We’re here for you before and after your baby is born.

It’s very important to pay attention to your health during this time of change. Be sure you see your doctor within 14 days of becoming aware you are expecting. And see your doctor regularly before and after your baby is born.

Maternity Care

Maternity care is covered under your standard Medicaid benefits. In addition, Highmark Health Options provides extra benefits that are not standard Medicaid benefits.
Standard maternity benefits include:
  • Office visits and tests before your baby is born (prenatal care).
  • Your hospital stay and care when you have your baby.
  • Office visits and tests after your baby is born (postpartum care).
Pregnant woman
pregnant woman with doctor
As soon as you find out you’re pregnant:
  • See your PCP within 14 days.
  • Call Highmark Health Options. We will send you information about the MOM Options Program, Pacify, home-delivered meals, and more.
  • Talk to a Care Coordinator if you have questions about your benefits and pregnancy. Also ask about ways to get help in your community.

Note: If you joined Highmark Health Options during the last three months of your pregnancy, you may be allowed to stay with your current doctor, even if that doctor is not in our network.

Depend on your Care Coordinator

Your maternity benefit includes a Care Coordinator, one person you can talk to when you’re expecting and after your baby is born. A Care Coordinator is a nurse or social worker who can answer your questions, help you plan doctor visits, find community services, and more. Ask your Care Coordinator about how you can earn rewards for completing doctor visits before and after birth.

Note: Your benefit also includes family planning. See the list of standard benefits.

Talk to a Care Coordinator at 1-833-957-0020.
Pregnant woman
woman using smartphone

Support for new parents from pregnancy to parenthood

Get the help you need during pregnancy and beyond – supporting you from hospital to home. A Pacify membership provides on-demand, video-enabled access to a nationwide network of lactation consultants and nurses, available 24/7.

Sign up for Pacify
Use your unique sign up code to create an account.
Next, download the free Pacify app from the Apple App Store (iPhone) or Google Play (Android). 

Help for opioid use when you’re pregnant or breastfeeding

Using opioids during and after pregnancy can harm both you and your baby. This includes prescription opioids like codeine and oxycodone, as well as street drugs like heroin. When you use opioids while pregnant, the drug is transferred to your baby, increasing the risk of health complications, premature birth, and serious birth defects. Even after birth, breastfeeding can pass the drug to your baby, causing potential side effects such as breathing difficulties. 

father and baby
farmers market

Learn how to quit safely.

The good news is that a combination of therapy and medicines can help you quit using opioids before, during, and after pregnancy. Talk to your doctor about treatment options that reduce risk for you and your baby. Highmark Health Options can connect you to providers who specialize in maternal opioid use disorder treatment.

Don’t make this decision alone. To learn about safe treatment when you’re trying to quit opioids, call Member Services at 1-833-957-0020 (TTY: 711), Monday–Friday, 8 a.m.–5 p.m., and ask for maternity Care Coordination. Or call your Care Coordinator.

mother and newborn

Health care coverage for newborns

Make sure your baby has health care coverage and the pediatrician you want. As soon as you can after your baby is born and within 30 calendar days:

  • After your baby is born, call the Department of Human Services (DoHS) Change Center at 1-877-716-1212. Your baby will be eligible for benefits for a minimum of 60 to 90 days, starting on the first day of their birth. This helps ensure they’ll get all the care they need.
  • Call Member Services to tell us which pediatrician you want for your baby. If you do not choose a pediatrician for your baby, we will choose one for you. You will get an ID card for your baby with the pediatrician name and phone number on it.

West Virginia WIC

The Special Supplemental Nutrition program for Women, Infants, and Children, known as WIC, is a free program for:

  • Pregnant women
  • New mothers
  • Breast-feeding mothers
  • Children up to age 5 who are not getting the nutrition they need

The program provides food coupons to buy nutritious foods, such as fresh fruits and vegetables, whole wheat bread or rolls, brown rice, oats, tortillas, soymilk, tofu, jarred baby foods, and more. Many grocery stores take WIC food coupons. WIC also offers information and counseling about nutrition and referrals to health and social services.

Sign up or call 304-558-0030.
family eating dinner
farmers market

Help Me Grow

Help Me Grow is a referral service that connects families to developmental resources for their children birth through five (5) years. The goal of Help Me Grow is to identify children at-risk and get them connected to the help they need.

Parents, families and friends can call Help Me Grow directly to speak to a care coordinator who can talk with them about how their child is doing, mail a developmental screening tool and connect them to the appropriate resources.

To learn more, call the hotline at 1-800-642-8522.

Drug Free Moms and Babies Program

The Drug Free Moms and Babies (DFMB) Program supports healthy outcomes for pregnant and postpartum women and babies in Medicaid and WVCHIP by providing prevention, early intervention, addiction treatment, and recovery support.

Covered benefits through this program include:

  • Care coordination with Highmark Health Options case managers, DFMB care coordinators, DFMB community health workers, and DFMB providers.
  • Early intervention through provider outreach and education.
  • Recovery support services.
  • Addiction treatment.
For more information about the DFMB Program, visit the West Virginia Perinatal Partnership website.
family eating dinner
Pregnant african american person wearing orange shirt dress

We’re here for you.

Call Member Services at 1-833-957-0020 (TTY: 711), Monday–Friday, 8 a.m.–5 p.m.
•   Asistencia en español: 1-833-957-0020
•   Free language interpretation services: 1-833-957-0020