Question
What is the name of your state? Georgia
I met my fiancee in December of last year and we fell in love very fast and were engaged in no time. When we met she was going thru a rough divorce and now things are really confusing. We just found out that she is 20 weeks pregnant with my child. The problem is is that she is still under her ex-husband's insurance. The court ordered no changes until everything in the divorce is settled. She tells me that his insurance can only be changed 2 times a year so she will be covered thru december. Will her ex-husband's insurance cover her maternity costs even though he is not the father of the child she is carrying?
And if it wont cover the maternity costs, what are our options? I have insurance but she isnt on it and if she got added it would be a pre-existing condition, I belive. Please verify that fact for me also. Same problem of pre-existing if she signs on with her employer's insurance I think. Please someone check my facts about a pregnancy being pre-existing and if her ex's insurance will cover the birth of child that is not his. If her ex's inurance will not cover, how can we get some form of coverage for her while she is going thru this pregnancy?
Thanks for your time everyone.
Answer
What is the name of your state? Georgia
I met my fiancee in December of last year and we fell in love very fast and were engaged in no time. When we met she was going thru a rough divorce and now things are really confusing. We just found out that she is 20 weeks pregnant with my child. The problem is is that she is still under her ex-husband's insurance. The court ordered no changes until everything in the divorce is settled. She tells me that his insurance can only be changed 2 times a year so she will be covered thru december. Will her ex-husband's insurance cover her maternity costs even though he is not the father of the child she is carrying?
And if it wont cover the maternity costs, what are our options? I have insurance but she isnt on it and if she got added it would be a pre-existing condition, I belive. Please verify that fact for me also. Same problem of pre-existing if she signs on with her employer's insurance I think. Please someone check my facts about a pregnancy being pre-existing and if her ex's insurance will cover the birth of child that is not his. If her ex's inurance will not cover, how can we get some form of coverage for her while she is going thru this pregnancy?
Thanks for your time everyone.
**A: is she still married? If so, she's covered.
Answer
the divorce is final, but she is telling me that because of the court order, he is not allowed to remove her till the divorce settlement is complete which will not be for a while still. Does that clarify better?
Answer
What is the name of your state? Georgia
We just found out that she is 20 weeks pregnant with my child.
My response:
Let's see . . .
You both are from Georgia, and she just "found out" she was half way through a human gestation period?
Man, I figured you people in Georgia were mentally "slow on the draw", but I didn't have the proof until now!
IAAL
Answer
Thanks, but for your info, she has had none of the signs, not one, not even gaining weight. Multiple doctors have missed it too, and the doctor that finally caught it said that this does happen, rare but some women never experience the symptoms. So layoff, Im not from GA originally, neither is she.
Answer
Thanks, but for your info, she has had none of the signs, not one, not even gaining weight. Multiple doctors have missed it too, and the doctor that finally caught it said that this does happen, rare but some women never experience the symptoms. So layoff, Im not from GA originally, neither is she.
My response:
Obviously, at the very least, she has been "Georgiafied". She hasn't had a period in over 4 months. Just where did she did she think it went?
Of course "multiple doctors have missed it." They're from Georgia too!
DUH!
I swear to God - - I sometimes have to wonder how these southern types make it from day to day. "Duh, which way did he go George, which way did he go?"
IAAL
Answer
Ok, first off, if you dont have any info to help, leave me be. second, not that its your business but she has a disorder that causes her to only have 2 periods a year max, even with medication. Not to mention she was on birth control. So layoff man, and if anyone has information that could actually help, please let me know about my original questions.
Answer
Ok, first off, if you dont have any info to help, leave me be. second, not that its your business but she has a disorder that causes her to only have 2 periods a year max, even with medication. Not to mention she was on birth control. So layoff man, and if anyone has information that could actually help, please let me know about my original questions.
My response:
Well, of course. Duh? Why didn't I think of that?
Didn't you know? Everyone that comes to these forums has a disorder or a disability - - mental or physical. Nobody's normal around here. So, why would I expect you and yours be any different?
Oh, man - - this must be the Twilight Zone.
IAAL
Answer
Once the divorce becomes final, the wife is no longer a dependent under the insurance contract and cannot be continued. She has the option of electing COBRA coverage.
When a claim is filed if the carrier does their investigation (which is likely) and they determine she was officially inelible for coverage on a particular date her coverage will be terminated retroactive to that date (or the end of that month).
My guess is you cannot add her to your plan since she is not a legal dependent.
She had the option of taking her employers coverage in lieu of COBRA and the pregnancy could have been covered. That option may still be viable, just depends on when her coverage should have ended under her ex-husbands plan.
For what it's worth, GA has not outlawed birth control devices & medication, and medical science has made significant advances in the last few years. We now know what causes pregnancy . . .
Answer
To the OP, you may want to speak to the insuarnce company. It may be possible for her to continue with thiat policy and she pay her own premiums. They have already started to cover her for this, I think it is just as if you left a job, you can continue with the insurance you have, she may just have to pay a higher premiun since this is ex-husbands insurance and she does not qualify for the discount through his company. Just my thought, but I think it is worth looking into. Good Luck and God Speed
Answer
The issue here is, when did the divorce become final. Is she still in the COBRA election window? Even if that has passed will the carrier allow her to back-date her application due to an oversight?
She cannot continue on the group other than as a COBRA participant and that option may have expired.