As an expecting mother, you should understand the healthcare coverage options available to you. You may wonder what services are covered during pregnancy and childbirth if enrolled in Medicare. Fortunately, this article will explore what Medicare covers for pregnancy and delivery, how long the pregnancy Medicare plan lasts, and if Medicaid covers pregnancy services.

What Does Medicare Cover for Pregnancy and Delivery?

Medicare Part A and Part B cover some costs associated with pregnancy and delivery, but not all. Part A covers hospital stays and inpatient care, while Part B covers doctor visits, outpatient services, and some preventive care.

During pregnancy, Medicare covers medically necessary doctor visits, such as prenatal check-ups, ultrasounds, and lab tests. It also covers some preventive services, such as flu shots and screening tests for gestational diabetes and HIV. However, remember that Medicare does not cover routine prenatal care, such as childbirth classes or breastfeeding support.

With delivery, Medicare covers the costs of a medically necessary hospital stay, including a semi-private room, meals, and nursing care. It also covers the costs of a medically necessary cesarean section (C-section) and the follow-up care you may need after delivery.

It is important to understand that Medicare does not cover the costs of a midwife, doula, or birthing center. You must pay for these services out of pocket if you choose to use them.

How Long Does the Pregnancy Medicare Plan Last?

The pregnancy Medicare plan lasts for your pregnancy and up to 60 days after delivery. You are eligible for Medicare-covered services related to your pregnancy and delivery during this time.

You might qualify for additional Medicare benefits if you face difficulties during pregnancy or childbirth. For instance, if you give birth prematurely or your newborn needs specialized care in the neonatal ICU, Medicare may cover expenses beyond the standard 60-day duration.

However, Medicare coverage for pregnancy and delivery is not automatic. You must enroll in Medicare and choose a plan that includes pregnancy coverage. You might also pay premiums, deductibles, and co-payments for the services that you receive.

Does Medicaid Cover Pregnancy Services?

Medicaid offers healthcare coverage to low-income individuals and families and is a partnership program between the federal and state governments. It covers a wide range of healthcare services, including pregnancy and childbirth.

If you’re expecting and meet Medicaid’s income requirements, you may qualify for assistance with your pregnancy and delivery. Medicaid covers various pregnancy-related services, such as prenatal care, labor and delivery, and postpartum care.

Furthermore, Medicaid includes the provision of family planning aids like sterilization and birth control. It also caters to the cost of transportation to and from medical check-ups and may offer further assistance services like nutritional guidance and breastfeeding support.

Remember that Medicaid coverage for pregnancy and childbirth varies by state. Some states may have additional eligibility requirements or may cover additional services.

Final Thoughts

Medicare covers some pregnancy and childbirth-related services, but it is important to understand what is and is not covered. As always, speaking with your healthcare provider and insurance provider is important to understand your healthcare coverage options. This way, you can obtain the best Medicare assistance for your growing family.

Magnolia 65 offers comprehensive insurance solutions to ensure you have the coverage you need. Our experienced team specializes in providing Medicare assistance and can help you navigate the complex world of healthcare. With our personalized approach, we’ll work closely with you to understand your unique needs and find the perfect policy for you. Contact us today to learn how we can help you secure your future.