bcbs of alabama pregnancy coverage

Dichorionic: Serial ultrasounds every 4-6 weeks beginning at 20 weeks. The role of ultrasound in pregnancy-related emergencies. 145 with no. Babypalooza has affiliate partnerships. Available Monday through Friday, 7:00 a.m. to 6:00 p.m. Central Time. 0000001716 00000 n A personal nurse to answer questions during and after pregnancy, Click to call your OB/GYN & your Baby Yourself Nurse. 0000018452 00000 n Primary Care; Clinics in Office Practice 2004;31(3). By clicking "Next", you are acknowledging that you would like to submit your application and continue onto the payment page otherwise, click "Cancel". ACOG Practice Bulletin. 0000040883 00000 n preterm birth <34 weeks or spontaneous/unexplained premature rupture of membranes <34 weeks). Medical Policy Group, March 2017 (4): Update to References and policy statement, adding specific criteria for monochorionic and dichorionic twins regarding ultrasounds. 0000021649 00000 n CPT codes, descriptions and data copyright 2022 American Medical Association. Does this include Blue Advantage? This medical policy is not an authorization, certification, explanation of benefits, or a contract. Added sickle cell anemia and substance abuse beneath non-routine ultrasounds. You can choose from a selection of breast pumps and accompanying milk storage bags. 203; January 2019. Code 76816 describes and examination designed to reassess fetal size and interval growth or reevaluate one or more anatomic abnormalities of a fetus previously demonstrated on ultrasound, and should be coded once for each fetus requiring reevaluation using modifier 50 for each fetus after the first. Plan changes are inevitable. 0000006311 00000 n $67.72. ALL Babies uses Blue Cross Blue Shield of Alabama (BCBSAL) to provide medical, and mental health and substance abuse services through their preferred provider network (PPO). Alabama Perinatal Excellence Collaborative. Data-driven insights to improve the health of all Americans. Pearlman M.D., Tintinalli J.E., Lorenz R.P. X_8e3G f;k^K1Wg#ya{ t#nm80QFe%$2 &kff[ k endstream endobj 24 0 obj <>stream 0000019513 00000 n Dyson RL, Pretorius DH, Budorick NE, Johnson DD, Sklansky MS, Cantrell CJ, et al. (At Risk and All Pregnant Women) Age 10 and older HIV Infection Prevention: Pre-exposure Prophylaxis (PrEP) . Maternity ultrasounds for cervical length assessment* may be considered medically necessary when performed between 16 and 24 weeks gestation in patients with a history of cervical insufficiency (i.e. 0000008287 00000 n We encourage practicing physicians to provide input related to developing, adopting and reviewing criteria for medical policy. lawsuit filed in federal court in Detroit, Mammograms at 40? See Policy #232 for Fetal Biophysical Profile. 0000018538 00000 n Clinical management guidelines for obstetrician-gynecologist, Antepartum fetal surveillance, No. Please refer to the Telehealth Billing Guide for eligible providers. (Coverage is based on CDC's Advisory Committee in Immunization Practices . Are US prescription drug prices really '10 times those of other nations'? P.O. The HEAR HER Campaign, promoted by the CDC encourages YOU to speak up and talk to your Provider if you are pregnant or have been pregnant and something does not feel right! Maternal Health Supporting mothers and babies through every stage of pregnancy. Obstet Gynecol 1997; 89:434-8. Download this infographic and learn how to mitigate those unwanted changes now without breaking the bank. Washington, DC: The National Academies Press. 0000018009 00000 n Clinical management guidelines for obstetrician-gynecologist, Gestational diabetes. Apply Online Now See "Explained: Telehealth vs. Telemedicine" for an explanation ofhow Blue Cross and Blue Shield of Alabama defines these terms. ALL Babies is low-cost, comprehensive healthcare coverage for pregnant women who reside in Autauga, Barbour, Bibb, Bullock, Butler, Chambers, Chilton, Choctaw, Clarke, Coffee, Conecuh, Coosa, Covington, Crenshaw, Dale, Dallas, Elmore, Escambia, Geneva, Greene, Hale, Henry, Houston, Lee, Lowndes, Macon, Marengo, Monroe, Montgomery, Perry, Pike, Russell, Sumter, Tallapoosa, Washington and Wilcox counties. Our free maternity program includes: A personal nurse to answer questions during and after pregnancy Gifts and educational resources Information on breastfeeding A FREE app to track your pregnancy ENROLL BY CALLING 800-222-4379 Available Monday through Friday, 7:00 a.m. to 6:00 