Maternity Insurance Coverage: Here’s Everything You Must Know!

Maternity Insurance Coverage: Here’s Everything You Must Know!

June 22, 2020 Off By akhilesh

maternity insurance

Maternity Insurance Coverage: For any woman, maternity is one of the best phases of her life. Bringing a new life to the world is both amazing and crucial. While most pregnant women thoroughly know all the do’s and don’ts during this time, not many think beyond. Here, we are talking about women-centric plans that provide ample financial benefits as well as maternity insurance policies.

Such plans contribute to various other benefits in the long run as well. It is important for every woman out there to have a clear understanding of this plan.

To make your task a little easier, stick till the end of this blog to grasp every fact about maternity insurance coverage!

What is Maternity Coverage?

Today, one can find a number of healthcare plans available in the market. One of which is the maternity coverage!

It is an essential health benefit that is supposed to be covered by every health insurance plan provided to individuals, families, and small groups.

In the year 2014, the health insurance for pregnancy, labor, delivery, and newborn baby care became mandatory under the Affordable Care Act.

Also Read: Medicare 101: Which Part Is Best For You? 

What all Amendments are Made in Maternity Coverage

As mentioned earlier, the maternity coverage was made compulsory in 2014. Before that, it was not a guaranteed benefit. According to, only around 12 percent of plans sold in the individual market at that time.

Needless to say, very few health insurance plans offered maternity coverage or had to be added as a special rider to a plan.

In addition to this, pregnancy was then believed to be a pre-existing condition. That implies either women were not able to avail maternity coverage who were already pregnant when they enrolled or it cost more.

The year 2014 was marked as the first time in United States history where women were offered and guaranteed access to maternity coverage. Since that time, maternity coverage is truly befitting every woman who is or may become pregnant in the future.

What are the Services Covered for Expecting Mothers & Newborns?

Following maternity services are mainly covered by health plans:

  • Outpatient services, such as prenatal and postnatal doctor visits, gestational diabetes screenings, lab studies, medications, etc.
  • Inpatient services, such as hospitalization, physician fees, etc.
  • Baby care for newborn
  • Lactation counseling as well as breast pump rental

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What is the Right Time to Enroll in a Health Plan To Cover Maternity?

Well, one can always enroll in or decide to change to a different health plan during the Open Enrollment Period. And this period starts on November 15 every year for coverage starting in the next calendar year.

Also, there are certain eligibility criteria to avail this plan. Just becoming pregnant won’t make a woman qualified for maternity coverage. Keeping this in mind, one should always learn and ensure the eligibility criteria before enrolling in or changing health plans at any other time of year.

Also, the birth of a baby is considered a qualifying life event. The birth starts a 60-day special enrollment period and during this period, the woman along with her spouse, and children can enroll in and/or change health plans.

How to get Feasible Maternity Health Coverage?

By now you must have understood the importance of maternity coverage. Since it has become a mandatory benefit, one can find a list of providers in the market.

Discovering maternity coverage on the internet is the easiest way. All a pregnant woman needs to do is select any one of the many health insurance plans available to them.

It is just a matter of seconds to search what plans are available in one’s state. And it is also equally convenient to get a free personalized quote.

Once you find and decide the plans available in your area, pick the health insurance plans that you feel is the best fit for your requirements and budget. Plus, do not rush this process, take enough time to compare benefits, and analyze the details of every plan.

At last, when you are all set, you can check if you are qualified for a government subsidy to pay for your insurance as well as you can also apply for your chosen health plan.

In a nutshell, welcoming a new member is the most cherished moment in anyone’s life. With that being said, one should be financially ready and rely on the best maternity coverage.

We hope this blog helped you to understand maternity insurance coverage more broadly!

Also Read: 5 Health Insurance Plans You Must Know About