California AIM (Access for Infants and Mothers)
provides coverage for women who are already pregnant and need maternity insurance coverage.
CA Insurance Code 12695 et seq.
Medi-Cal
Any woman who thinks she is pregnant and whose family income is under a certain amount is eligible for Medi-Cal Presumptive Eligibility (PE) for Pregnant Women. However, she must seek this care through a participating provider and they will determine if you are eligible for this program. Ask your provider if he/she offers this coverage and how to apply. Medi-Cal Presumptive Eligibility
    
Consumer Links
CA State Disability Insurance
Husbands and boyfriends can get coverage through:
Group Employer Plans
Maternity coverage is mandatory on GROUP and INDIVIDUAL policies beginning in July 2012 in CA(Siders [1], "Capitol Alert," Sacramento Bee, 10/6). californiahealthline.org SB 222 AB 210 Insurance Code 10123.865
Maternity in most cases can't be excluded as a Preexisting Condition in a Group policy. Nor can a newborn who has applied for coverage ... within 30 days of birth; or A child who is adopted ... within the 30 days. Insurance Code §10708 d3 26 U.S.C.A. section §9801(d)3; Cal. Health and Safety Code section §1357.51 g 3
Federal & State Family Leave Act
Guaranteed Coverage for Employer Group of 2
No individual or group policy of health insurance that is issued, amended, renewed, or delivered on or after July 1, 2003, that provides maternity coverage shall contain a copayment or deductible for inpatient hospital maternity services that exceeds the most common amount of the copayment or deductible contained in the policy for inpatient services provided for other covered medical conditions or contain a copayment or deductible for ambulatory care maternity services that exceeds the most common amount of the copayment or deductible contained in the policy for ambulatory care services provided for other covered medical conditions. CA Insurance Code 10119.5. (a) SB 1411 2002
The Newborns’ and Mothers’ Health Protection Act of 1996 new protections for mothers and their newborn children with regard to the length of the hospital stay following childbirth Q & A Page 31
CA Health & Safety Code § 1367.69(a)...obstetrician gynecologists- must be eligible as primary care physicians (PCP) - that means you can schedule an appointment with your OB/GYN without going to your PCP first, in the same Medical Group/IPA. Provider Finder
Standards relating to benefits for mothers and newborns IRS Code § 9811.
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SDI
ACCESS FOR INFANTS AND MOTHERS
GENERAL PROVISIONS AND DEFINITIONS
General ...................................... 12695-12695.24
POWERS AND DUTIES OF THE BOARD
Administration ............................... 12696-12696.20
Advisory Panel ...................................... 12696.5
PARTICIPATING HEALTH PLANS .................. 12696.7-12697.15
SUBSCRIBER ELIGIBILITY AND ENROLLMENT
Eligibility and Coverage ..................... 12698-12698.35
Unfair Competition and Labor Practices .... 12698.50-12698.56
PERINATAL INSURANCE FUND ...................... 12699-12699.05
OPERATION OF PROGRAM
10123.865. (a) Commencing no later than July 1, 2012, every
Including Grandfathered plans Per Blue Cross email dated 4.19.2012
individual health insurance policy shall provide coverage for
maternity services for all insured's covered under the policy.
(b) For purposes of this section, "maternity services" include
prenatal care, ambulatory care maternity services, involuntary
complications of pregnancy, neonatal care, and inpatient hospital
maternity care, including labor and delivery and postpartum care.
This definition of "maternity services" shall remain in effect until
such time as federal regulations and guidance issued pursuant to the
federal Patient Protection and Affordable Care Act (Public Law
111-148) define the scope of benefits to be provided under the
maternity benefit requirement of that act, after which time the
definition of that term under the federal act and associated
regulations and guidance shall apply for purposes of this section.
Bookmarks
CA all policies must include maternity
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