form at the HHS office if you have to see the doctor before the form comes in the mail.
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Old 02-17-2011, 08:05 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335
Thanks again Hedgehog_Mom

Yes the Medicaid form is on the way and the community first ID card will follow shortly. But as of right now I have REGULAR Medicaid.

So my next question would be the process of USING the Medicaid.

So I go into labor and pick out a hospital

I bring along with me the Medicaid form and community first ID card, plus my personal ID to the admissions office in the hospital.

What else is required?

I quess what I am really trying to get down to is the fear of being BILLED after delivery

Hedgehog_Mom what did you do, in terms of paperwork that was involved from the time you got to the hospital to the time you left?
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Old 02-17-2011, 08:07 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335
Also, yes as the time of enrollment, i chose an MD and they also had me chose an OB/GYN close to where we live.
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Old 02-17-2011, 09:41 PM
 
Location: San Antonio, TX
11,167 posts, read 20,502,915 times
Reputation: 26446
Different hospitals will do the pre-admission paperwork differently. I had to fill out forms online when I had my baby at Methodist hospital. When I had a baby at University, I didn't have to do any paperwork first. My husband had to fill it out when I was admitted. The hospital will bill medicaid. The hospital will do the paperwork to get your baby's social security number, because they need that to bill medicaid for the baby's care. After the baby is born, you'll have to fill out a form with the baby's name, but you won't get a birth certificate at the hospital. You have to buy the birth certificate from the city for $25...but you don't really need to get it until your baby is ready to start school.


It's possible that you will get bills after your baby is born, because every doctor who sees you in the hospital bills separately. If you end up getting billed, you just call the doctor's office or hospital that sent you the bill, and they bill medicaid instead. They're glad to do it...they know they're more likely to get money from medicaid than from an individual.

If you haven't seen a doctor yet for your pregnancy, it's important for you to see one. Don't wait for the end of the month when the eligibility form comes to make an appointment with your ob/gyn. Call and see if they can get you in as soon as possible, and then go to the HHS office and get a temporary form. The fifth month is late to be starting prenatal care, and you'll need to have some tests done. They'll probably schedule an ultrasound soon, which will be exciting for you. They'll also test you for diabetes...not as fun, but necessary too.
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Old 02-18-2011, 02:07 PM
 
Location: 78250
937 posts, read 2,163,366 times
Reputation: 335
thanks again for the info Hedgehog_Mom
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