My daughter was born with TGA, ASD, VSD and pulmonary stenosis. She is two and a half now and doing great. I'm pregnant with my second child and my doctor put in for a referral for a scan to check the babys heart and my insurance denied it. I'm wondering what I can do to make sure he is ok.
Hello and welcome to our site. Appeal it and when you send a letter ask the doctor to also write a letter to send with it explaining why he feels it is important to do the test. Send the letter with a request sent back to know when they have received the letter; that will help if there is any question of dates.
I am surprised that your insurance company would not cover a fetal echocardiogram given the fact that one of your children has a significant form of congenital heart disease. One of the indications for such a test is exactly that.
However, a routine OB abdominal ultrasound performed by a competent sonographer should be able to determine if there are any cardiac abnormalities in the fetus. Should he/she suspect that one exists, you should then be referred to a pediatric cardiologist for a fetal echocardiogram and this exam should definitely be covered by insurance.
My last ultrasound was done and I let the tech know what was going on and she tried to check, but because of the baby's position his rib cage was casting a shadow on his heart. My OB told me that he wanted him checked before and after he was born. I feel like he thinks its important enough. I just want to do everything I can on my end. Thanks for all the help.
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