Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. Benefits include those of a certified nurse-midwife or pediatric nurse practitioner. Benefits include abortion care services which are not subject to the annual Deductible or any Co-payment or Co-insurance. Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Care Services include related tests and treatment. Benefits include birthing classes, one course per Pregnancy, at a facility approved by us. We will pay Benefits for an Inpatient Stay of at least: • 48 hours for the mother and newborn child following a normal vaginal delivery. • 96 hours for the mother and newborn child following a cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. In the event of such a shorter stay, we will provide Benefits for at least one home care visit, which will occur within 24 hours following discharge, as described above under Home Health Care. An additional home care visit will be covered if prescribed by the Physician. If the mother and newborn child remain in the Hospital for at least as long as the minimum Inpatient Stay shown above, a single home visit will be provided if prescribed by the attending Physician as described above under Home Health Care. In addition, whenever a mother is required to remain hospitalized after childbirth for medical reasons and the mother requests that the newborn remain in the Hospital, we will pay the cost of additional hospitalization for the newborn for up to four days as required by state law.
Pregnancy - Maternity Services. Depending upon where the Covered Health Care Service is provided, Benefits will be the same as those stated under each Covered Health Care Service category in this Schedule of Benefits except that an Annual Deductible will not apply for a newborn child whose length of stay in the Hospital is the same as the mother's length of stay and the mother is a Covered Person. Note: Your vPCP or PCP must submit an electronic referral before services are rendered by a Network Specialist or other Network Physician in order for benefits to be payable under this Policy. Amounts which you are required to pay as shown below in the Schedule of Benefits are based on Allowed Amounts or, for specific Covered Health Care Services as described in the definition of Recognized Amount in the Policy, Recognized Amounts. The Allowed Amounts provision near the end of this Schedule of Benefits will tell you when you are responsible for amounts that exceed the Allowed Amount. Covered Health Care Service What Is the Co- payment or Co- insurance You Pay? This May Include a Co-payment, Co- insurance or Both. Does the Amount You Pay Apply to the Out-of-Pocket Limit? Does the Annual Deductible Apply?
Pregnancy - Maternity Services. Depending upon where the Covered Health Care Service is provided, Benefits will be the same as those stated under each Covered Health Care Service category in this Schedule of Benefits except that an Annual Deductible will not apply for a newborn child whose length of stay in the Hospital is the same as the mother's length of stay and the mother is a Covered Person.
Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Care Services include related tests and treatment. Childbirth classes. We will reimburse you up to $90 for one childbirth course for each covered expectant mother and up to $45 for each refresher childbirth course. Upon completion of the class, you must submit a copy of the policy of completion with dates attended, as well as a copy of the canceled check or receipt. To file a claim, you must: fill out a claim form; attach your original itemized paid receipt(s); and mail the claim to us at: Sample UnitedHealthCare PO Box 740800 Atlanta, GA 30374-0800 For a claim form or help to file a claim, you can contact us at the telephone number shown on your ID card. You will not be reimbursed for this amount unless you complete the course, except when your delivery occurs before the course ends. We also have special prenatal programs to help during Pregnancy. They are voluntary and there is no extra cost for taking part in the program. To sign up, you should notify us during the first trimester, but no later than one month prior to the expected date of delivery. It is important that you notify us regarding your Pregnancy. We will pay Benefits for an Inpatient Stay of at least: 48 hours for the mother and newborn child following a normal vaginal delivery. 96 hours for the mother and newborn child following a cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. If discharge occurs earlier than these minimum time frames, Benefits include, but are not to be limited to, at least one home care visit, parent education, assistance and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests. The first home visit must be conducted by a registered nurse, Physician, or certified nurse midwife; and any subsequent home visit determined to be clinically necessary be provided by a licensed health care provider. Please note: for the purposes of this section attending Physician includes attending obstetrician, pediatrician or certified nurse midwife attending the m...
Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. Benefits include those of a certified nurse-midwife or pediatric nurse practitioner. Benefits include coverage for abortions. Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Services include related tests and treatment. 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, you should notify us during the first trimester, but no later than one month prior to the anticipated childbirth. It is important that you notify us regarding your Pregnancy. Your notification will open the opportunity to become enrolled in prenatal programs designed to achieve the best outcomes for you and your baby. We will pay Benefits for an Inpatient Stay of at least: 48 hours for the mother and newborn child following an uncomplicated vaginal delivery. 96 hours for the mother and newborn child following an uncomplicated cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. In the event of such a shorter stay, we will provide Benefits for at least one home care visit as described above under Home Health Care. If the mother and newborn child remain in the Hospital for at least as long as the minimum Inpatient Stays as shown above, a single home visit will be provided if prescribed by the attending Physician as described above under Home Health Care. Such home visit will: Be provided in accordance with generally accepted standards of nursing practice for home care of the mother and newborn child Be provided by a registered nurse with at least one year of experience in maternal and child health nursing or community health nursing with an emphasis on maternal and child health; Include any services required by an attending provider. In addition, whenever a mother is required to remain hospitalized after childbirth for medical reasons and the mother requests that the newborn remain in the Hospital, we will pay the cost of additional hospitalization for the newborn for up to four days as required by state law.
Pregnancy - Maternity Services. A. Benefits for pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. Benefits include those of a certified nurse-midwife or pediatric nurse practitioner.
Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. In addition, as required by Oklahoma law, Benefits include a medically necessary blood drawn standard serological test for syphilis of a pregnant Covered Person. Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Care Services include related tests and treatment. We will pay Benefits for an Inpatient Stay of at least: • 48 hours for the mother and newborn child following a normal vaginal delivery. • 96 hours for the mother and newborn child following a cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. SAMPLE Postpartum home care following a vaginal delivery if childbirth occurs at home or in a birthing center licensed as a birthing center. Benefits include one home visit within 48 hours of childbirth by a licensed health care provider whose scope of practice includes providing postpartum care. Visits, at a minimum, include the following: • Physical assessment of the mother and newborn infant; • Parent education, to include, but not limited to: ▪ The recommended childhood immunization table. ▪ The importance of childhood immunizations. ▪ Resources for obtaining childhood immunizations. • Training or assistance with breast or bottle feeding; and • Performance of any Medically Necessary and appropriate clinical tests. At the discretion of the mother, visits may occur at the facility of the plan or the provider.
Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications such as treatment of a molar Pregnancy, ectopic Pregnancy, or missed abortion (commonly known as a miscarriage). Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Care Services include related tests and treatment. We will pay Benefits for an Inpatient Stay or birthing center of at least: • 48 hours for the mother and newborn child following a normal vaginal delivery. • 96 hours for the mother and newborn child following a cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. Benefits are available for maternity-related medical, Hospital and other Covered Health Care Services for the birth of any child legally adopted by the Covered Person if all of the following are true: • The child is adopted within one year of birth. • The Covered Person is legally obligated to pay the costs of birth. • The Covered Person has notified us of his or her acceptability to adopt children within 60 days after approval is received or within 60 days after a charge in health care coverage.
Pregnancy - Maternity Services. Depending upon where the Covered Health Care Service is provided, Benefits will be the same as those stated under each Covered Health SAMPLE Note: Your Primary Care Physician must submit an electronic referral before services are rendered by a Network Specialist or other Network Physician in order for benefits to be payable under this Policy. Amounts which you are required to pay as shown below in the Schedule of Benefits are based on Allowed Amounts or, for specific Covered Health Care Services as described in the definition of Recognized Amount in the Policy, Recognized Amounts. The Allowed Amounts provision near the end of this Schedule of Benefits will tell you when you are responsible for amounts that exceed the Allowed Amount.
Pregnancy - Maternity Services. Benefits for Pregnancy include all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications. Benefits include those of a certified nurse-midwife. SAMPLE Both before and during a Pregnancy, Benefits include the services of a genetic counselor when provided or referred by a Physician. These Benefits are available to all Covered Persons in the immediate family. Covered Health Care Services include related tests and treatment. We will pay Benefits for an Inpatient Stay of at least: • 48 hours for the mother and newborn child following a normal vaginal delivery. • 96 hours for the mother and newborn child following a cesarean section delivery. If the mother agrees, the attending provider may discharge the mother and/or the newborn child earlier than these minimum time frames. These time periods begin at the time of birth if born in the Hospital or at the time of admission if born outside of the Hospital.
