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.
Colorado paid leave — Colorado FAMLI (Family and Medical Leave Insurance): Colorado's FAMLI program provides up to 12 weeks of paid leave for bonding with a new child, active since January 2024. Wage replacement is approximately 90% for lower earners on a sliding scale. Starting in 2026, parents of NICU babies may take an additional 12 weeks of paid leave. Funded by employee and employer payroll contributions. Typical maximum duration (bonding / combined benefits): up to 12 weeks for relevant benefits (verify your situation). Wage replacement: ~90% for lower earners; sliding scale up to a weekly maximum of ~$1,324.
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