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.
Vermont paid leave — Vermont Paid Family and Medical Leave Insurance (PFMLI): Vermont's PFMLI program fully phased in by July 2025 covering all employers with 1+ employees. Provides up to 12 weeks of paid leave for bonding with a new child at 60% wage replacement. Administered through Hartford Insurance as a voluntary private plan, not a state fund. Employers opt in; check whether your employer participates. Typical maximum duration (bonding / combined benefits): up to 12 weeks for relevant benefits (verify your situation). Wage replacement: 60% of wages.
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