Newborn coverage policy change

Effective immediately, Priority Health's newborn coverage policy has changed. Commercial plans will no longer automatically deny newborn claims for the first 48-96 hours of life.

The policy now reads:

We will cover both facility and professional inpatient claims for the newborn during the first 48 hours for a vaginal delivery and the first 96 hours for a cesarean delivery as an extension of the birth mother's maternity benefit.

To ensure their newborns are covered beyond these initial time periods, members must fill out and return a member Change Form to us within 31 days (members of commercial group plans) or 60 days (members of commercial individual plans) after a child is born.