Common use of Maternity Care Clause in Contracts

Maternity Care. This benefit covers pre-natal and post-natal maternity (pregnancy) care; pre-natal testing for congenital disorders; childbirth (vaginal or cesarean); in utero treatment for the fetus; complications of pregnancy such as fetal distress, gestational diabetes, and toxemia; and related conditions for a female Subscriber or Dependent. Preventive pre- natal care is covered under the Preventive Care, Screening and Immunization Services benefit. Please see the Schedule of Benefits for specific Cost-Sharing information. The services of a licensed physician, an advanced registered nurse practitioner (ARNP), a licensed midwife, or a certified nurse midwife (CNM), as well as Facility fees associated with childbirth delivery in a Hospital or birthing center, are covered under this benefit. This benefit also covers the related routine nursery care of the newborn, including newly adopted children. Circumcisions are covered up to 28 days following birth. Circumcisions performed after 28 days must be Medically Necessary as determined by CHPW. Covered post-natal care includes lactation support and counseling. There is no limit for the mother and her newborn’s length of inpatient stay. Where the mother is attended by a physician, the attending physician will determine an appropriate discharge time, in consultation with the mother. This benefit covers Medically Necessary supplies of a home birth for low-risk Members.