Pregnancy and Maternity Services. This plan covers physician services and the services of a licensed midwife for prenatal, delivery, and postpartum care. The first office visit to diagnose a pregnancy is not included in prenatal services. This plan covers hospital services for mother and newborn child for at least forty-eight
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible Not Covered
Pregnancy and Maternity Services. Amniocentesis or any other service when performed solely to determine gender. • Services related to surrogate parenting or the newborn child of the surrogate parent, when the surrogate is not a member of this plan.
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible Not Covered Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 20% - After deductible Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 0% - After deductible 20% - After deductible Infused drugs* 0% - After deductible 20% - After deductible Medications other than injected and infused drugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Pregnancy and Maternity Services. Pre-natal, delivery, and postpartum services. 0% - After deductible 20% - After deductible Prescription drugs and diabetic equipment and supplies purchased at a retail, specialty, or mail order pharmacy. See Summary of PharmacyBenefits See Summary of PharmacyBenefits Prescription drugs requiring administration by a licensed health care provider*: Prescription drugs other than infused drugs - includes but is not limited to: medications by injection or inhalation, as well as nasal, topical, or transdermal medications. 0% - After deductible 20% - After deductible Infused drugs 0% - After deductible 20% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service or for certain services in the benefit category. Please see Preauthorization in Section 5 for more information. You Pay You Pay See Prevention and Early Detection Services section for details. 0% 20% - After deductible Must be performed by a certified home health care agency. 0% - After deductible 20% - After deductible Outpatient 0% - After deductible 20% - After deductible In a physician’s office 0% - After deductible 20% - After deductible Inpatient 0% - After deductible 20% - After deductible Outpatient 0% - After deductible 20% - After deductible Skilled or sub-acute care 0% - After deductible 20% - After deductible Outpatient hospital/in a physician’s/therapist’s office. 20% - After deductible 40% - After deductible Inpatient physician services 0% - After deductible 20% - After deductible Outpatient services - includes physician services and outpatient hospital or ambulatory surgical center facility services. 0% - After deductible 20% - After deductible In a physician’s office. 0% 20% - After deductible When rendered by our designated telemedicine provider. $20 Not Covered When rendered by a network provider or non-network provider other than our designated telemedicine provider. See the covered healthcare service being provided for the amount you pay See the covered healthcare service being provided for the amount you pay Outpatient, in a physician’s office, urgent care center or free-standing laboratory: Major diagnostic imaging and testing* including but not limited to: MRI, MRA, CAT scans, CTA scans, PET scans, nuclear medicine and cardiac imaging. 0% - After deductible 20% - After deductible Sleep studies.* 0% - After deductible 20% - After deduct...
Pregnancy and Maternity Services. Reimbursement shall equal the Global Fee *** as set forth in Section 7.07 above.
Pregnancy and Maternity Services. Pre-natal,delivery, and postpartum services. 0%- Afterdeductible 40%- Afterdeductible Prescription Drugs and Diabetic Equipment and Supplies Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail ordperharmacy. Prescription drugs dispensed and administered by a licensed health careprovider(other than a pharmacist), an notpurchased from a retail, specialty or mail order pharmacy: Injectable drugs* 0%- Afterdeductible 40%- Afterdeductible Infuseddrugs* 0%- Afterdeductible 40%- Afterdeductible Covered Benefits- See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Medications other than injected and infused rugs* Are included in thaellowance for the medical service bein rendered. Are included in thaellowance for the medical service being rendered.
Pregnancy and Maternity Services. Amniocentesis or any other service when performed solely to determine gender. • Services related to surrogate parenting or the newborn child of the surrogate parent, when the surrogate is not a member of this plan. • Abortions for which federal funding is not allowed in accordance with the Affordable Care Act (ACA) section 1303(b)(1)(B)(i), namely all abortions except in the case of rape or incest, or for a pregnancy which places the woman in danger of death unless an abortion is performed.
Pregnancy and Maternity Services. A. Inpatient hospitalization services are provided to a mother and newborn for at least forty−eight (48) hours following an uncomplicated vaginal delivery and ninety−six (96) hours following an uncomplicated cesarean section.
B. Benefits will be provided for home health care visits related to maternity services, without any Copayment or coinsurance requirement.
C. If the mother’s hospital stay is shorter than described above in Subsection A., benefits will be provided for one home health care visit scheduled to occur within 24 hours of discharge and an additional visit if prescribed by the Plan Physician.
D. If prescribed by the attending provider, a home visit will be covered for a mother and newborn who remain in the hospital for at least forty−eight (48) hours following an uncomplicated vaginal delivery or ninety−six (96) hours following an uncomplicated cesarean section.
E. Whenever a mother is required to remain hospitalized after childbirth for medical reasons and the mother requests that the newborn remain in the hospital, coverage includes additional hospitalization for the newborn for up to four days. For non−high deductible plans, no co−payment, coinsurance or deductible will be assessed; only the deductible will be applied to high deductible plans as defined by Section 812(a)(3) of the Maryland Insurance Article.
