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