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Situation |
UHC Choice Plus
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| Maternity Services Mother and Newborn
Benefits for pregnancy will be paid at the same level as benefits for any other condition, sickness or injury. This includes all maternity-related medical services for prenatal care, postnatal care, delivery, and any related complications. We also have special prenatal programs to help during pregnancy. They are completely voluntary and there is no extra cost for participating in the program. To sign up, notify Care Coordination during the first trimester, but no later than one month prior to the anticipated childbirth. We will pay benefits for an inpatient stay of at least:
If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. |
Same as:
Plan Level Office Visit Specialist Co-Pay – No Co-payment applies to physician office visits for prenatal care after the first visit in which a $15 co-payment applies.
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| The Healthy Pregnancy Program | A healthy pregnancy is the first step to a healthy baby and mom. The Healthy Pregnancy Program provides pregnancy consultation to identify special needs, written and on-line educational materials and resources, 24-hour toll-free access to experienced maternity nurses, and a phone call from a care coordinator during your pregnancy and about four weeks after your baby is born to see how things are going and answer questions you may have. Call 1-800-411-7984 or visit www.healthy-pregnancy.com |
| Midwife | Covered same as Maternity Services Mother and Newborn section above ONLY if contracted as a Health Plan Network Provider. |
| Birthing Center | Covered same as Maternity Services Mother and Newborn section above ONLY if contracted as a Health Plan Network Facility. |
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Situation |
Blue Cross Blue Shield
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Managing Maternity Risk |
BCBS Special Beginnings Maternity Program Our Special Beginnings® maternity program provides expectant members support and education, risk factor identification and ongoing communication/monitoring from experienced program staff. The program’s goal is to help the mother throughout her pregnancy and give the baby a healthy start. Program participation helps enable early identification of high-risk pregnancies and allows case managers to intervene before costly admissions for complications such as threatened pre-term labor. Cost savings was nearly 50 percent higher for high-risk expectant members who participated in Special Beginnings compared to those in case management alone. |
