Pregnancy and Maternity Care
No matter where you are in your journey, Florida Blue is here for you.
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No matter where you are in your journey, Florida Blue is here for you.
Before you get pregnant, you can lay the foundation for a healthy pregnancy by:
Yes, we have a program called Healthy Addition® designed to help you through every stage of your pregnancy, including the first weeks after your baby is born. You’ll receive the following to help you be as healthy as possible:
You can enroll in Healthy Addition as soon as you know you’re pregnant in one of two ways:
Watch this video for more information on Healthy Addition and maternity benefits.
Exercise is important and a key part of maintaining a healthy lifestyle. During pregnancy it benefits both you and your growing baby and has very little risks. If your pregnancy is healthy, you can do most types of exercise. A few options include swimming and brisk walking (in moderation). Avoid intense exercises that make you tired or carry a high risk of falling or abdominal trauma. Before engaging in any exercise, it is important to discuss it with your doctor or other member of your health care team.
It’s normal to experience discomfort as your baby grows. Your body is hard at work making a new life! Here are some things you might experience during your pregnancy, and what they could mean:
Remember, your Healthy Addition registered nurse can answer your questions as well as your health care team. Don’t be afraid to ask them!
If you haven’t registered for Healthy Addition, here’s how:
Contact your doctor immediately if you experience any of the following symptoms:
Most women recover without any issues after having a baby. However, some may have complications that can cause serious health problems. Call your doctor if you have the following symptoms after you’re home:
Pregnancy and caring for a newborn can be both a time of joy and stress. Physical health and mental well-being are important for both mom and baby. For eligible plan members, the meQuilibrium program is a digital mental well-being solution that can help you achieve balance during your pregnancy with techniques to help you manage stress and anxiety.
It is important to always speak to your maternity care team about how you are feeling. They will help you get the help you need.
Don’t hesitate to call our behavioral health care partner, Lucet** , at 1-866-287-9569. They can help you locate a licensed therapist who meets your needs. They may also be able to schedule your in-person or virtual visit with a therapist for you.
You can check your maternity benefits by logging in to your Florida Blue online member account or calling the number on your member ID card. Depending on the type of health plan you have, you’ll need to see providers in your provider network to have health coverage unless it’s an emergency or to have lower out-of-pocket costs.
HMO plans
Your HMO health plan requires you to see providers in your HMO network, unless it’s an emergency. This includes your doctor, midwife, hospital/birthing center, etc. Don't forget to stay in-network when your care team sends you for lab work, ultrasounds, and other procedures.
PPO plans
For PPO health plans, you’ll usually have a lower cost share for selecting providers in your PPO network. Don't forget to stay in-network when your care team sends you for lab work, ultrasounds, and other procedures. By seeing providers in your plan’s network, your costs will normally be lower and more predictable.
When it’s time to find your care team, use our online provider directory to search for providers and facilities near you. Once you’ve logged in to your member account, select Find a Doctor to see providers in your plan. If you don’t want to log in, or to see a listing of all providers, click here.
You have 30 days after your baby arrives to add your newborn to your health plan. Call the number on your ID card and let them know you had a baby.
Watch this video for more information on Healthy Addition and maternity benefits.
You may pay a one-time fee for most of your maternity care costs from your first visit through delivery called a global maternity fee. It includes some maternity services like routine care, delivery, and postpartum care. You’ll pay your deductible and cost share, including copay and coinsurance. Your OB/GYN’s office or midwife will help you set up your global maternity payment. In addition, you’ll pay your usual cost share for any services that are not included in the global maternity fee such as diagnostic testing and labs.
Your newborn’s nursery care will be covered during your routine hospital stay. This includes newborn assessment and breastfeeding support. Any non-routine treatments needed, including an extended stay in the hospital, will be billed to mom and then transferred once baby is enrolled to a health plan within 30 days.
If you have not already selected a pediatrician, during your last few months of pregnancy is a great time to choose one. Remember to add your newborn to your health plan within 30 days of delivery. Call the number on your ID card and let them know you had a baby.
Watch this video for more information on Healthy Addition and maternity benefits.
Yes. One manual or electric breast pump per delivery is covered per your health plan benefits. This is subject to your deductible, copayment, and/or coinsurance. You can obtain a breast pump by contacting Aeroflow at 844-276-2517 or visiting Aeroflowbreastpumps.com. For maternity benefits and/or to verify coverage for a breast pump, please contact the Customer Service telephone number on the back of your insurance card.
Lactation support and counseling is provided as part of OB/GYN counseling for prenatal services, postpartum services, in the hospital during delivery stay, or in the OB/GYN office post-delivery. Speak with your health care provider regarding breastfeeding resources. You may also visit La Leche League. Click on Find Local Support to find a local chapter near you.
Currently, Doulas are not a covered health plan benefit.
*meQuilibrium is an independent company contracted by Florida Blue to provide health and wellness services and resources to members. This benefit is available to Florida Blue members age 18 and older. Eligibility is limited to members with an individual or family plan, an individual or family ACA plan and members with coverage from their fully insured group employer health plan.
**Florida Blue contracts with Lucet, a New Directions Behavioral Health company, to provide behavioral health services.
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