OB Estimate of Benefits

The following information should provide answers to the most frequently asked questions regarding cost of prenatal care and delivery.

1. What should I expect for cost with my prenatal care and delivery?

Hill Country OB/GYN charges each pregnant patient an OB Global Fee.

This OB GLOBAL FEE includes routine/non-complicated prenatal visits, delivery and 1 postpartum visit.
This OB GLOBAL FEE is separate from the charges you will incur in the hospital.

2. What is not included in the OB GLOBAL FEE but may be covered by my insurance?

Pregnancy Confirmation Visit

Visits and tests not pregnancy related

Hospital Services

OB Profile

(Labs on 1st visit)

(Required)

Anatomical Ultrasound Referral given (done at 18-20 weeks gestation)

Pap Smears

Pediatrician

Non invasive prenatal screening (optional)

Claritest or Panorama

Fetal Non-Stress Test

Perinatologist Consultation

28 Week CBC /HIV/Serology (Required)

Colposcopy

Anesthesiologist

Antibody Screen

(If RH Negative)

(Required)

Diabetic Counseling

Surgical Assistants *

35-37 Week Group B Strep Test

HIV (if not done at Glucose)

(Required)

Medications

Post Partum Tubal Ligation

Radiology – Ultrasound

Genetic Testing (optional)

Most insurance will not cover genetic testing

Physical Therapy

* Surgical AssistantA licensed surgical assistant is routinely scheduled to assist the physician with planned and emergent c-sections. The surgical assistant will send a separate bill for services rendered. If you have a planned cesarean section we will schedule the surgical assist. We highly recommend that you contact the surgical assist to discuss their financial policy. You may get the number of the surgical assistants from our insurance specialist at 462-1936 ext. 109.We are unfamiliar with the financial policies of other physicians, hospitals or labs. You must call them to discuss their financial policy and/or questions about their bill. The list above does not include all services which are not included in the global, but may be covered by your insurance. Please contact your insurance company if you have specific questions about what services your insurance covers.

3. If you file my insurance, what should I expect my “out of pocket” portion to be?

An OB deposit may be required depending on your insurance coverage. This deposit is your co-insurance and YOUR responsibility and is due before your delivery. Our insurance specialist will go over your OB Agreement with you by your second or third pregnancy appointment. If after 8 weeks after your delivery, a payment has not been received from your insurance company, you may be responsible for the remaining balance. You should call your insurance company regarding any unpaid balance.

4. What do I do if I do not have any insurance for this pregnancy and have to SELF-PAY?

You will want to speak with our billing department payment and payment plan options. All OB fees will be due in full before your estimated delivery date.

SELF-PAY OB patients need to contact our billing office before your second prenatal visit to discuss financial responsibility.

5. What would happen if I move or transfer to another obstetrician during my pregnancy?

You will only be charged for the individual office visits and co pays for each visit that you have incurred up until your date of transfer.

Our billing office will contact your insurance company (as a courtesy) and obtain an estimate of your maternity coverage. This is not a guarantee of benefits and YOU are ultimately responsible to know YOUR OB benefits and insurance requirements.

*Be sure to let us know if you change your insurance coverage at any point in the pregnancy!

Our Billing Office accepts calls and questions

Monday-Wednesday: 7:30a - 4:30p

Thursday: 7:30a – 2:30p

Friday: 8:00a – 12:00p

Patient Accounts: (512) 462-1936 ext. 117

Referrals, OB Agreements, Surgery Scheduling: (512) 462-1936 ext. 109

Google Sites

Report abuse