Maternity Wellness

Coverage and benefits

Your HealthSelect benefits provide coverage for pregnancy and maternity care including:

• maternity-related medical services for prenatal care and postnatal care,
• delivery services provided by the delivering physician,
• laboratory tests,
• sonograms,
• stress tests,
• amniocentesis (sampling of amniotic fluid),
• expenses for the hospital inpatient stay, including assistant surgeon or anesthesiologist fees, if required,
• services and support through ProgenyHealth for babies who are admitted to a special care or intensive care nursery and
• lactation support and counseling sessions in conjunction with childbirth including breast pumps, accessories and supplies.

Lactation support and breast pump benefits

• HealthSelect plans cover most preventive care services, including lactation support and counseling sessions for female participants, in conjunction with childbirth, with no additional out-of-pocket costs to eligible participants when they are received from in-network providers and facilities.
• Preventive care benefits also apply to the purchase or rental of manual or electric breast pumps, accessories and supplies, including breast milk storage supplies, whether they are purchased from an in-network durable medical equipment provider or retail location, such as Walgreens, CVS or Walmart. You may be required to pay the full amount and submit a claim form to BCBSTX, including a prescription from your ordering physician and the itemized receipt.  
• Benefits for breast pumps are limited to one per pregnancy, or one per newly eligible newborn dependent who is not a participant’s natural child. Limited benefits are also included for the rental of hospital-grade breast pumps.  
• For complete details on coverage and benefits, please reference your plan’s Master Benefit Plan Document found on the Publications and Forms page.

• Maternity Wellness Guidelines Flier
• Breastfeeding Flier