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Pregnancy & Infant Care

With Healthy Blue, qualified members can get extra benefits and incentives like diapers, memberships and more.

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If you are pregnant, your Healthy Blue benefits cover:

  • Doctor visits and all expert care for pregnancy. This includes problems that have to do with the pregnancy and after delivery care when medically necessary.
  • Services you receive from a certified in-network nurse-midwife.
  • Up to three ultrasounds.
  • Tests you need. This includes HIV tests, treatment and counseling. A pregnant member may choose not to take an HIV test.
  • In-network birthing center services.
  • Vaginal childbirth and cesarean section (C-section) when medically necessary.
    • You may stay in the hospital 48 hours after a vaginal delivery.
    • You may stay in the hospital 96 hours after a C-section.
  • Newborn exams. This includes hearing screenings.
  • Routine newborn circumcision done while the baby is still in the hospital after birth.
    • We will also cover circumcision done in the doctor’s office for children up to 1 year old.
    • You will need our approval first if the baby is more than 30 days old.
  • A follow-up visit for you and your baby within two days of an early discharge when the treating doctor orders it. An early discharge is a hospital stay less than:
    • Two days for vaginal childbirth.
    • Four days for a C-section.
       

Find Care

Be sure to go to all your recommended prenatal and post-partum visits! Use our find a doctor tool to find a provider to help you with your pregnancy journey.

Pregnancy Resources

What To Do When You Find Out You're Pregnant

Call us right away. 

We will make sure your doctor and the hospital where you will have your baby are both in your plan. If you are in the last three months of your pregnancy and you just became a member of our health plan, you will be able to stay with your current doctor — even if that doctor is not part of your plan.

 

Call your doctor. 

  • If you are in your first three months of pregnancy, ask to have your first prenatal care visit within 14 days. 
  • If you are in your fourth, fifth or sixth month of pregnancy, ask for a visit within seven days.
  • If you are in later months of your pregnancy (seventh, eighth or ninth month), ask to be seen within three business days.


If you think you have a high-risk pregnancy, ask to be seen right away. High risk means that, due to your health issues or history, you may have a greater chance of having: 

  • Something going wrong with your pregnancy. 
  • A baby with a birth defect. 
     

Get Prenatal Care

Within the first three months of pregnancy, see your doctor to set up a prenatal care plan. At each visit, your doctor will check your health and the health of your baby. The doctor may talk to you about: 

  • What to eat. 
  • How to be active while pregnant. 
  • Avoiding tobacco, drugs and alcohol and other substances. 
  • Breastfeeding, lactation supplies and counseling. 
     
After Your Baby Is Born

Healthy Connections Choices will enroll your baby on the same plan you have the month your baby is born. You may choose to enroll your baby in another plan within 90 days of enrollment. Call Healthy Connections Choices at 877-552-4642 (TTY: 877-552-4670). 


Call Healthy Blue Customer Service to tell us the name of the PCP you want for your baby, if you have not already done so. If you do not choose a PCP for your baby, we will choose one for you.
 

Planning For The Future

Having another baby may not be on your mind so soon after you have a baby. But it's never too soon to think about family planning. 

 

Family planning can help teach you how to: 

  • Be as healthy as you can be before you become pregnant again. 
  • Keep you from becoming pregnant if you're not ready to have another baby. 
  • Keep you from getting an STI or STD. 

You may see any family planning Medicaid provider without getting approval from us first. 

Maternity Management Program

They say having a baby changes everything. They are right about that. Whether this is your first baby or you’re an experienced pro, having a baby is an exciting time. We want you to feel supported every step of the way. That’s why we offer our maternity management program. When you enroll, you’ll have access to a personal care manager who can support you along the way. 

You'll also have access to our app, My Health Planner. With My Health Planner, you can: 

  • Set prenatal appointment reminders.
  • Read helpful articles about topics including:
    • Baby’s growth and development.
    • Exercise during pregnancy.
    • When to call your doctor.
    • Preterm labor.
    • Birthing classes.

 

It's a Nine-Month Adventure

Every phase of pregnancy can bring challenges — from the morning sickness you might have at the beginning to the labor pains that tell you “it’s time.” In between, there’s a lot to do as you prepare to welcome your baby. Our program can help you make this important change to motherhood.

 

Getting Started is Easy 

If we identify you are eligible for the program, you’ll get an invitation to enroll. If you have questions or need help enrolling, call us at 855-838-5897. Our hours are Monday through Friday from 8:30 a.m. to 5 p.m. EST. After hours, leave a message. We’ll return your call on the next business day.
 

Prenatal care is so important for you and your baby. Your doctor will work with you throughout your pregnancy. He or she will answer any questions you may have and can help you have a healthy pregnancy and a healthy baby.

Need help finding a doctor?  Call our Customer Service team at 866-781-5094 (TTY: 866-773-9634). We can help you find a provider near you.
 

CenteringPregnancy


CenteringPregnancy is prenatal care members ages 12 to 55 can get in a group setting. It gives you more time with your doctor and other expectant moms. During these visits, you can talk about your pregnancy and infant health with clinical supervision and support.

We will cover up to 10 visits before your baby is born as long as:

  • The visits last at least 1.5 hours.
  • The group has between two and 20 people.

To find approved sites in South Carolina, go toCenteringHealthcare.org*. Select Locations and use the map to choose South Carolina.

*This links to a third-party website. That organization is responsible for the content and privacy policy on its site.
 

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