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FOR MATERNITY: Although maternity services do not require a pre-authorization, the related inpatient

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The document is a Maternity Questionnaire for patients seeking maternity services. It outlines the need for pre-authorization for inpatient hospital stays related to delivery, provides contact information for assistance, and includes sections for patient and maternity information, doctor/facility details, and an authorization statement. It emphasizes the importance of accurate information and includes a privacy notice regarding personal data handling by Global Benefits Group.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is prenatal care required by law?

Under the ACA, most private health insurers must provide coverage of womens preventive health caresuch as mammograms, screenings for cervical cancer, prenatal care, and other serviceswith no cost sharing.

Can insurance deny maternity coverage?

Health plans can no longer deny you coverage if you are pregnant. Thats true whether you get insurance through your employer or buy it on your own.

What is the requirement for maternity coverage in individual health insurance policies?

Federal laws require many employer-sponsored plans and all ACA-compliant individual insurance plans, including those available through the Marketplaces, to cover maternity services including pregnancy, childbirth, and newborn care. Cost sharing may apply to some maternity services.

Is pregnancy considered inpatient care?

Length of stay can be as short as 28 hours, assuming a healthy mother and baby with a vaginal birth, but by definition, after 23 hours, one is an inpatient.

What is the minimum maternity waiting period in health insurance?

It is at least a minimum of 30 days. The maternity cover waiting period is the time between the end of the initial waiting period and the start of the coverage for maternity expenses. This period usually lasts for 9 months to 6 years.

What is the 48 96 rule for maternity?

If the attending provider, in consultation with the mother, determines that either the mother or the newborn child can be discharged before the 48-hour (or 96-hour) period, the group health plan or health insurance issuer does not have to continue covering the stay for the one ready for discharge.

Does individual health insurance cover pregnancy?

What health care services are covered for a pregnant woman? After the Affordable Care Act (also called ACA) passed, health care law requires all insurance plans on the Health Insurance Marketplace (also called Marketplace) or Medicaid to cover many services for pregnant women.

How must pregnancy be treated under the Affordable Care Act?

Under the law, all individual and small employer insurance plans, including those you get through the Marketplace, must cover maternity and newborn care -- before and after your baby is born.

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