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.
On paid leave in New Jersey: the state runs New Jersey Family Leave Insurance (FLI). New Jersey's Family Leave Insurance provides up to 12 weeks of paid leave for bonding with a new child at 85% wage replacement, up to approximately $1,055/week. Funded by employee payroll deductions. Applies to employers of all sizes. Note: NJ also has Temporary Disability Insurance (TDI) that covers the birthing parent's physical recovery period separately. The program covers up to 12 weeks of bonding or combined benefits — confirm your specific eligibility. Wage replacement runs 85% of wages, up to ~$1,055/week.
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