NC Health<em>Smart</em>

Maternity Resources for Your Pregnancy

Welcome to the State Health Plan's maternity resources page. Having a baby is an exciting time for you and your loved ones. It can also be a time filled with questions and concerns. Your doctor should always be the first source of guidance for you during pregnancy. However, the Plan is here to support expectant moms with a variety of resources especially for you.

Maternity Coaching

Maternity coaching is available to eligible members* who are expecting a baby. You can work with a maternity coach over the phone, with the main goal being to help you and your baby be as healthy as possible. Call toll-free 800-817-7044 to learn more. Coaching is available:

  • Monday-Friday, 8:30 a.m.-11 p.m.
  • Saturday, 9 a.m.-2 p.m.

Preparing for a new baby is one of the most joyous times of your life. But it can also be a little stressful for mothers experiencing some of the following:

  • Chronic medical conditions such as diabetes or asthma
  • A previous complicated pregnancy or delivery
  • An age of 35 or older
  • More than one baby in the pregnancy
  • Pregnancy-related conditions such as high blood pressure

The good news is that your maternity coach is on hand to help answer your questions and recommend ways to achieve healthy outcomes.

Stork Rewards LogoStork Rewards

The Stork Rewards program is designed to help all newly pregnant subscribers or covered spouses (dependent children are not eligible) achieve a healthy, full-term delivery through the use of maternity coaches. To qualify, members must enroll during their first trimester. Qualifying participants will receive an inpatient copayment waiver for delivery in a certified medical facility or birthing center when they:

  • Call the NC HealthSmart toll-free number to complete an initial assessment with a maternity coach
  • Continue to engage with a maternity coach during each trimester

Your Stork Rewards incentive will be different depending on your 2014 health plan:

  • Enhanced 80/20 Plan – You will not be responsible for the $233 hospital copay. In addition, if you deliver in a Blue Options Designated hospital you will also receive a check for $233 in the mail. To find a Blue Options Designated Hospital visit the State Health Plan website and click "Find Doctor."
  • Consumer-Directed Health Plan (CDHP) – You will have $250 added to your Health Reimbursement Account (HRA) after delivery. In addition, if you deliver in a Blue Options Designated hospital we will add $50 to your health reimbursement account.
  • Traditional 70/30 Plan – You will not be responsible for the $291 hospital copay.

As a participant you will receive personalized information, including a book to guide you through pregnancy and newborn care. You will also have access to numerous maternity resources available on your free Personal Health Portal. Get the support — and savings — you deserve. Call an NC HealthSmart maternity coach at 800-817-7044 and get enrolled today! Still have questions? Please see the Stork Rewards Frequently Asked Questions for further information.

Free Tobacco Cessation Support

QuitlineNC offers free tobacco cessation support for members trying to quit tobacco for good. Members who are pregnant receive greater support to assist them with quitting. QuitlineNC's Pregnancy Program provides members with 10 free sessions with a Quit Coach® over the phone, including at least two calls after delivery. Coaches are available 24 hours/7 days a week. Speak with a Quit Coach® today at 800-QUIT-NOW (800-784-8669).

Maternity Leave Checklist

With pregnancy comes a lot of questions! We have a Maternity Leave & Benefit Checklist designed just for you to help you throughout your pregnancy. With the help of this checklist, we hope the transition into your maternity leave will leave you feeling confident about your benefits and resources, and ready to enjoy your new family!

Adding Newborns to Your Health Coverage

Please remember that you do have a choice of coverage effective dates for your newborn. Members have the option to add a newborn to the State Health Plan on the first day of the month in which the child is born or on the first day of the month following the date of birth.

For a newborn to be covered from the date of birth, the coverage effective date must be the first of the month in which the child is born.

If a member chooses to cover a newborn the first of the month following delivery, that member will be responsible for any claims incurred in the birth month by the newborn.

It is important to remember, when members add a newborn the first day of the month in which the child is born and when they have employee-only or employee-spouse coverage, their coverage type will change to employee-child or employee-family. The member will have to pay the additional premium for the month in which the child is born. Because most employees wait to add their newborn until after the baby is born, it usually results in premiums for two months being deducted from one paycheck. Please see the Family Planning section in the Benefits Booklet, or your health benefits representative, to get further information on newborn health care coverage.

Please remember: While there is an initial copay charge for the pregnancy diagnosis (the first visit), visits thereafter are covered at no charge. The remaining maternity visit charges are covered by one global fee subject to inpatient copay, deductible and coinsurance upon hospital admission/delivery.

Personal Health Portal

As a State Health Plan member, you have 24-hour online access to your NC HealthSmart Personal Health Portal. Once you have registered, you can take a Health Assessment and get a Personal Health Report, explore numerous maternity resources.

*Members eligible for NC HealthSmart services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.