Maternity Benefits
The Medical Plan will pay for most in-network maternity services through a global fee arrangement. Under such an arrangement, the cost share of services that a member will be assessed are:
- $15 copay for an initial office visit with OB/GYN (i.e., to confirm pregnancy)
- Standard copay or deductible and coinsurance for lab or radiology services (e.g., ultrasounds, amniocentesis, fetal stress tests and other related tests)
- Inpatient hospital stays for delivery and any provider services included in the global maternity fee are subject to deductible and coinsurance. Additional costs may apply for high risk or complex pregnancies.
If the obstetrician is out-of-network and/or does not have a global fee arrangement in place, the member will be charged for each visit and service based upon the cost share for that service.