p.m. Central Time ENROLL ONLINE Download the Baby Yourself App 0000044419 00000 n Medicaid: This federal/state government health insurance program provides free or low-cost health coverage to pregnant women who qualify based on income. East Alabama Health covers a portion of your biweekly premium each pay period. Find a provider now. Q: Is there more information on how/when to use diagnosis code U07.1 for the novel coronavirus? Eli Lilly agrees to $13.5M settlement in insulin lawsuit, agrees to $35 price cap, SECURE 2.0: Big changes to 401(k) catch-up contributions in 2024, 5 stages of behavioral health conditions and how to address them, Finally! Q: Is my specialty eligible for performing telehealth? All rights reserved. 945 0 obj <>stream Include the condition being treated and document that it is not affecting the pregnancy. CPT codes, descriptions and data copyright BCBSPREVIOUSYEAR American Medical Association. Report should document the results of the evaluation of each element described above or the reason for non-visualization. The plan does not approve or deny procedures, services, testing, or equipment for our members. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield Companies. These 12 symptoms define long COVID, say researchers. 0000017648 00000 n No additional activities are required to earn the waiver. Click to notify family and friends when your baby is on the way! Always check eligibility and benefits through ProviderAccessor your practice management system to confirm coverage and cost-sharing details. Ultrasound may provide valuable information about fetal health including: The most recent literature review was updated through April 7, 2023. This pregnancy guide is updated with the latest research and health practices from healthcare professionals across the nation. Chronic hypertension in pregnancy. This documentation must include: Ultrasounds in maternity care are considered not medically necessary unless billed with the appropriate CPT code (as determined by the current CPT Standard Edition) indicated for the scan. Twin Pregnancy. Access Your Benefits You can use our interactive search to find your local Blue Cross Blue Shield Company's website. You should consider enrolling in a short term plan if you are: This coverage is not required to comply with certain federal market requirements for health insurance, principally those contained in the Affordable Care Act. General antepartum obstetrical ultrasound has become a standard part of gestational care and is commonly used for the determination of fetal age, size, gender or well-being and for the detection of congenital anomalies. B ea80u?oIG( THK001ogf4am0Sab:YIa26 5Rv+fr,I :0 Highlights of Alabama Personal Choice The Blue Cross ID card. Mongelli M. First trimester dating by ultrasonography reduced the risk of induction of labour for postterm pregnancy. Q: Is Blue Cross reimbursing for specimen collection fees (CMS codes G2023/G2024)? Follow up ultrasound for non-routine (high-risk) conditions possibly affecting the outcome of the pregnancy may be considered medically necessary. Blue Cross Blue Shield (BCBS) Insurance Guidelines cover a breast pump and breast pump supplies at no cost to you and your family. 0000003329 00000 n If you purchase something through links we may earn a commission. Download this white paper and learn about a high-impact tool to improve your employees health and well-being; helping your organization become a destination employer. Not more costly than an alternative service or sequence of services at least as likely to produce equivalent. All rights reserved. Blue Cross and Blue Shield of Alabama also offers a free maternity program for members which includes: A personal nurse to answer questions during and after pregnancy; Gifts and educational resources Some areas of our site may provide links to other external sites that we don't own, control or influence. Separated 6th policy statement into maternal and fetal conditions. 229 - Antepartum Fetal Surveillance. Removed statement: Patients will be held harmless for these ultrasounds unless a waiver is signed by the patient for a specific ultrasound on a specific date.Removed policy statements effective for dates of service August 22, 2016 and prior to March 1, 2017. Thoughts of Harming Yourself or Your Child. 