What are pre- and post-natal visits?
They are regularly scheduled doctor’s appointments you attend during and after pregnancy. They check the progress of your pregnancy and your baby’s health. These visits are also a great time to discuss concerns or questions you may have. A typical pregnancy has 10 to 15 of these visits.
- During weeks 4 through 28, you’ll have one visit per month.
- During weeks 28 through 36, you’ll have one visit every two weeks.
- During weeks 36 through 40, you’ll visit once a week.
No matter how many visits your doctor recommends, your plan covers them. Remember, it’s best to start meeting with your OB provider before the first 12 weeks of pregnancy. Once your baby arrives, see your OB provider for postpartum care no later than 84 days after delivery.
Are my pre- and post-natal visits covered?
Your plan covers these visits. There is no cost to you. You can find more details about these visits in your member account. Download the member packet in the MyPlan section. In it you will find more information under “Maternity Services (Prenatal and Postnatal).” Your plan also includes care during and after pregnancy including:
- immunizations
- postpartum visits
- gestational diabetes screenings.
These are all covered under your plan. You won’t pay any costs for them. For more information, check your preventive care guidelines.
What if I need a ride to my appointments?
If you need help getting to and from your appointments, we can help. Just call 888.975.8102 and answer a few short questions. A ride will be scheduled for you.
Remember to:
- First set up your appointments ahead of time.
- Then call us at least three days before that appointment to set up your ride.
Learn more about our transportation services.
How much will labor and delivery cost?
When your big day arrives, Medicaid covers labor and delivery completely. You won’t pay any costs. It doesn’t matter if you have a vaginal birth or a C-section.
Does my plan cover genetic testing?
Generally, yes. Genetic testing is usually covered. Sometimes it needs to be reviewed and authorized by your plan. Talk to your OB provider to see if genetic testing is right for you.
What is genetic testing?
Several genetic tests can be done during pregnancy. These tests screen for defects and health conditions. Most of these tests are done between 10 and 15 weeks. They can be a good way to identify any potential problems.
How do I find an obstetrician (OB provider) or pediatrician?
Choosing your providers can be a big decision. The right OB provider can help you weigh all the options you face during pregnancy. They can also help you stay your healthiest. After you give birth, your pediatrician can help your baby stay their healthiest.
Want to find these providers?
- Go to your member account.
- Use the Find a Doctor tool.
- Find and choose in-network OB providers and pediatricians near you.
Location can play a big role because you will travel to see them a lot during and after pregnancy.
Can I change health plans during pregnancy?
No. However, you can add baby to your plan after delivery.
How do I add my new baby to my Medicaid health plan?
Congrats! Baby has arrived. Your baby is covered under your health plan during and after delivery. During your stay, the hospital will notify MDHHS and begin enrollment into your plan for your new baby. As a parent, you will need to report your new baby to your local Department of Human Services (DHS) office within the first 10 days of delivery.
Other things to remember about adding your baby to your health plan:
- Remember, your baby is covered from birth and throughout his or her hospital stay.
- Enrollment takes between 30 to 45 days after the hospital provides your baby’s information to the DHS. Your baby is covered during this enrollment period. You should also contact your case worker directly to have baby added to your plan.
- The DHS office will need your baby’s Social Security number (if available), Priority Health ID number and primary care provider information.
How do I apply for my baby’s Social Security Number (SSN)?
You can apply before you leave the hospital. They will ask if you want to apply for your baby’s SSN when they get information for your baby’s birth certificate. You’ll need to provide both parents’ Social Security numbers if you can, though it’s not always necessary if both cannot be provided.
You can also apply for one after you leave the hospital. This process generally takes longer. You’ll also have to provide additional information. To learn more, get started here.
Do I need a prior authorization for any hospital stays?
If your hospital is in-network, hospital stays for you and your baby of up to 48 hours after routine vaginal delivery do not require prior authorization. Neither do stays of up to 96 hours after C-section. If for any reason you or your baby must stay beyond that amount of time, the hospital and Priority Health will handle authorization. That way you can focus on your baby.
What is prior authorization?
Sometimes hospital stays require prior authorization from your health plan. Whether or not you need a prior authorization depends on your plan and if the hospital is in or out of network. We know health plans can be confusing. For a list of popular terms you might hear during your pregnancy, go here to learn more.
Does my plan cover breast pumps?
Choosing to breastfeed your baby? You will be amazed at the breast pump options available to you. They are 100% covered, at no cost to you. Talk to your OB provider for your options. Things you’ll need to select your free breast pump:
- Your Medicaid ID number
- The prescription/order from your doctor including their name and office address
What if I need help breastfeeding?
You have resources. Many are available to you at no cost. These include:
The MI Breastfeeding Network
Phone: 734.365.6559
Women, Infants and Children Breast Feeding Warmline
Phone: 833.649.4223
Learn more about how to get started with breastfeeding.
Are there any other resources available?
There are several other programs to take advantage of during and after pregnancy. These include:
Dental insurance through Medicaid or Healthy Michigan Plan
Your Medicaid health plan includes dental coverage through Delta Dental. This includes many routine services at no cost to you, and is another great way to help you stay your healthiest through pregnancy.
For more information call Delta Dental at 866.558.0280 or find a dentist near you.
Maternal Infant Health Program (MIHP)
MIHP brings help and information right to you in your home. It’s a state program that provides home and virtual visits during and after pregnancy. They can pair you with a nurse or social worker who will stop by to help with any needs, answer any questions and ensure both you and your baby stay healthy. Learn more.
Women, Infants and Children (WIC)
If you’re on Medicaid, you qualify for nutritional assistance through the WIC program. It’s a great way to help pay for supplemental food costs including nutritional foods and formula, if you choose to formula feed your baby. Learn more about the program and how to enroll.
Is circumcision covered?
It’s a boy! If you’re having a boy, circumcision is another important decision to make as a parent. While we can’t help with your choice, we can say that the procedure is covered 100% as part of your inpatient hospital care. You won’t pay any costs.
Where can I find all my plan details?
You can find all your plan documents and info in your Priority Health member account. You can access it online or in our app. Having all your info in one safe place makes it easier to see and know your health plan coverage as you use it through pregnancy. Get started here.
You’ll probably have more questions along the way. And that's just fine. We look forward to helping you with coverage info throughout your pregnancy. Look for other helpful hints, tips and resources in the coming weeks from PriorityMOM™. Remember, we’re here for you.