Anthem blue cross blue shield pregnancy coverage

To receive a breast pump through your Anthem BCBS insurance policy, simply fill out our qualification form. Once we receive your information, we will verify your coverage and notify you of your eligibility, via email, within 1 to 2 business days.

In the email, we will let you which breast pumps you can choose from, as well as other products you are eligible for through your Anthem BCBS plan (upgrade options may have an out of pocket expense because they contain additional items that are not covered by your insurance policy).

After you select your breast pump, our team will work with your physician's office to obtain a prescription so that we can bill Anthem BCBS. Once we receive your prescription, your breast pump will ship (we cannot ship your breast pump until a prescription is received from your physician). Most moms will receive their breast pump within 7 days of filling out our intake form!

Please call us at 888-977-2229, email us at [email protected] or text us at 419-740-4306 if you have any questions about your coverage or the breast pump for you!

Doula care is available for Medicaid members in several of Anthem Blue Cross and Blue Shield is an independent licensee of the Blue Cross Blue Shield Association, an association of independent, locally operated Blue Cross and Blue Shield companies.

As part of our program, members are offered the My Advocate program. This program provides pregnant and postpartum women proactive, culturally appropriate outreach and education through interactive Voice Response (IVR). Eligible members receive regular calls with tailored content from a voice personality (Mary Beth) or they may choose to access the program via a smartphone application or website. This program does not replace the high touch case management approach for high-risk pregnant women. However, it does serve as a supplementary tool to extend our health education reach.

Each automated My Advocate communication gives the member specific healthcare education in a warm, easy-to-understand fashion. Eligible members receive regular messages with tailored content from Mary Beth in English or Spanish. The topics include:

• Obstetric high-risk screening
• Maternal and child health (prenatal, postpartum, and well-baby care)

Feel free to visit the My Advocate website for more information.

Women, Infants and Children (WIC) program

The special supplemental nutrition program for Women, Infants and Children (WIC) serves to safeguard thehealth of low-income women, infants and children up to age 5 who are at nutritional risk. WIC provides nutritious foods to supplement diets, information on healthy eating and referrals to healthcare.

More information about the WIC program is available in the Anthem provider manual.

Neonatal Intensive Care Unit (NICU) Case Management Program

For parents with infants admitted to the NICU, we offer the NICU Case Management program. This program provides education and support designed to help parents/caregivers cope with the day-to-day stress of having a baby in the NICU, encourages them to stay involved in the care of their babies and helps them prepare themselves and their homes for discharge. Parents/caregivers receive educational resources that outline successful strategies they may use to collaborate with the care team.

The stress of having an infant in the NICU can potentially result in Post-Traumatic Stress Disorder (PTSD) symptoms among parents and loved ones. In an effort to reduce the impact of PTSD among members, we assist by:

• Guiding parent(s) into hospital-based support programs, if available, as well as to target support services and referrals to providers
• Screening parent(s) for PTSD approximately one month after the date of birth
• Referring parent(s) to behavioral health program resources, if indicated
• Reconnecting with families with a one-month follow-up call to assess if the parent(s) received benefit from initial contact and PTSD awareness

Our case managers are here to help you. If you would like more information about the NICU Care Management Program or have a patient who would benefit, please contact Provider Services.

Blue Cross Blue Shield’s Medicare Advantage plans vary in their specific coverage options and monthly premiums, but they all deliver Original Medicare benefits with added coverage to the consumer.

All of Blue Cross Blue Shield’s Medicare Advantage plans cover Medicare Part A and Part B. Part A accounts for hospitalizations and the use of other care like some nursing facilities, hospice care and even home health care. Part B accounts for visits to the doctor, other outpatient care and preventative services and medical supplies. Blue Cross Blue Shield Medicare Advantage plans also offer additional benefits, such as vision services, hearing health coverage and wellness programs. Additionally, telehealth services, transportation services, over-the-counter health product coverage and gift card rewards are available with certain plans. Some Medicare Advantage plans also offer Part D for coverage of prescriptions drugs and recommended shots and/or vaccines.

Blue Cross Blue Shield’s affiliates currently offer Medicare Advantage plans in 2,190 counties —the most of all major health insurers.

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