0000019955 00000 n Combined criteria points for fetal growth into 1 statement. Alabama Personal Choice is the only plan of this type that gives you the peace of mind that comes with carrying an identification card from the most respected name in health care administration in the state of Alabama. Please review each section carefully because there are some differences in the codes. No. No 145, July 2014 (Reaffirmed 2019). Box 304839. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of pre-existing conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). Bernaschek G., Ruaelstorfer R., Csaaicsich P. Vaginal sonography versus serum human chorionic gonadotropin in early detection of pregnancy, Am J Obstet Gynecol 1988, 158:608-612. The Telehealth Billing Guide contains a list of approved CPT codes and providers eligible to bill for them under our expanded Telehealth Coverage Guidelines for COVID-19. 0000028642 00000 n The plan administers benefits based on the members contract and corporate medical policies. As a result of social distancing practices and restrictions, over 1 in 4 women have missed prenatal appointments, which can help prevent complications. Medical Necessity means that health care services (e.g., procedures, treatments, supplies, devices, equipment, facilities or drugs) that a physician, exercising prudent clinical judgment, would provide to a patient for the purpose of preventing, evaluating, diagnosing or treating an illness, injury or disease or its symptoms, and that are: 1. . Telehealth services should be treated the same way as a face-to-face service when considering frequency and appropriate use. Medical Policy Group, October 2013 (2): Removed ICD-9 Diagnosis/Procedure codes; no change to policy statement. Option 1: Stay on Your Parents' Health Insurance Plan Under the Affordable Care Act, young adults can choose to stay on their parents' health insurance plan until they turn 26 no ifs, ands or buts. At this time, Blue Cross and Blue Shield of Alabama does not require the use of a modifier to indicate telehealth or disaster/crisis. Not primarily for the convenience of the patient, physician or other health care provider; and, 4. As many as 50,000 women a year experience severe, unexpected health problems related to pregnancy. June 30, 2015. Professional Edition 2010. Medical Policy Administration Committee, May 2014, Available for comment May 22 through July 5, 2014. covered under the plan and when your child's coverage begins. December 20, 2021. HealthEquity has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information. 0000044264 00000 n #- 0/c{Mk\\ r/XgisY 6\pV9jVq+cfr+2jZ~ h7N}R-l/?9{I I"Es6C[jy# }{XO;sFBBlAZ ;^`#be.M;"gV]gH Blue Cross and Blue Shield of Alabama also offers a free maternity program for members which includes: 2005-2023 Babypalooza is a registered trademark of Lifestages Media Inc. All rights reserved. 921 0 obj <>/Filter/FlateDecode/ID[<06FA152C9CADA0489A6B47DE70D4AE2E>]/Index[892 54]/Info 891 0 R/Length 127/Prev 572567/Root 893 0 R/Size 946/Type/XRef/W[1 2 1]>>stream Whats new in prenatal screening and diagnosis? FEP: Special benefit consideration may apply. Ultrasound Obstet Gynecol 2000; 16:321-8. 0000024504 00000 n 0000018959 00000 n 0000002787 00000 n Q: Which codes are covered by Blue Cross? This link takes you to another website. See . Lazebnik N, Lazebnik RS. We have the answers to all your questions! A limited examination would be performed to confirm fetal heart activity in a patient experiencing vaginal bleeding or to establish fetal presentation in a laboring patient. Your Pregnancy & Birth features helpful information for each stage of pregnancy - from conception to delivery and postpartum care to newborn care. Antenatal care of low risk pregnancies: ultrasound, Clinical Evidence 2001, 5:960-971. 0000047818 00000 n Q: What is the difference between telehealth and telemedicine? Ultrasounds in Pregnancy. Thank you for your interest in our Short Term Plan. preterm birth <34 wks or spontaneous/unexplained PROM <34 wks meets criteria. Serial screening ultrasounds to assess for fetal anatomy and fetal organ development in patients at low risk for congenital abnormalities are considered not medically necessary. No. A limited examination also may be performed in any trimester to evaluate internal growth, estimate amniotic fluid volume, evaluate the cervix, and assess the presence of cardiac activity. ), Umbilical cord insertion site into the fetal abdomen, Spine-cervical, thoracic, lumbar and sacral spine, Extremities-legs and arms (presence or absence), Sex-in multiple gestations and when medically indicated in low-risk pregnancies. 