Blue cross blue shield of texas maternity coverage 2022

Blue cross blue shield of texas maternity coverage 2022

The Pregnancy Care Incentive Program offers expectant mothers support and incentives throughout their pregnancy. After visiting your doctor for a prenatal checkup, you’ll be eligible* to earn $75 and a Pregnancy Care Box with items that can support you during your pregnancy.

Get Started in MyBlue

Eligibility Requirements

To be eligible, you must be:

  • 18 years of age or older in the benefit year
  • Currently enrolled in Standard or Basic Option
  • Earning an incentive for no more than 2 pregnancies within the year

And meet these timeframe requirements:

  • Members who give birth in 2022 that have a documented first trimester prenatal visit in 2021 or 2022 related to the birth of a child in 2022
  • Members with a 2023 due date that prove they had a first trimester prenatal visit in 2022

Here's how to participate:

  • Login or register for your MyBlue account. You must be the pregnant member on your contract to participate.
  • Locate Pregnancy Care Incentive Program on the MyBlue homepage.
  • Request a Pregnancy Care Box by providing information on your first trimester doctor's visit.
  • Visit your doctor during the first trimester of your pregnancy. Once you complete your visit, ask your doctor for a signed medical record**.
  • Mail, fax or upload your medical record following the instructions on your unique cover sheet to receive $75 on your MyBlue Wellness Card. You'll receive the cover sheet in your Pregnancy Care Box. You can also download a copy here.

*You must be 18 or older on a Standard or Basic Option plan to earn this reward.

** Accepted types of medical records include a prenatal flow sheet, prenatal progress/visit notes and electronic medical record. Lab results or ultrasound reports are not necessary. A letter, disability statement or prescription note from your healthcare provider does not meet the program requirements for earning $75 on your MyBlue Wellness Card. Any information or materials included in your Pregnancy Care Box are not meant to replace the advice of your doctor or healthcare professional.

Blue cross blue shield of texas maternity coverage 2022

What's in a Pregnancy Care Box?

The Pregnancy Care Box is full of helpful items you can use during your pregnancy and after your baby arrives such as:

  • A book and memory journal
  • A helpful booklet on various topics, including how to stay healthy during your pregnancy
  • A water tracker bottle to help keep you hydrated
  • Cribsheet book with tips for a newborn

Blue cross blue shield of texas maternity coverage 2022

Get a free breast pump kit

Service Benefit Plan members who are pregnant and/or nursing are eligible to receive one breast pump kit per calendar year by logging in to your MyBlue account and ordering the kits online or by calling 1-800-411-BLUE (2583). You can choose from a selection of breast pumps and accompanying milk storage bags.

Order a Free Breast Pump

Talk to a certified lactation consultant

If you need information or help breastfeeding, we cover education and individual coaching by a lactation consultant.

Learn More

Access helpful breastfeeding resources

Get additional information and resources from the Office of Women’s Health.

Learn More

Affordable Health Care Coverage For You And Your Team

Our employer-sponsored group health insurance plans allow you to cover all your employees and their family members.


Blue Cross and Blue Shield of Texas (BCBSTX) has the flexibility and choice that growing companies need. BCBSTX provides Texas small business employers with a variety of health care plan options that include access to a large network of providers and comprehensive benefits to fit your employees’ needs and your organization’s budget.

Small Business Health Insurance Group Plan Options

When it comes to health plans, “metal” tiers easily identify how costs are split between the insurance company and the insured.

Plan options within each metal tier include Participating Provider Option (PPO) and Health Maintenance Organization (HMO) choices. Learn more about the differences between these options:

PPO


PPO plans allow members more flexibility than an HMO to see specialists. Members can choose a primary care physician (PCP).

HMO


Members in HMO plans choose a primary care physician (PCP) who coordinates the patient's care. To see specialists, members need a referral from their PCP.

Network Offerings

Our plan offerings leverage different networks of providers in order to create plan options that fit any small business budget*.

Learn more about small business plans available in your area.

Blue Choice PPOSM

2-50 Employees

Blue Choice PPO gives you flexible benefit design options at a price you can afford while giving your employees a wide range of benefits and the freedom to visit any doctor they choose, with benefits paid at a higher level when the doctor is within the network.

Coverage

Statewide/Nationwide

Medical Group
Selection Required

No

Out-of-Network
Coverage

Yes


BlueAdvantage HMOSM

2-50 Employees

This cost-effective health plan is designed to provide affordable quality health care services to the uninsured and underinsured whenever they access care through a participating Blue Advantage HMO network provider.

Medical Group
Selection Required

Yes

Out-of-Network
Coverage

No, with the exception
of emergency or
accident

*Metallic-level availability varies by plan and network.

Essential Health Coverage For Your Employees

All of BCBSTX’s small business health plan options include comprehensive coverage under the Affordable Care Act

Blue cross blue shield of texas maternity coverage 2022
(ACA), including:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Prescription drugs

  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Rehabilitative and habilitative services and devices

  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including dental and vision

More Access to Health Care

Blue Cross and Blue Shield of Texas plans give you and your employees more access to care with in-network Telehealth visits at the same cost as an in-office visit.

$0 Preventive Drugs on Health Savings Account (HSA) Plans

Select an HSA plan for you and your employees that features $0 copay for some preventive drugs. HSA plans help employees stick to their treatment regimen and better manage their health conditions.

Health Savings Account Copays

Specific HSA-compatible plans have copays after the deductible is met for office visits with a primary care physician and specialist. Plus, pharmacy benefit copays.


Dental Insurance Plans

Our small business dental plans include a wide network of providers to help you and your employees receive the right care.1

Contributory dental plans include minimum contribution requirements from employers.


Voluntary dental plans do not include minimum contribution requirements from employers.


Healthier Employees. Healthier Business.

Ready to see your options?

or

Blue cross blue shield of texas maternity coverage 2022

Get in Touch by Phone
833-923-1785

What does BCBS Texas cover for pregnancy?

Maternity care may include tests and services described elsewhere in the SBC (i.e. ultrasound.) Childbirth/delivery professional services 30% coinsurance 50% coinsurance Childbirth/delivery facility services 30% coinsurance 50% coinsurance $250 admission deductible In-Network and Out-of-Network.

Does BCBSTX cover breast pumps?

Breastfeeding? You are covered at 100 percent for an electric breast pump from an in-network Durable Medical Equipment provider. A prescription may be required. You can visit pumpingessentials.com to order.

Is BCBS the same as BCBS of Texas?

Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer.

Is Blue Cross Blue Shield of Texas HMO or PPO?

Just like 2021, and continuing an industry-wide trend (no major carriers offer PPO plans in Texas), BCBSTX only offers HMO plans in 2022. However, Blue Advantage Plus plans offer some out of network benefits, unlike traditional HMOs.