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Are prenatal visits considered preventive care bcbs
Are prenatal visits considered preventive care bcbs




are prenatal visits considered preventive care bcbs

This does not apply to health plans sponsored by certain exempt “religious employers.” Learn more about contraceptive coverage. Birth control: Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling, as prescribed by a health care provider for women with reproductive capacity (not including abortifacient drugs).Breastfeeding support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women.Services for pregnant women or women who may become pregnant

#Are prenatal visits considered preventive care bcbs free

These services are free only when delivered by a doctor or other provider in your plan’s network.

  • Change/update plans for the rest of the year.
  • Coverage options for the rest of the year.
  • Check if you qualify for a Special Enrollment Period.
  • Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their member guide or contract for more details, including benefits, limitations and exclusions. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Document the pelvic exam and evaluation of weight, blood pressure, breasts and abdomen.
  • When documenting a postpartum visit, notate postpartum care, check or six-week check.
  • Telehealth visits can be considered in meeting this requirement.
  • When documenting a prenatal visit, include diagnosis of pregnancy, last menstrual period or estimated date of delivery, prenatal risk assessment, complete obstetrical history, fetal heart tone and screening tests.
  • Data for this measure is collected from claims and chart review, with services being performed by an OB/GYN, midwife, family practitioner or other PCP:.
  • It should be scheduled during the Cesarean section post-op visit. A postpartum visit must take place on or between seven and 84 days after delivery.
  • Be aware that post-operative visits after a Cesarean section within a couple of days of discharge or during an inpatient stay don’t count as a postpartum visit.
  • Schedule initial prenatal visits in the first 12 weeks of pregnancy with an OB/GYN, primary care physician (PCP) or other prenatal practitioner.
  • Discuss with members that it’s important to attend all visits.
  • Postpartum care, or the percentage of deliveries in which women had a postpartum visit on or between seven and 84 days after delivery.
  • Timeliness of prenatal care, or the percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment with Blue Cross and Blue Shield of Montana.
  • are prenatal visits considered preventive care bcbs

    8 of the year before the measurement year and Oct. PPC measures the percentage of live-birth deliveries on or between Oct. We track data from quality measures to help assess and improve our members’ care. Prenatal and Postpartum Care (PPC) is a quality measure developed by the National Committee for Quality Assurance (NCQA) that tracks appropriate screenings.

    are prenatal visits considered preventive care bcbs

    Resources that may help include our Preventive Care Guidelines and Perinatal Wellness Guidelines. We encourage you to discuss timely care with our members during and after pregnancy. For pregnant and postpartum women, care visits can set the stage for their and their infants’ long-term well-being, according to the American College of Obstetricians and Gynecologists.






    Are prenatal visits considered preventive care bcbs