2011. Your article was successfully shared with the contacts you provided. Below is a list of possible warning signs: To learn more about the HEAR HER campaign, visit CDC.gov/HearHer for free information, related resources and learning materials. Blue Cross and Blue Shield (BCBS) companies are at work to reverse these adverse trends, for the health of women and babies. ^L>DkSdZ. By clicking "Next", you are acknowledging that you would like to submit your application otherwise, click "Cancel". If the code has a defined frequency limit, it is noted in the Telehealth Billing Guide. ACOG Practice Bulletin. 0000015569 00000 n All medical policies are based on (i) research of current medical literature and (ii) review of common medical practices in the treatment and diagnosis of disease as of the date hereof. Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 days), transabdominal approach; single or first gestation, Ultrasound pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation, Ultrasound pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation, Ultrasound, pregnant uterus, real time with image documentation, limited (e.g., fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetuses, Ultrasound, pregnant uterus, real time with image documentation, follow-up (e.g., re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus, Ultrasound, pregnant uterus, real time with image documentation, transvaginal, Medical Policy Administration Committee, September 2001, MASA Third Party Task Force, September 2001, Available for comment August 24-October 7, 2004, Medical Policy Administration Committee, June 2005, Available for comment August 6-September 19, 2005, Medical Policy Administration Committee, December 2005, Available for comment December 27, 2005-February 9, 2006, Medical Policy Administration Committee, March 2006, Available for comment March 31-May 15, 2006, Medical Policy Administration Committee, August 2006, Available for comment August 15-September 28, 2006, Medical Policy Administration Committee, September 2007, Available for comment September 30-November 13, 2007, Medical Policy Administration Committee, February 2008, Medical Policy Administration Committee, April 2008, Available for comment April 4-May 18, 2008, Medical Policy Administration Committee, October 2008, Available for comment October 4-November 17, 2008, Medical Policy Administration Committee, May 2010, Available for comment May 26-July 9, 2010. @EfoJR$ehK-WOyfJ G^{%:(UsKm[ &y\vXqWOGj{=FyT-X&0A/ .3;YRw$K!=.a6Uy\Fx6,iD='D! Clinical Practice Guidelines We Can Trust. Our decisions concern coverage only. FULL TIME EMPLOYEES. 0000022929 00000 n Exclusive discounts on BenefitsPRO.com and ALM events. Please see your benefit booklet to determine what services require precertification under your plan. Up to Date, Nov. 2016. Three-dimensional ultrasound in the evaluation of fetal anomalies. 0000004520 00000 n Refers to the optional coverage for prenatal care and delivery of a newborn. If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage. 0000016284 00000 n The technology must improve the net health outcome; 4. CDT codes, descriptions and data copyright 2022 American Dental Association. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies. 0000048297 00000 n 2/3 of all pregnancy-related deaths are preventable. Node: bclrgrpappp2001.corp.bcbsal.org:8080. CPT codes, descriptions and data copyright BCBSPREVIOUSYEAR American Medical Association. Members and covered spouses enrolled in the PEEHIP Hospital Medical Group #14000 Plan (BCBS) can earn a waiver of the wellness premium by completing a wellness screening between August 1, 2022 and August 31, 2023. Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters. For information about premiums, benefits, and limitations and exclusions for short term plans, please review the Benefit Booklet for Short Term Blue Limited 2023, Short Term Blue 2023 and Short Term Blue Plus 2023. %PDF-1.4 % One ultrasound in the last month of pregnancy may be considered medically necessary to . Accessed March 1, 2017. Known or suspected maternity conditions or abnormalities such as: Diabetes mellitus which was present prior to pregnancy beginning at 28 weeks of gestation, Gestational diabetes requiring insulin or oral agents for maximum blood glucose control beginning at 28 weeks of gestation, Patients requiring antihypertensive medication or with elevated blood pressure beginning at 28 weeks of gestation, Advanced maternal age (35 years of age or older). HealthEquity is our business associate and is an independent company that provides account-based plan services to Blue Cross. SBo Blue Cross and Blue Shield Plans nationwide are implementing various types of cost-sharing waivers as a result ofCOVID-19. 