Maternity Services. Your benefits for maternity services are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage. Benefits will be provided for delivery charges and for any of the pre viously described Covered Services when rendered in connection with pregnancy. Benefits will be provided for any treatment of an illness, injury, congenital defect, birth abnormality or a premature birth from the moment of the birth up to the first 31 days, thereafter, you must add the newborn child to your Family Coverage. Premiums will be adjusted accordingly. Coverage will be provided for the mother and the newborn for a minimum of:
Maternity Services. Your benefits for services rendered in connection with pregnancy are the same as your benefits for any other condition and are available whether you have In dividual Coverage or Family Coverage. In addition to all of the previously described Covered Services, routine Inpatient nursery charges for the newborn child are covered, even under Individual Coverage. (If the newborn child needs treatment for an illness, injury, congenital defect, birth abnormality or a prema ture birth, that care will be covered from the moment of birth up to the first 31 days, thereafter, you must add the newborn child to your Family Coverage. Pre miums will be adjusted accordingly. Coverage will be provided for the mother and the newborn for a minimum of:
Maternity Services. The following maternity services are provided for all female members.
Maternity Services. Under the Newborns and Mothers Health Protection Act, the MCO may not: • Limit benefits for postpartum hospital stays to less than forty-eight (48) hours following a normal vaginal delivery or ninety-six (96) hours following a cesarean section unless the attending provider, in consultation with the mother, makes the decision to discharge the mother or the newborn before that time; or • Require that a provider obtain authorization from the plan before prescribing this length of stay. This requirement must not preclude the MCO from requiring prior authorization or denying coverage for elective inductions and elective C-sections.
Maternity Services. Maternity care benefits and services include prenatal, delivery, postpartum services and nursery charges for a normal pregnancy or complications related to the pregnancy. The CONTRACTOR shall:
4.2.18.1. Ensure all Members and their infants receive risk appropriate medical and Referral Services.
4.2.18.2. Be Responsible for inpatient hospital Claims billed on the facility claim form that include both a Cesarean Section and sterilization.
4.2.18.3. Be responsible for the Care Management and Coordination of maternity benefits and services (i.e., Continuity of Care, transfers, and payment), as stipulated with Section 4 and Section 5 of this contract.
Maternity Services. Hospital Services and medical/surgical services rendered by a Facility Provider or Professional Provider for:
Maternity Services. Your benefits for services rendered in connection with pregnancy are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage. In addition to all of the previously described Covered Services, routine Inpatient nursery charges for the newborn child are covered, even under Individual Coverage. (If the newborn child needs treatment for an illness, injury, congenital defect, birth abnormality or a premature birth, that care will be covered from the moment of birth up to the first 31 days, thereafter, you must add the newborn child to your Family Coverage. Premiums will be adjusted accordingly. Coverage will be provided for the mother and the newborn for a minimum of:
Maternity Services. Your benefits for maternity services are the same as your benefits for any other condition and are available whether you have Individual Coverage or Family Coverage. Benefits will be provided for delivery charges and for any of the previously described Covered Services when rendered in connection with pregnancy. For Family Coverage benefits will be provided for any treatment of an illness, injury, congenital defect, birth abnormality or a premature birth from the moment of the birth up to the first 31 days. You must notify the employee benefits department within 31 days of the birth so that the Health Care Plan records can be adjusted to add the newborn child to your Family Coverage. Premiums will be adjusted accordingly. For Individual Coverage benefits will not be provided for any treatment of an illness or injury to a newborn child unless you have Family Coverage. (Remember, you must add the newborn child within 31 days of the date of birth). Coverage will be provided for the mother and the newborn for a minimum of:
Maternity Services. We cover for pre-and post-natal Services, which includes routine and non-routine office visits, telemedicine visits, x-ray, lab and specialty tests. The Health Plan covers birthing classes and breastfeeding support, supplies, and counseling from trained providers during pregnancy and/or in the postpartum period. Services for pre-existing conditions care related to the development of a high-risk condition(s) during pregnancy, and non-routine obstetrical care are covered subject to applicable Cost Share for specialty, diagnostic, and/or treatment Services. We cover inpatient hospitalization Services for you and your enrolled newborn child for a minimum stay of at least forty-eight (48) hours following an uncomplicated vaginal delivery; and at least ninety-six (96) hours following an uncomplicated cesarean section. We also cover postpartum home care visits upon release, when prescribed by the attending provider. In consultation with your physician, you may request a shorter length of stay. In such cases, we will cover one home health visit scheduled to occur within twenty-four (24) hours after discharge, and an additional home visit if prescribed by the attending provider. Up to four (4) days of additional hospitalization for the newborn is covered if you are required to remain hospitalized after childbirth for medical reasons. Comprehensive lactation (breastfeeding) education and counseling, by trained clinicians during pregnancy and/or postpartum period in conjunction with each birth, Breastfeeding equipment is issued, per pregnancy. The breast-feeding pump (including any equipment that is required for pump functionality) is covered for six (6) months at no cost sharing to the member. See the benefit-specific exclusion immediately below for additional information Benefit-Specific Exclusion: 1. Personal and convenience supplies associated with breastfeeding equipment such as pads, bottles, and carrier cases. 2. Services for newborn deliveries performed at home We cover medical foods and low protein modified food products for the treatment of inherited metabolic diseases caused by an inherited abnormality of body chemistry including a disease for which the State screens newborn babies. Coverage is provided if the medical foods and low protein food products are prescribed as Medically Necessary for the therapeutic treatment of inherited metabolic diseases and are administered under the direction of a Plan Provider. Medical foods are intended for the dietary tr...
Maternity Services. We cover obstetrical Services for routine global maternity care; care for conditions that existed prior to pregnancy; care for high-risk conditions that develop during pregnancy; and non-routine obstetrical care.
