Do they give C-Sections just because you want one?

Question

Do insurance companies cover C-Sections that are just wanted and not needed? I figure NO, but just wondering if Drs will make up some reason if the women really wants one.

I don't plan on having a C-Section, just wondering how that worked. I was reading about C-Sections and how they are done quite frequently.

Answer 1

A cesarean section is major surgery and should be done only when the health of the mother or baby is at risk. I am sure there are doctors who are willing to go that route because the procedure is at least triple the cost of a vaginal delivery, but most insurance companies normally pre-certify a patient to determine that there is a reason why a c-section is required.

Some reasons a c-section may be required could be:
1. You’ve already had a c-section in another pregnancy or other surgeries on your uterus. Although I should also point out more doctors are encouraging women to go vaginal after c-sections these days.
2. Your baby is too big to pass safely through the vagina. The baby’s buttocks or feet enter the birth canal first, instead of the head. This is called a breech position.
3. The baby’s shoulder enters the birth canal first, instead of the head. This is called a transverse position.
4. There are problems with the placenta. This is the organ that nourishes your baby in the womb. Placental problems can cause dangerous bleeding during vaginal birth.
5. Labor is too slow or stops. The baby’s umbilical cord slips into the vagina, where it could be squeezed or flattened during vaginal delivery. This is called umbilical cord prolapse.
6. You have an infection like HIV or genital herpes.
7. You’re having twins, triplets or more.
8. The baby has problems during labor that show it is under stress, such as a slow heart rate. This is sometimes called “fetal distress.”
9. You have a serious medical condition that requires intensive or emergency treatment (such as diabetes or high blood pressure).
10. The baby has a certain type of birth defect.

I have had 2 C-sections and 2 natural deliveries, and hands down, the c-sections were the worst. Recovery time took four times longer and it was much more painful afterward compared to the pain during delivery of a vaginal birth.

Answer 2

I don't think Dr.'s want to give C-sections because it's a little bit riskier for the Mom. But I'm sure that if you really wanted one and your Dr. couldnt talk you out of it, they would probably give you one. I've had two C-sections, and they went well. But the recovery is long and I still have a horendous scar, and I have a pouch. No more rock hard abs for me or you if you have a C-section. Natural is the way to go if you want your old body back. As far as the insurance goes, who knows those insurance companies like to screw you at every turn so be careful.

Answer 3

Why would you want a c-section? I read a couple of answers that said recovery was EASIER with a c-section?! Are you kidding? I have 2 kids, one delivered vaginally and one by emergency c-section. I would never have a c-section by choice. After my vaginal delivery, I could walk in a matter of hours . Sure I was a little stiff, but by day 2 I was fine. After my c-section delivery I couldn't walk on my own for 3 days. Then I had to have pain medicine to walk after that and still had to hold onto the wall. I wasn't normal again for 2 weeks! Why do that to yourself if you don't have to? Not to mention the nerve damage I received at my incision site. It's been 5 yrs and I still experience pain there from time to time. (and the scar you can get too). Don't get me wrong, if I had to have a c-section again, of course I would. I would never risk the life of my baby, but if I can do it vaginally, I would prefer that.

Answer 4

I've heard of more women requesting this. I had one, but it was because my daughter was breech. I considered having a VBAC next time, but even my OB said, "why would you want to". I talked with many women who had both vaginal and cesarean births and every one of them said they preferred the c-section because it was actually an easier recovery. I've only had the one baby, so I have nothing to compare it to - but the recovery wasn't bad at all. I have decided that I'll do the c-section again.

I don't know if insurance companies require a medical reason to cover a cesarean, but if the thought of a vaginal birth makes you anxious, then an OB might recommend one so you are not under stress because stress is not good for mom or baby.

Answer 5

I dont know of any dr. that would give someone a c-section because they want one. They normally only do that if it is medically necessary. Will insurance pay for it? Probably? Recovering from a vaginal birth was no picnic, but I can only imagine how much more difficult it would be recovering from major surgery and taking care of a newborn. A normal birth is really not all that bad and remember there are pain killers there for you.

Answer 6

I got identified with herpes simplex virus (type 2) about four yrs ago, whilst I was still in college and had a silly one-night stand. I realize lots of girls say this, but I swear I had never done that sort of thing before. I just made a massive mistake that one time and all of a sudden I felt like I was going to have to live with the implications for the rest of my life. The worst part was feeling I could never date men again. After all, who wants to go out with a girl who has sores around her "you know what" area? But since a friend shared this movie https://tr.im/Ldqlv everything improved.

Not only was I able to eradicate all remnants of the herpes simplex virus from my body in less than 21 days, but I was also able to start dating again. I even met the guy of my dreams and I'm so blessed to write that just a week ago, in front of everyone in a busy restaurant, he got down on one knee and proposed to me!!! This system provided the opportunity to be happy and experience true love again. Now I hope that I can help others by sharing this story.

Answer 7

Absolutely NOT, In order for a MD to do any type of surgery they must provide medical necessity meaning documentation, tests, etc (basically solid evidence). This is the law. A doctor could loose their license to practice if they broke this law. Also, insurance companies or low income insurance provided through the government will research why a surgery was done and will refuse to pay.
I have seen this a million times and some companies will refuse even if there is a medical reason that they don't agree with.

Answer 8

I think as far as the insurance company is concerned, c-sections are a necessity, and they probably (hopefully!) wouldn't pay for a voluntary one. I'd like to think most doctors are ethical enough to not perform one voluntarily, but you know there are some who do. They can make up any number of reasons to submit to the ins. co. so they'll be paid.

Answer 9

Doctors get paid more for C-Sections and don't have to waste their precious time waiting for nature to do its thing. They will often give you a C-Section whether you want or need one or not.

Answer 10

They are done TOO frequently. There is no good reason that our c/s rate in the USA should be approaching 30%!!!!!

http://www.indystar.com/apps/pbcs.dll/article?AID=/20060917/LOCAL17/609170398&SearchID=73257229581351

There are increased risks that come along with a c/s. No good doctor would accept those risks without a strong medical indication that a c/s was needed for a healthy mother/baby outcome.