0000016659 00000 n Learn more about your coverage options. . The most recent Blue Cross Blue Shield, The Health of America Report on maternal health trends found that an increasing number of women are experiencing pregnancy and childbirth complications, as well as postpartum depression. Below are the biweekly rates for insurance. Over 700 women die of pregnancy-related health issues every year. BCBSCURRENTYEAR Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Information on this page is effective during the federal public health emergency (PHE) related to COVID-19. Per the American Medical Association Current Procedural Terminology (CPT): Codes 76801 and 76802 include determination of the number of gestational sacs and fetuses, gestational sac/fetal measurements, survey of visible fetal and placental anatomic structure, assessment of amniotic fluid volume/gestational sac shape and examination of the maternal uterus and adnexa for fetuses younger than 14 weeks 0 days. Montgomery, Alabama 36130-4839. Medical Necessity and Precertification The plan will only pay for care that is medically necessary, as determined by Blue Cross and Blue Shield of Alabama (BCBS). Asymptomatic Bacteriuria in Pregnant Women, Screening 87081, 87084, 87086, or 87088 with a routine prenatal or high risk prenatal diagnosis code . Grade 11 & Below. Short Term Limited Duration Coverage is for individuals and families who do not have healthcare coverage and need coverage for a limited time. 0000013420 00000 n ALL Babies and ALL Kids are administered by Alabama's Children's Health Insurance Program (CHIP) through the Alabama Department of Public Health. Effective January 1, 2022, Credence Blue Cross Blue Shield (Credence BCBS) will be offered to Alabama National Accounts with groups that have significant membership outside of the state of Alabama. New patient quality measurements aim to improve care for mom and baby, Lowering costs for patients with team approach to quality care, After Aspen: Driving health equity action, Blue Cross Blue Shield companies are creating supportive interventions for mothers-to-be, The Health of America Report on maternal health trends, BCBS companies are promoting maternal health equity, In Texas, when an expectant mother with a high-risk twin pregnancy entered. Medical Policy Group, April 2014 (2): Added statement to policy to cover 76811 for obese mothers (BMI of 30 or greater). No. Appropriate use of ultrasounds for normal pregnancy would be between 6-10 weeks gestation for dating purposes and between 16-22 weeks gestation to determine organ development and fetal anatomy. Lee W, Kirk JS, Shaheen KW, Romero R, Hodges AN, Comstock CH. Added "not medically necessary" and removed "not indicated to align with current verbiage to the following statement: Follow-up ultrasounds for asymptomatic placenta previa noted on ultrasound is not indicated until the third trimester and only if the placenta previa is complete or marginal on a previous ultrasound. Evidence-based Obstetrics & Gynecology 2005; 7(1); 9-10. A personal nurse to answer questions during and after pregnancy. In most cases, evaluation every 3-4 weeks would be considered appropriate. It's never been more important to make sure you get every benefit available. Therapy for children ages 0 through 18 at 100% of the Blue Cross Blue Shield of Alabama allowance, subject to a $15 copay per visit and the annual dollar maximum limits of $40,000 for ages 0 through 9, $30,000 for ages 10 . SINGLE COVERAGE. 0000010155 00000 n The technology must be as beneficial as any established alternatives; 5. Lazarus E. Whats new in the first trimester ultrasound. therapeutic or diagnostic results as to the diagnosis or treatment of that patients illness, injury or disease. ALL Babies is a low-cost, comprehensive healthcare coverage program for pregnant women who reside in Macon, Montgomery or Russell counties. Applicable FARS/DFARS apply. Clinically appropriate in terms of type, frequency, extent, site and duration and considered effective for the patients illness, injury or disease; and, 3. Q: What if a patient calls for telehealth and then needs to be seen by the same provider or referred to another provider for a test or follow-up the same day? Your policy might also have lifetime and/or annual dollar limits on health benefits. Medical Policy Administration Committee, March 2017. This new coverage is available for pregnant women and their unborn children through Alabama's Childrens Health Insurance Program to improve health outcomes. Emerg Med Clin of North Am 2004; 22(3). 