Health Insurance and Pregnancy: The Basics

Health Insurance and Pregnancy: The Basics

Having a baby changes your life. While they're a joy and a blessing, babies also cost money—and that begins before they're even born. When you become pregnant, it's important to have health insurance.  Having health insurance will save you a lot of money during the pregnancy and ensure that you get all of the proper check-ups and care you and baby need. Moms-to-be who don't have proper insurance may be more likely to skip out on necessary appointments in order to save money. Don't put yourself in that position!

So how does health insurance work when pregnancy is involved? It's a common misconception that pregnancy is still treated as a pre-existing condition that health plans do not have to cover. Under the health care law, that's no longer the case. And guess what? Now, thanks to the Affordable Care Act, every qualified health plan—whether offered outside or inside the Health Insurance Marketplace—has to offer coverage for maternity care and childbirth services. There may be some exceptions for grandfathered plans, so be sure to call the number on the back of your member ID card if you’re unsure whether maternity is covered under your plan.

If you are pregnant or planning to become pregnant, you'll want to consider your options carefully when it comes to maternity and childbirth coverage. When selecting a health insurance plan, ask the following questions:

  • How many prenatal visits am I allowed?
  • What diagnostic tests are covered during pregnancy?
  • How much will my monthly premium be, and how much is my deductible?
  • Do I qualify for any tax credits that will make this plan more affordable?
  • Does the plan cover midwife or doula services?
  • How much will copayments cost for my office visits and admission to the hospital for childbirth?

Do you have more questions about how health insurance works? Ask us below in the Comments.

Anonymous
Parents
  • Thank you Kayla. As a follow up question.:

    Once I know the services and CBT billing codes that my doctor considers routine, would I then reach out to BCBS and confirm with you whether those CBT codes are 100% covered ? Assuming my plan covers routine prenatal visits 100%.  

    Would BCBS be able to provide the CBT billing codes that are 100% covered under my plan if I called to talk to a representative?  

Comment
  • Thank you Kayla. As a follow up question.:

    Once I know the services and CBT billing codes that my doctor considers routine, would I then reach out to BCBS and confirm with you whether those CBT codes are 100% covered ? Assuming my plan covers routine prenatal visits 100%.  

    Would BCBS be able to provide the CBT billing codes that are 100% covered under my plan if I called to talk to a representative?  

Children
No Data