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.
Wisconsin paid leave: No state paid family leave program. Wisconsin has its own Family and Medical Leave Act (WFMLA) that provides up to 6 weeks of unpaid leave for the birth or adoption of a child (for employers with 50+ employees), which may run concurrently with federal FMLA. Verify programs for your employment type.
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