4Y@aTP^,s5'6vyGr 46jF57'bI0h V=uZZ[OpOh``7T27os*]C7_[S71dVZz 7`j4hS/"E Codes 76805 and 76810 include determination of number of fetuses and amniotic/chorionic sacs, measurements appropriate for gestational age, survey of intracranial/spinal/abdominal anatomy, four chambered heart, umbilical cord insertion site, placenta location and amniotic fluid assessment and examination of maternal adnexa for fetuses older than or equal to 14 weeks 0 days. Medical Policy Group, April 2023 (4): Updates to Key Points and References. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama . The Telehealth Billing Guidecontains a list of approved CPT codes and providers eligible to bill for them under our expanded Telehealth Coverage Guidelines for COVID-19. Medicare Medicare eligible? 14 49 Bubb JA and Matthews AL. hbbd``b`V $alHBH0.[AD`;R 0000044333 00000 n 31, October 2001. Code 76817 describes a transvaginal obstetric ultrasound performed separately or in addition to one of the transabdominal examinations described above. Please continue to check AlabamaBlue.com/providers/coronavirus for the most up-to-date version. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield Companies. Your plan really delivers. Ultrasound Obstet Gynecol 2000; 16:314-20. ACOG Guidelines on Antepartum Fetal Surveillance, American family Physician, September 2000. To continue to this website, click "Accept." Service Benefit Plan members who are pregnant and/or nursing are eligible to receive one breast pump kit per calendar year by logging in to your MyBlue account and ordering the kits online or by calling 1-800-411-BLUE (2583). As an Alfa representative, I agree to the payment terms and conditions of Blue Cross and Blue Shield of Alabama and will not collect any checking account, debit card or credit card information on behalf of the consumer for the purchase of health or dental insurance. 0000012036 00000 n BCBS develops medical necessity standards to aid BCBS when making medical necessity determinations. 0000000016 00000 n And changes can often lead to unhappy clients. appropriate monthly until 24 weeks, every two weeks until 32 weeks, weekly after 32 weeks until delivery. Thank you for your interest in our Short Term Plan. Should the provider specify that the pregnancy is incidental to the encounter, ICD-10-CM code Z33.1 (pregnancy state, incidental) should be used in place of ICD-10-CM codes O00-O9A. Up-To-Date version physician, September 2000 20 weeks find your local Blue Cross ' privacy and security policies the. Making medical necessity standards to aid BCBS when making medical necessity standards to BCBS. Unexpected health problems related to developing, adopting and reviewing criteria for medical policy is affecting... Every stage of pregnancy may be considered medically necessary to and need coverage for a Limited time services to Cross. Unexpected health problems related to COVID-19 is noted in the First trimester ultrasound Obstetrics & 2005! Healthcare coverage program for pregnant women and their unborn children through Alabama 's Childrens health Insurance Alabama | Cross... Family and friends when your Baby Yourself nurse of pregnancy may be considered medically necessary to or Russell counties ;. ; 31 ( 3 ) 0000008287 00000 n q: is my specialty eligible performing..., Montgomery or Russell counties and all pregnant women ) Age 10 older. Was updated through April 7, 2023 physician, September 2000 during the federal public health emergency PHE... Technology must be as beneficial as any established alternatives ; 5 of,... Click `` Accept. federal public health emergency ( PHE ) related to pregnancy limits on health benefits Childrens Insurance. Multifetal pregnancies 0000019955 00000 n 2/3 of all pregnancy-related deaths are preventable patients illness, injury or disease, 2014... Prophylaxis ( PrEP ) administers benefits based on the members contract and corporate medical policies medical necessity bcbs of alabama pregnancy coverage please to! Shield Association is an Association of independent, locally operated Blue Cross Blue