Community Health Plan of Washington Individual and Family Cascade Select Plans Community Health Plan of Washington Individual and Family Cascade Select Plans

Pregnancy Health Coverage

Your pregnancy health starts with you

Every pregnancy is unique and your specific needs matter.

CHPW’s Individual & Family Plans help pay for maternal care during and after your pregnancy.

How it works

Prenatal and postnatal (postpartum) care from in-network providers is covered.

Support to manage it all

Get help navigating your care and connecting to resources.

pregnancy exam

Prenatal care during pregnancy

Have a healthy pregnancy with prenatal preventive services.

Birth and delivery

Give birth at a hospital, birthing center, or your home.

Postpartum care after pregnancy

Recover physically and mentally, with support for feeding baby.

Newborn care

Exams and screenings at birth, plus circumcision up to 28 days following birth.

Not a member? Having a baby qualifies you for a Special Enrollment Period.

Get details about out-of-pocket costs and covered services in your plan documents or email us anytime at [email protected].

Tip: Confirm your plan type by checking the front of your Member ID card.

How to find a pregnancy care provider

Your primary care provider may or may not be able to provide your pregnancy care.

Approved providers include:

  • Obstetrician or OBGYN
  • Licensed physician like a family doctor
  • Advanced registered nurse practitioner (ARNP)
  • Licensed midwife
  • Certified nurse midwife (CNM)

Search for an in-network pregnancy care provider online.

Start a provider search

Prefer to chat with someone? Call us at 1-800-440-1561 (TTY: 711).

Support to manage it all

Our team of specialized Case Managers provide no-cost assistance to help you meet your health needs.

Case Managers can help you:

  • Schedule appointments
  • Communicate with your doctor
  • Manage your care needs
  • Access food and housing aid
  • Connect to behavioral health care

Is a Case Manager right for me?

As a CHPW member, if you need or want care management, you can get it.

We encourage you to request a Case Manager if you have a chronic condition like diabetes, hypertension, depression, or COPD, or if you have experienced:

  • Previous high-risk pregnancy or delivery
  • Early contractions, bleeding, and/or a lot of vomiting.
  • Need for housing assistance, help finding food banks, or other community-based services.

Questions? Interested in care management? Call 1-866-418-7004 TTY:711

Prenatal care during pregnancy

Recommended checkups, screenings, and services are covered to keep you and baby healthy.

Prenatal care checkups

  • Ultrasounds
  • Screenings
  • Immunizations
  • Nutritional advice

Most prenatal care is considered preventive care and is covered at no cost to you. Check your plan documents for information about what you may pay per visit (co-pays) and other cost share information.

Specialty prenatal care

  • Prenatal testing
  • In-utero treatment for baby
  • Gestational diabetes, Toxemia (Pre-eclampsia), and related conditions

Someone to call 24/7

CHPW’s Nurse Advice Line is just a call away any time you have a question, or need advice on what to do or where to go for care.

Mental health support

Talk with your provider about your mental health now to help you prepare for upcoming changes later.

Talk with your pregnancy care provider to connect with mental health support, or call a specialized Case Manager at 1-866-418-7004 TTY:711.

See how a Case Manager can help

Birth and delivery

Delivery and facility fees are covered for childbirth (vaginal and cesarean).

Building your birth plan

Work with your health team to plan your birth, your way.

Hospital or birthing center

Stay as long as your doctor recommends, with no stay limits. Per day copays apply.

Home birth supplies

Medically necessary supplies are covered for low-risk pregnancies.

Search birthing locations near you using our online directory.

Search hospitals and birthing centers

Tip: Select “Women’s Health” under Provider and “Birthing Center” under Specialty to find a birthing center near you.

Postpartum care after pregnancy

Postnatal care to recover from delivery is covered with help to feed your newborn.

Feeding your baby

Access chest or breastfeeding counseling and get free or low-cost supplies to help you keep baby nourished.

  • Lactation coaching
  • Breast pump
  • Medically necessary formula

How do I get a breast pump?

Mailed directly to you from in-network providers like Byram Healthcare, or Nurturing Expression.

Shop and order directly from their websites.

Mental health support

Behavioral health services are covered if you have a diagnosed mental health condition or substance use disorder.

If you’re not diagnosed, but are feeling hopeless, sad, or restless we can help with that too.

  • Depression screening
  • Counseling
  • Substance use disorder treatment

Newborn care

After delivery care for baby includes

  • Initial physical examination
  • Newborn screening
  • Routine nursery care
  • Circumcision up to 28 days following birth

Your plan covers your baby’s health care for 3 weeks automatically.

To continue coverage, “report a change” in your Washington Healthplanfinder account to add your newborn to your plan.

We’re here to support you

Questions about your plan or coverage? Want to connect to a Case Manager?

Whatever you need, call us at 1-866-907-1906 (TTY: 711), Monday through Friday from 8 a.m. to 5 p.m. Or email us anytime at [email protected].


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