Federal law requires most health plans to cover maternity services including child birth and newborn care. These plans also must cover preventative services, including prenatal visits and screenings, gestational diabetes testing, folic acid supplements, tobacco cessation counseling and interventions, and breastfeeding services, without any cost-sharing. Deductibles and other out-of-pocket expenses related to maternity and delivery services vary based on plan design, but the average out-of-pocket cost is approximately $2,800.
The Office of the Insurance Commissioner (OIC), in collaboration with health carriers, must develop strategies to reduce or eliminate deductibles for maternal support services and postpartum care. By December 1, 2023, OIC must submit a report to the the Legislature outlining those strategies.
PRO: OIC welcomes opportunity to consider policies to reduce maternity care deductibles. OIC recommends using the term maternity care services and broadening the study to all cost-sharing. .OIC needs more time to complete the work requests until July 2024.