CDPHP Maternity Benefits Guide
| SERVICES |
COVERAGE |
NOTES |
Prenatal care
Includes routine visits, screenings, tests (such as glucose tolerance test), and important immunizations (such as TDAP, COVID-19, and flu
shot) |
Covered |
Initial visit to confirm pregnancy is subject to member cost-share per benefit plan. |
| Prenatal ultrasounds |
Covered |
Up to three obstetric ultrasounds per routine pregnancy. |
| Delivery and inpatient maternity care |
Covered |
Subject to member cost-share per benefit plan. |
| Newborn nursery care |
Covered |
Subject to member cost-share per benefit plan. |
| Postpartum home health care, if medically needed |
Covered when arranged by CDPHP |
No cost for one visit for women who leave the hospital sooner than 48 hours for a vaginal birth (96 hours for a C-section). Other home health visits
subject to member cost-share. |
| Care management for high-risk pregnancies |
No charge |
If you’re experiencing a high-risk pregnancy, the CDPHP Care Team, comprised of nurses, dietitians, and care coordinators, are available to help. Call 1-888-942-3747 and be referred to a member of the CDPHP Care Team. |
Genetic screenings
Prior authorization may apply |
Covered |
Includes basic chromosomal screenings. Other screenings and further follow-up may be subject to member
cost-share per benefit plan. |
| Postpartum care |
Covered |
A visit with your OB/GYN is recommended after your baby is born. Talk to your doctor about the best time for this visit. For help scheduling a postpartum appointment, call (518) 641-4800 and press 2. |
CDPHP provides comprehensive maternity coverage to help you have a healthy pregnancy and baby. For a complete list of maternity benefits, sign into your CDPHP Member Account and select Benefits.
*Medicaid members are covered in full and will not need to pay costs up front.
**Your cost-share and eligibility will depend on your specific benefit plan. Contact the CDPHP Member Services Department at the number on your member ID card with benefit questions.