Navigating Medicaid And Insurance: Your Pregnancy Coverage Guide

Pregnant women may be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Eligibility for these programs depends on your household size, income, and citizenship or immigration status. All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid does not pay monetary benefits directly to covered participants. Certain health care providers and health care facilities have a contract with Medicaid to treat those who are covered by Medicaid insurance.

Eligibility: Income, household size, citizenship and state rules determine Medicaid eligibility

Pregnant women may be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Medicaid and CHIP provide free or low-cost health coverage to millions of Americans, including low-income people, families and children, and pregnant women. Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state.

All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities. The general guidelines for eligibility for Medicaid are set by the Federal government; however, each state sets up their own specific requirements for eligibility and these can differ from state to state. All States are required to include certain individuals or groups of people in their Medicaid plan.

In the “categorically needy” group, this will cover pregnant women whose income level is at or below 133% of the Federal Poverty level. If you report your pregnancy, you may be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). If you're found eligible for Medicaid or CHIP, your information will be sent to the state agency, and you won't be given the option to keep your Marketplace plan.

If you’re eligible for Medicaid because of your pregnancy, you’ll have access to any prenatal and postpartum care you need. This can include medical care and supportive services like parenting classes or working with a doula. Your coverage will continue for one year after giving birth. After your child is born, coverage begins on the date of birth, and they’ll have access to any medical care, screenings, and additional support that’s needed. Your coverage will still continue for one year to help make sure you get the care and support you need. It depends on your income, but you’ll have the opportunity to complete a renewal to see if you and/or your child still qualify.

Certain health care providers and health care facilities have a contract with Medicaid to treat those who are covered by Medicaid insurance. When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered.

Coverage: Prenatal and postpartum care are covered by Medicaid

Pregnant women can get free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities.

Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state. You can apply for Medicaid or CHIP any time during the year, not just during the annual Open Enrollment Period.

If you are eligible for Medicaid because of your pregnancy, you'll have access to any prenatal and postpartum care you need. This can include medical care and supportive services like parenting classes or working with a doula. Your coverage will continue for one year after giving birth. After your child is born, coverage begins on the date of birth and they'll have access to any medical care, screenings, and additional support that’s needed. Your coverage will still continue for one year to help make sure you get the care and support you need. It depends on your income, but you'll have the opportunity to complete a renewal to see if you and/or your child still qualify.

Medicaid does not pay monetary benefits directly to covered participants. Certain health care providers and health care facilities have a contract with Medicaid to treat those who are covered by Medicaid insurance. When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered.

If you make too much for Medicaid, you may be able to purchase insurance through PA’s health insurance marketplace, Pennie.

Renewal: Renewal is possible to check eligibility

Pregnant women can report their pregnancy to be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state. You can apply for Medicaid or CHIP any time during the year, not just during the annual Open Enrollment Period.

If you are eligible for Medicaid due to your pregnancy, you will have access to any prenatal and postpartum care you need. This can include medical care and supportive services like parenting classes or working with a doula. Your coverage will continue for one year after giving birth. After your child is born, coverage begins on the date of birth, and they will have access to any medical care, screenings, and additional support that’s needed. Your coverage will still continue for one year to help make sure you get the care and support you need.

All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities. The general guidelines for eligibility for Medicaid are set by the Federal government; however, each state sets up their own specific requirements for eligibility and these can differ from state to state. All States are required to include certain individuals or groups of people in their Medicaid plan.

In the “categorically needy” group, this will cover pregnant women whose income level is at or below 133% of the Federal Poverty level. If you make too much for Medicaid, you may be able to purchase insurance through PA’s health insurance marketplace, Pennie.

When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered.

Marketplace: If you make too much for Medicaid, you can purchase insurance through Pennie

If you make too much to qualify for Medicaid, you may be able to purchase insurance through Pennie, PA’s health insurance marketplace.

All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities. The general guidelines for eligibility for Medicaid are set by the Federal government; however, each state sets up their own specific requirements for eligibility and these can differ from state to state. All States are required to include certain individuals or groups of people in their Medicaid plan. In the “categorically needy” group, this will cover pregnant women whose income level is at or below 133% of the Federal Poverty level.

If you report your pregnancy, you may be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). If you're found eligible for Medicaid or CHIP, your information will be sent to the state agency, and you won't be given the option to keep your Marketplace plan. Medicaid and CHIP provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, and pregnant women. Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state. You can apply for Medicaid or CHIP any time during the year, not just during the annual Open Enrollment Period.

If you’re eligible for Medicaid because of your pregnancy, you’ll have access to any prenatal and postpartum care you need. This can include medical care and supportive services like parenting classes or working with a doula. Your coverage will continue for one year after giving birth. After your child is born, coverage begins on the date of birth, and they’ll have access to any medical care, screenings, and additional support that’s needed. Your coverage will still continue for one year to help make sure you get the care and support you need. It depends on your income, but you’ll have the opportunity to complete a renewal to see if you and/or your child still qualify.

When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered.

Benefits: Healthcare costs are covered by Medicaid

Pregnant women can be eligible for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP). All states offer Medicaid or a program similar to Medicaid to help pregnant women receive adequate prenatal and postpartum care. Medicaid also offers health insurance to seniors, children, and people with disabilities.

Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state. All States are required to include certain individuals or groups of people in their Medicaid plan. In the “categorically needy” group, this will cover pregnant women whose income level is at or below 133% of the Federal Poverty level.

If you’re eligible for Medicaid because of your pregnancy, you’ll have access to any prenatal and postpartum care you need. This can include medical care and supportive services like parenting classes or working with a doula. Your coverage will continue for one year after giving birth. After your child is born, coverage begins on the date of birth and they’ll have access to any medical care, screenings, and additional support that’s needed. Your coverage will still continue for one year to help make sure you get the care and support you need.

Certain health care providers and health care facilities have a contract with Medicaid to treat those who are covered by Medicaid insurance. When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered.

Frequently asked questions