University Human Resources
Reproductive Health
Maternity & Pregnancy Management Care
BlueCross BlueShield
Coverage for employee/spouse/non-spouse dependents who are pregnant:
| Services you may need | In-Network Providers | Out-of-Network Providers |
|---|---|---|
| Office visits | No Charge | 20% Coinsurance |
| Childbirth/delivery professional services | No Charge | 20% Coinsurance |
| Childbirth/facility delivery services | No Charge | 20% Coinsurance |
Limitations, Exceptions, & Other Important Information: In-Network copay applies to initial office visit only. Pre-authorization for facility services is required. Depending on the type of services, a copayment, coinsurance, or deductible may apply. Cost sharing does not apply for preventive services. Maternity care may include tests and services described elsewhere in the SBC (i.e. ultrasound.)
Pregnancy management coverage also includes: Non-elective and Elective Abortions. Note: Services will be paid based on place of services filed.
United Healthcare
Coverage for employee/spouse/non-spouse dependents who are pregnant:
| Services you may need | In-Network Providers | Out-of-Network Providers |
|---|---|---|
| Office visits | No Charge | 20% Coinsurance |
| Childbirth/delivery professional services | No Charge | 20% Coinsurance |
| Childbirth/facility delivery services | No Charge | 20% Coinsurance |
Limitations, Exceptions, & Other Important Information: Cost sharing does not apply for preventive services. Depending on the type of service a copayment, coinsurance or deductible may apply. Maternity care may include tests and services described elsewhere in the SBC (i.e. ultrasound.) Inpatient Prenotification applies out-of-network if stay exceeds 48 hours (C-Section: 96 hours) or benefit reduces to 50% of allowed amount.
HSA Choice Plus Plan
| Services you may need | In-Network Providers | Out-of-Network Providers |
|---|---|---|
| Office visits | No Charge | 30% Coinsurance |
| Childbirth/delivery professional services | 10% Coinsurance | 30% Coinsurance |
| Childbirth/facility delivery services | 10% Coinsurance | 30% Coinsurance |
Limitations, Exceptions, & Other Important Information: Cost sharing does not apply for preventive services. Depending on the type of service a copayment, coinsurance or deductible may apply. Maternity care may include tests and services described elsewhere in the SBC (i.e. ultrasound.) Inpatient Prenotification applies out-of-network if stay exceeds 48 hours (C-Section: 96 hours) or benefit reduces to 50% of allowed amount.
Pregnancy management coverage also includes: Fetal Reduction Surgery, Voluntary Sterilization, Contraceptive Services, Health Services and associated expenses for surgical, non-surgical or drug induced pregnancy termination.
Infertility Benefits
BlueCross BlueShield
Coverage for employee/spouse:
- Infertility services
- Diagnosis and testing
- Treatment of the underlying condition causing infertility
- Assisted reproduction (such as, but not limited to: GIFT, ZIFT, IVF, IUI, Artificial Insemination)
United Healthcare
Coverage for employee/spouse:
- Ovulation induction (or controlled ovarian stimulation).
- Insemination procedures (artificial insemination (AI) and intrauterine insemination (IUI))
- Assisted Reproductive Technologies
- Pharmaceutical Products for the treatment of infertility that are administered on an outpatient basis in a Hospital, Alternate Facility, Physician's office, or in your home.
To be eligible, you must meet all of the following: You are not able to become pregnant after the following periods of time of regular unprotected intercourse or therapeutic donor insemination: - One year, if you are a female under age 35.
Employee Assistance Program
The Spring Health Employee Assistance Program (EAP) offers support to employees and members of their households on topics related to reproductive health, including infertility, pregnancy, pregnancy termination, and post-childbirth or termination support. The EAP offers 10 free confidential counseling sessions per year. If an employee or family member wishes to receive counseling beyond 10 sessions, the employee can be matched with a counselor on their health insurance plan to minimize the cost to the employee. Please contact Spring Health at 1-855-629-0554 for more information.
Parental Leave
Please visit our Leave of Absence page for more information on the type of leaves the University offers. Questions about parental leave can be directed to leave_admin@brown.edu.