Does blue cross blue shield cover pregnancy and delivery

The My Pregnancy Assistant program on the Blue Cross® Health & Well-Being website, powered by WebMD®, supports those who are pregnant, trying to get pregnant or supporting someone who’s pregnant. Online tools and resources provide information, tips and interactives to help with a healthy pregnancy. To access My Pregnancy Assistant, log in to your member account on bcbsm.com, click on the Health & Well-Being tab, then WebMD. You’ll find My Pregnancy Assistant on the Resources page.

Table of Contents Show

Other related programs
What is the best health insurance to have while pregnant?
What is pregnancy insurance cover?
When should I get pregnancy insurance?
Should you buy maternity insurance?

WebMD Health Services is an independent company supporting Blue Cross Blue Shield of Michigan by providing health and well-being services for members.

To be eligible, you must be:

18 years of age or older in the benefit year
Currently enrolled in Standard or Basic Option
Earning an incentive for no more than 2 pregnancies within the year

And meet these timeframe requirements:

Members who give birth in 2022 that have a documented first trimester prenatal visit in 2021 or 2022 related to the birth of a child in 2022
Members with a 2023 due date that prove they had a first trimester prenatal visit in 2022

Recognizing the strong relationship between the health of parents and the health of their infants, the Maternity Program is a comprehensive care management program designed to support Blue Shield of California Promise Health Plan members and their partners before, during, and after pregnancy with a goal of improved health outcomes for parents and their infants.

The Maternity Program offers:

Support and education to help members manage their personal health needs during the perinatal period
Connection to community resources for members who are pregnant and who have recently delivered
Care management for members experiencing a high-risk pregnancy
Resources for members who may be experiencing a pregnancy loss
Guidance in managing decisions around pregnancy and family planning

The Maternity Program aims to:

Increase access to providers, resources, and services
Address racial disparities in access and outcomes
Improve maternal and infant clinical health outcomes
Improve quality of care as demonstrated through CMS Core, HEDIS, and other clinical priorities
Reduce the costs associated with high-risk pregnancies by improving clinical outcomes

To refer Blue Shield Promise members to the Maternity Program:

Please complete theMaternity Program referral form and fax it to (844) 893-1211

Call(888) 802-4410

What can providers expect when referring members to the Maternity Program?

The Maternity Program care team is composed of dedicated nurses, social workers, and care coordinators. Members will be outreached within two business days of receiving the referral, and then contacted as needed throughout the duration of the pregnancy until three months postpartum.

The program is completely confidential and is available to members at no extra cost.

Your office may be contacted for any care coordination needs.

Maternal Mental Health

The Maternity Program has specialized social workers on the team to provide support. We can also refer members to other behavioral health specialists.

We provide access to specialists who can offer help and guidance on:

Stress management
Management of depression & anxiety
Addressing adverse childhood experiences
Other behavioral health conditions

Blue Shield Promise also offers guidance for helping providers to comply with California’s mandate (AB 2193) that perinatal patients be screened for depression. Visit the Maternal Mental Health page for more information on the requirement, the approved and recommended depression screening tools, and resources/next steps for perinatal members who screen positive for depression.

DueDatePlusbyBSCPromise (Due Date Plus) mobile app

When enrolling in the Maternity Program, members will learn how to access the DueDatePlusbyBSCPromise (Due Date Plus) mobile app. This is a free pregnancy mobile app that is available to expecting or new parents that allows patients to track their pregnancy and easily connect families to local healthcare resources.

While the app is available to anyone, Blue Shield Promise members can access additional capabilities and content including behavioral health and case management information.

Powered by Wildflower Health mobile technology, the Due Date Plus mobile app was developed in collaboration with board-certified obstetricians with over 15 years of experience in providing care for pregnant women and their babies.

Learn more about Due Date Plus on the member Perinatal and Breastfeeding Information page.

Maternal compliance and oversight

Blue Shield Promise needs your assistance to ensure that our members get optimal perinatal care and the best possible pregnancy outcomes. In addition, we must maintain compliance with the Department of Health Care Services (DHCS) Policy Letter (PL) 12-003 – Obstetrical Care – Perinatal Services.

Blue Shield Promise is required to ensure that our providers are following Comprehensive Perinatal Services Program (CPSP) or American College of Obstetricians and Gynecologists (ACOG) practice guidelines. We will be doing medical record reviews to monitor compliance with this requirement. Monitoring began in the first quarter of 2021 when requests for medical records were sent to randomly selected providers.

Please notify us via email at [email protected] if these requests are to be sent to a specific contact, centralized location, or if access to your electronic medical record (EMR) system is available.

The Medical Record Review Tool will be included with medical record requests and is available upon request. Once we have completed our medical record review, we will share your results with you. Providers must achieve a score of 80% or higher to receive a passing score. Any score lower than 80% or noted trending deficiencies may require a Corrective Action Plan (CAP). In the event a CAP is required, Blue Shield Promise will provide additional training and resources as needed.

We thank you for your cooperation to ensure compliance with PL 12-003 by responding promptly to our requests for medical records and completing CAPs in a timely manner.

We value our relationship with you, and truly appreciate the care you provide for our members. We recognize how busy you are and thank you in advance working with us in this important effort. Please contact us via email at [email protected] with questions.

For more information, please visit these California Department of Public Health (CDPH) and American College of Obstetricians and Gynecologists (ACOG) websites:

What is the best health insurance to have while pregnant?

There are three types of health insurance plans that provide the best affordable options for pregnancy: employer-provided coverage, ACA plans and Medicaid.

What is pregnancy insurance cover?

Maternity insurance is mostly a single premium term insurance that provides coverage to both the mother and baby during pregnancy and for a specified period after birth. Getting a maternity insurance will give you a peace of mind as you and your baby will be financially covered if the unexpected happens.

When should I get pregnancy insurance?

You should purchase your maternity insurance as early as possible, so that the plan can help to protect against any complications that might arise throughout the course of the pregnancy. The earliest you can purchase maternity insurance is typically the 13th week of your pregnancy.

Should you buy maternity insurance?

Having maternity insurance in place when giving birth protects your newborn should it be born with any congenital disease. If any complications do arise, maternity plans usually cover a newborn for up to 30 days after delivery. After that, you'll need to make sure your baby is covered with newborn insurance coverage.