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Your CDPHP Coverage

This guide is designed to help you locate covered benefits to help you have a healthy pregnancy. It is not a comprehensive listing of CDPHP maternity benefits. Refer to your benefit materials or log in securely to learn more.

Pregnancy Services and Benefits

Coverage

Notes

Pre-conception care

 

Covered

Subject to member cost share per benefit plan.

Prenatal care visits

Covered

Subject to member cost share per benefit plan.

Prenatal ultrasounds

Covered

Up to three obstetric ultrasounds per routine pregnancy.

Case management for high-risk pregnancies

No charge

Call 1-800-274-2332 or (518) 641-4100 for help and advice.

Childbirth or parenting classes

Member may be reimbursed 50% of the cost, up to $30.

Ask your OB/GYN about availability.

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 to 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.

Breastfeeding equipment, breast pump

 

Covered at a participating vendor.

Edgepark Medical Supplies in Clifton Park and Marra’s Pharmacy in Cohoes are currently participating. Ask your physician or call the single-source referral line at 1-888-94-CDPHP (23747) for help and advice.

Lactation counseling

No charge

Ask your OB/GYN provider

Your cost-share will depend on your specific benefit plan. Contact the CDPHP Member Services Department at the number on your member ID card with benefit questions.