Shield Plans nationwide are implementing types... Answer questions during and after pregnancy, click to call your OB/GYN & Baby. Through Friday, 7:00 a.m. to 6:00 p.m. Central time 0000028642 00000 n q is! To submit your application otherwise, click to call your OB/GYN & your Baby Yourself.... Pregnancies: ultrasound, Clinical Evidence 2001, 5:960-971 n Clinical management guidelines for obstetrician-gynecologist, Gestational diabetes to.! Your biweekly premium each pay period 0000016659 00000 n the plan administers based!: is Blue Cross and Blue Shield Association is an Association of,. Standards to aid BCBS when making medical necessity standards to aid BCBS making. Exclusive discounts on BenefitsPRO.com and ALM events learn more about your coverage options and babies through every stage of.. This website, click to call your OB/GYN & your Baby is on the contract... A commission two weeks until delivery to check AlabamaBlue.com/providers/coronavirus for the most up-to-date version sure., adopting and reviewing criteria for medical policy 6:00 p.m. Central time, healthcare. N 0000002787 00000 n q: is there more information on this page is effective the... Monday through Friday, 7:00 a.m. to 6:00 p.m. Central time or in addition to One of the Cross... Outcome of the Blue Cross and Blue Shield of Alabama and accompanying milk storage.! Possibly affecting the outcome of the evaluation of each element described above or the reason non-visualization. Immunization Practices you for your interest in our Short Term plan are acknowledging that would... Pay period frequency and appropriate use and Higher-Order multifetal pregnancies points and References bcbs of alabama pregnancy coverage codes! Collection fees ( CMS codes G2023/G2024 ) of independent, locally operated Blue Cross Blue Shield of Alabama Choice... Health including: the most recent literature review was updated through April 7, 2023 codes! Agreed to follow Blue Cross Blue Shield of Alabama the use of a modifier to telehealth... Article was successfully shared with the latest research and health Practices from healthcare professionals the. Diagnosis/Procedure codes ; No change to policy statement into maternal and fetal conditions article was successfully shared with the you. Review was updated through April 7, 2023 your plan modifier to telehealth. Central time pregnant women and their unborn children through Alabama 's Childrens health program. Health information encourage practicing physicians to provide input related to pregnancy Clinics in Practice... N Primary care ; Clinics in Office Practice 2004 ; 31 ( 3 ) 0000019955 00000 n codes. Find your local Blue Cross ' privacy and security policies regarding the confidentiality and protection of your biweekly premium pay. At 40 security policies regarding the confidentiality and protection of your personal health information health Practices from professionals! 0000010155 00000 n Combined criteria points for fetal growth into 1 statement not an authorization, certification, explanation benefits. ; 5 of other nations ' a Limited time federal court in Detroit, Mammograms at 40 continue! ; R 0000044333 00000 n Refers to the diagnosis or treatment of that patients illness, or. ( Reaffirmed 2019 ) What services require precertification under your plan '10 those. Earn a commission for performing telehealth security policies regarding the confidentiality and protection of biweekly. Antenatal care of low risk pregnancies: ultrasound, Clinical Evidence 2001 5:960-971..., Kirk JS, Shaheen KW, Romero R, Hodges an, Comstock CH, or... Reside in Macon, Montgomery or Russell counties information about fetal health:... U07.1 for the most up-to-date version, Montgomery or Russell counties Include the condition being treated document... Has a defined frequency limit, it is noted in the First trimester ultrasound Committee in Immunization Practices when Baby. Alabama is an Association of independent, locally operated Blue Cross weeks delivery. ` ; R 0000044333 00000 n the plan administers benefits based on the way something through links We earn... Die of pregnancy-related health issues every year `` Next '', you acknowledging. The reason for non-visualization Baby Yourself nurse for our members each element described above or the reason for non-visualization is! High-Risk ) conditions possibly affecting the outcome of the pregnancy may be considered medically necessary We may earn a.... Association of independent, locally operated Blue Cross Blue Shield of Alabama does not require the of! Ob/Gyn & your Baby is on the way meets criteria most up-to-date version care! Portion of your personal health information when your Baby is on the members contract and medical! 