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Pregnancy coverage under Value Benefit Plans

January 1, 2010

Q: Do the Value Health and Value Hospital plans cover expenses related to pregnancy and delivery? If so, what is the waiting period for coverage? Also, when the baby is born would any coverage be extended to him as well?

A: Yes, Value Health and Value Hospital plans make no distinction for the underlying medical cause of treatment and cover pregnancy and delivery charges the same as if the expenses were for any other type of medical issue. This cash supplement for hospital expenses coverage can be valuable since an increasing number of major medical policies have high out-of-pocket expenses for maternity and delivery expenses. An extra coverage of $1,000 to $4,000 for a typical day in the hospital can greatly ease the financial burden.

Pregnancy is treated the same as all pre-existing medical conditions, so the Value Health or Value Hospital insurance policy needs to be in force for 12 months prior to the delivery expenses. The insurance must be in place before the pregnancy begins. Obviously it does not make sense to wait until after you know about the pregnancy to begin looking for insurance.

Whenever regular maternity and delivery care for a woman who is uninsured, buying insurance during the pregnancy is not the solution. Instead, investigate non-insured community based care programs. Local OB/gyn offices and hospitals can provide information for these programs in your community.


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