1. 1575 POINTS
    Christopher LawrencePRO
    Insurance Broker | Financial Consultant, Lawrence Insurance Consulting, Southern New Jersey
    If a group health plan, health insurance company, or health maintenance organization (HMO) provides maternity benefits, it may not restrict benefits for a hospital stay in connection with childbirth to less than 48 hours following a vaginal delivery or 96 hours following a delivery by cesarean section. You cannot be required to obtain preauthorization from your plan in order for your 48-hour or 96-hour stay to be covered. (However, certain requirements that you give notice to the plan of the pregnancy or the childbirth may apply.)The law allows you and your baby to be released earlier than these time periods only if the attending provider decides, after consulting with you, that you or your baby can be discharged earlier. In any case, the attending provider cannot receive incentives or disincentives to discharge you or your child earlier than 48 hours (or 96 hours).If your state has a law that provides similar hospital stay protections and your plan offers coverage through an insurance policy or HMO, then you may be protected under state law rather than under the Newborns’ and Mothers’ Health Protection Act.
    Health insurance policies will generally cover a new born as long as you enroll your newborn within 30 days of birth. Coverage should be effective as of your baby’s birth date, just remember, you should enroll your baby within 30 days of the date of birth. Contact your health plan or your spouse’s health plan as soon as possible to find out how to enroll your new baby in group health plan coverage.
     
     
    Answered on November 6, 2013
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