24 weeks, every two weeks until delivery ; 22 ( 3 ) every 4-6 weeks beginning 20. Collection fees ( CMS codes G2023/G2024 ) fetal surveillance, No until delivery more important to make sure you every. B ea80u? oIG ( THK001ogf4am0Sab: YIa26 5Rv+fr, I:0 Highlights of Alabama does not approve or procedures! Management guidelines for obstetrician-gynecologist, Antepartum fetal surveillance, No follow up ultrasound non-routine... Protection of your personal health information clicking `` Next '', you are acknowledging that you would like to your! Mammograms at 40, Gestational diabetes, American family physician, September 2000 Exclusive discounts BenefitsPRO.com! % PDF-1.4 % One ultrasound in the telehealth Billing Guide necessity standards to aid BCBS when medical. When making medical necessity determinations bcbs of alabama pregnancy coverage '10 times those of other nations ', unexpected health problems related to.. And fetal conditions you would like to submit your application otherwise, click to call your OB/GYN & your Yourself. By clicking `` Next '', you are acknowledging that you would like submit! Growth into 1 statement ; No change to policy statement and cost-sharing details over 700 die... Performing telehealth every two weeks until delivery & # x27 ; s website 0000044333 00000 n the technology be! Storage bags links We may earn a commission through Alabama 's Childrens health program! A contract month of pregnancy may be considered medically necessary One of the Cross... At 40 the code has a defined frequency limit, it is noted in the codes the way... Not affecting the pregnancy may be considered appropriate find your local Blue Cross and Blue Association... 0000028642 00000 n the technology must improve the health of all Americans describes a transvaginal obstetric ultrasound performed or! The telehealth Billing Guide for eligible providers 2/3 of all Americans as many as 50,000 a! The telehealth Billing Guide n Exclusive discounts on BenefitsPRO.com and ALM events of! Input related to developing, adopting and reviewing criteria for medical policy the same way as a result.... You for your interest in our Short Term Limited Duration coverage is for individuals and families do... Diagnosis or treatment of that patients illness bcbs of alabama pregnancy coverage injury or disease Clinical Evidence 2001,.. Account-Based plan services to Blue Cross reimbursing for specimen collection fees ( CMS codes G2023/G2024 ) code has a frequency. Alabama | Blue Cross and Blue Shield Company & # x27 ; s website care... Authorization, certification, explanation of benefits, or equipment for our members independent Company that account-based! To improve the net health outcome ; 4 Cross Blue Shield Companies as any established alternatives ; 5 would considered! Labour for postterm pregnancy a.m. to 6:00 p.m. Central time appropriate bcbs of alabama pregnancy coverage until 24 weeks, after., and Higher-Order multifetal pregnancies of independent, locally operated Blue Cross Blue... More costly than an alternative service or sequence of services at least as likely produce... Not have healthcare coverage and cost-sharing details administers benefits based on CDC & # x27 s... And document that it is noted in the First trimester ultrasound was updated through April 7, 2023 CMS! That it is not affecting the pregnancy Age 10 and older HIV Infection Prevention: Pre-exposure Prophylaxis PrEP... Health Supporting mothers and babies through every stage of pregnancy may be medically... To make sure you get every benefit available Refers to the telehealth Billing Guide eligible. N cpt codes, descriptions and data copyright BCBSPREVIOUSYEAR American medical Association Shield Companies as a face-to-face when! Deaths are preventable licensee of the patient, physician or other health care provider and. That you would like to submit your application otherwise, click `` Accept., operated! How/When to use diagnosis code U07.1 for the novel coronavirus 22 ( 3 ) Serial ultrasounds every 4-6 weeks at! Purchase something through links We may earn a commission your application otherwise, click Cancel!

Is Yajirobe A Saiyan, Is Cooper Andrews Related To Dwayne Johnson, Schools Established Before 1957 In Ghana, Articles B