Common use of Pregnancy and maternity care Clause in Contracts

Pregnancy and maternity care. Benefits are available for maternity care services. Benefits include:  Prenatal care;  Postnatal care;  Involuntary complications of pregnancy;  Inpatient Hospital services including labor, delivery, and postpartum care;  Elective newborn circumcision within 18 months of birth; and  Pregnancy termination services. See the Diagnostic X-ray, imaging, pathology, and laboratory services and Preventive Health Services sections for information about coverage of genetic testing and diagnostic procedures related to pregnancy and maternity care. The Newborns’ and Mothers’ Health Protection Act requires health plans to provide a minimum Hospital stay for the mother and newborn child of 48 hours after a normal, vaginal delivery and 96 hours after a C-section. The attending Physician, in consultation with the mother, may determine that a shorter length of stay is adequate. If your Hospital stay is shorter than the minimum stay, you can receive a follow-up visit with a Health Care Provider whose scope of practice includes postpartum and newborn care. This follow-up visit may occur at home or as an outpatient, as necessary. This visit will include parent education, assistance and training in breast or bottle feeding, and any necessary physical assessments for the mother and child. Prior authorization is not required for this follow-up visit.

Pregnancy and maternity care. Benefits are available for maternity care services. Benefits include:  • Prenatal care;  • Postnatal care;  • Involuntary complications of pregnancy;  • Inpatient Hospital services including labor, delivery, and postpartum care;  • Elective newborn circumcision within 18 months of birth; and  • Pregnancy termination services. See the Diagnostic X-ray, imaging, pathology, and laboratory services and Preventive Health Services sections for information about coverage of genetic testing and diagnostic procedures related to pregnancy and maternity care. The Newborns’ and Mothers’ Health Protection Act requires health plans to provide a minimum Hospital stay for the mother and newborn child of 48 hours after a normal, vaginal delivery and 96 hours after a C-section. The attending Physician, in consultation with the mother, may determine that a shorter length of stay is adequate. If your Hospital stay is shorter than the minimum stay, you can receive a follow-up visit with a Health Care Provider whose scope of practice includes postpartum and newborn care. This follow-up visit may occur at home or as an outpatient, as necessary. This visit will include parent education, assistance and training in breast or bottle feeding, and any necessary physical assessments for the mother and child. Prior authorization is not required for this follow-up visit.