I am trying to dig up a past thread that outlined the details of when health insurers are required to cover adoptive children. So watch for this on View New Posts.
But, basically HIPAA law states that insurance companies are required to cover at the time of placement. Placement is defined in the law (if you read the fine print) as the time that you (adoptive parents) become financially responsible. So, for example, if you are matched with an expectant mother prior to the birth and are paying for expenses, you could argue that you are financially responsible. Most health insurance companies, in my experience, do not know the detailed reading of the law this way, so you are probably safe planning for coverage at placement. If any of your companies say they will cover at legal adoption (finalization) they are not following stated law.
I am happy to help clarify --
Susan
Thanks all, this is really helpful. Susan, I will look out for the thread on health insurance.
I also got our insurance company to send me a statement of their policy, since they wouldn't sign the form. But because the policy states coverage only begins at "placement," I was hoping there was some way to get them to pay for medical costs from birth, since that is when adoptive parents become "financially responsible". That argument fell on deaf ears both with our benefits specialist and the insurance company. So I guess the norm is for adoptive parents to cover cost of medical care at the hospital prior to placement, out of pocket?