My Insurance Company Says Being Pregnant Is An “Unhealthy Lifestyle”

Robin Marty

This weekend my husband broke the news to me -- his company is switching to a new health insurance plan...and our out-of-pocket expenses for giving birth will increase a 100 percent.

Having our first child was one of the greatest moments of my husband’s and my life together.  Once we adjusted to being parents, we knew that at some point we would want to expand our family.  When we found out 7 weeks ago that we were expecting again, we couldn’t have been more excited.

The longer we have been parents, the more we have become planners, especially financially.  I made a goal of paying off my student loans before our first was born, literally writing that last check two weeks before her due date.  That payment quickly became a 529 account.  We became frantic savers, opening online accounts, IRAs, anything we could sock our money into.  When we decided to try for a second child, we made sure to first set aside the $3000 it would cost us out-of-pocket to pay for the birth, $1500 out-of-pocket max for me, and $1500 max for the new baby.

This weekend my husband broke the news to me — his company would be switching to a new health insurance plan starting in January.   As we looked through the brochures, it jumped out at me immediately that our out-of-pocket expenses were skyrocketing.  Instead of the $3000 family out-of-pocket maximum we were preparing for, we were now expected to pay $6000 for the full family, a 100 percent increase.

We’ve yet to be given full information, such as if his monthly payments will be increasing as well (something I’m worried about, as the preliminary paperwork shows no sign of his company continuing to contribute monthly, instead offering a $1000 HSA account).   Assuming that his payment per month is the same and the company is indeed offering $1000 on top of that, he will still be paying over 10% of his pre-tax income just to pay our family’s health care costs.  If they have pulled their monthly assistance, that could go up to as much as 20%.

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We recognize that we are lucky people.  With two incomes and no real debt, we should have no major difficulties saving the additional $3000 we might need for our new arrival in May.  But we know that many people aren’t in our situation.  Having a child should be a joyous occasion, not a time that can potentially plummet a family deep into debt. 

According to the new insurance company, your health care costs should never be much as long as you are making "healthy lifestyle choices."  My question for the insurance industry is, when did wanting to add to your family become an unhealthy lifestyle choice? 

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