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If
your teen recently told you that she’s pregnant, there’s a lot of
planning to do in a short amount of time — including how to get health insurance for your grandchild.
It’s important to start investigating the insurance options immediately.
If the baby is born with health problems (such as a
premature birth, cardiac or circulatory birth defects, or respiratory
distress) that require a lengthy hospital stay, uninsured medical
expenses will mount quickly. The typical cost to treat neonatal
complications is $13,000; the hospital stay alone contributes $2,000 a
day to the bill, according to the U.S. Department of Health and Human
Services Agency for Healthcare Research and Quality.
The good news is that if your teen is currently on your health plan,
and your plan includes maternity coverage, it will extend to your teen.
But in most cases the baby cannot be a “dependent” on a grandparent’s
health insurance plan. So without proper planning, that baby will be
born uninsured.
When private health plans aren’t available,
investigate whether the pregnant teen can be enrolled in Medicaid,
which requires low-income levels.
Kate Barbier, coordinator of the Teen Pregnancy
Center at Barnes-Jewish Hospital in St. Louis, says pregnant teens
often qualify for Medicaid because they usually have no income.
Lisa Dubay, an associate Professor of Health Policy
at Johns Hopkins Bloomberg School of Public Health, says teens can
enroll in a Medicaid program that will provide them with one year of
coverage after birth.
In addition, Dubay says that the babies of teen
mothers can be instantly enrolled in a temporary Medicaid program at
the hospital.
“Temporary Medicaid provides three months of
coverage. Hospitals have a real incentive to get people enrolled
because they receive payments for prenatal care and delivery,” says
Dubay. “They are really good at getting kids enrolled in these programs
very quickly.”
If a baby doesn’t qualify for Medicaid because his
family falls into a higher income bracket, a State Children’s Health
Insurance Program (SCHIP) is another option. An example of SCHIP is
California’s Healthy Families program. Children can be enrolled in
SCHIP only after they are born, and they must be enrolled before they
are a month old. Here's a list of SCHIP health insurance programs by state.
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