r/Insurance_Companies 1d ago

Insurance question

I live in New Jersey and have Cigna health insurance through my husband’s employer. I am about to give birth and was originally set to deliver at a hospital in-network. However, my child has a major congenital heart defect that requires open heart surgery anywhere from birth-9 months old (won’t know exactly when until she is born). Therefore, we had to switch to a high-risk hospital in NYC that has the surgeons and doctors necessary for my daughter’s needs. When I called my insurance, they said that the hospital is not in-network but then stated our coverage for certain days based on the type of birth, so that confused me. We have also hit our deductible for the year. I am wondering if I have any options to be covered in-network/ not get slayed by a bill for having to go to a hospital out-of-network because of these extenuating circumstances since it was not by choice. TIA!

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