Confirm prenatal insurance coverage
Verify OB visits, delivery, newborn hospital care, and NICU tiers match what you expect on your plan.
Pull your plan's Summary of Benefits and Coverage (SBC) or member portal details. Confirm prenatal visits, labor and delivery, anesthesia, and inpatient newborn care are covered at in-network facilities. If your plan has tiered hospitals, know your out-of-pocket exposure before you are in labor.
California paid leave — California Paid Family Leave (PFL): California's PFL program provides up to 8 weeks of paid leave for bonding with a new child. Wage replacement is 70–90% of your weekly wages depending on income, up to a maximum of approximately $1,765/week in 2026. Funded through employee payroll deductions (SDI). Also note: the California Family Rights Act (CFRA) provides additional job-protected leave of up to 12 weeks that runs alongside or after PFL. Typical maximum duration (bonding / combined benefits): up to 8 weeks for relevant benefits (verify your situation). Wage replacement: 70–90% (higher rate for lower earners).
Action checklist
- Confirm your plan year deductible and out-of-pocket max for individual vs family
- Verify in-network hospitals and estimated member cost for vaginal vs cesarean delivery
- Confirm newborn is covered as a patient under your policy from birth
- If offered, review NICU coverage tiers and transfer rules
- Save screenshots or PDFs of key coverage pages for your delivery folder
What you'll need
- • Member ID
- • Plan SBC or benefits booklet
- • List of in-network hospitals you are considering