Pregnancy Care

Little boy dancing with his pregnant mother 

If you’re expecting, you want to do all you can so your newborn will get the best start in life. You probably have a lot of questions - what pregnancy coverage do I have? What pregnancy benefits are included? How much are labor and delivery costs? Let us help you find the answers to these questions and prepare for your upcoming arrival.

Pregnancy is covered by your health plan

Pregnancy is one of the 10 Essential Health Benefits under the Affordable Care Act. This means that there are no eligibility waiting periods for pregnancy coverage and pregnancy cannot be considered a preexisting condition. Health care coverage varies from plan to plan, so be sure to check your plan's specifics.

Pregnancy Care Program

Get the most out of your health plan during pregnancy. As a member, you have access to a pregnancy care program including a pregnancy tracking app designed to guide you through exciting time and offer assistance maintaining a healthy pregnancy. Signing up through pregnancy tracking app is easy. Download the Wellframe app from the Apple App store or Google Play store. You will need to enter your member ID, the expectant mother's date-of-birth, expected due date and access code NEBEGIN when prompted.

Download on the App Store   Android app on Google Play

You will have access to:

  • Checklist – daily to-dos and education to maintain a healthy pregnancy
  • Customized notifications for medications, doctor appointments and other daily tasks
  • In-app chat with care manager to ask questions
  • Library of articles, pictures and videos

If you do not want to use the mobile app, you can enroll by completing the pre-assessment online, or over the phone with one of our nurses by calling (877) 348-4329.

Participation in this program does not affect your health plan coverage for pregnancy care, or entitle you to benefits not otherwise payable under the Blue Cross and Blue Shield of Nebraska plan.

Breast Pumps and Support

Your health plan benefits may include coverage for breastfeeding support, supplies and counseling at little or no cost to you.
Learn more about breast pumps and support »

Getting Baby Insured

Once your baby arrives, you want to make sure he or she is covered. Reach out to your health care administrator within 30 days of birth to add your baby to your plan. Also, make sure to choose an in-network pediatrician before your baby arrives so you're ready for their first doctor's appointment.

 

 

 

 

 

Wellframe is an independent company that provides mobile enabled care management services to Blue Cross and Blue Shield of Nebraska. Wellframe is responsible for its services. App Store is a registered trademark of Apple. Google Play is a registered trademark of Google.

HEALTH INSURANCE TERMS


COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy


in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.