The plan covers up to 12 visits per lifetime for nutrition counseling and therapy services. Similar services may be covered under other benefits that are not subject to the 12-visit limit, including, but not limited to, the “Diabetes Control Program,” “Diabetes education,” and the “Diabetes Prevention Program.” Obstetric and newborn care Pregnancy program As an expectant parent, the program helps you manage your health throughout pregnancy and offers access to a nurse line, pregnancy support, and education 24 hours a day, 7 days a week. It also includes a smartphone application to help you track milestones, identify symptoms, access education, and get one- click access to the nurse line. To enroll in the program, call 1-888-569-2229 (TRS: 711) or sign in to your Regence account (see Directory for link). This program is covered at no cost to you. Services for obstetric and newborn care See the “Covered and noncovered provider types” section for providers whose services are covered by the plan. Covered professional services include: • Amniocentesis and related genetic counseling and testing during pregnancy. • Care of complications associated with pregnancy, including pregnancies resulting from fertility or infertility treatment. • Prenatal and postnatal care. • Prenatal testing (as stated in Washington Administrative Code [WAC] 246-680-020). • Vaginal or cesarean delivery. • Placement of IUD including immediately after delivery. Note: Early elective deliveries may not be covered. See “Deliveries before 39 weeks gestation” below. For inpatient hospital charges related to a childbirth, you: • Meet your deductible. • Pay the coinsurance for professional services while hospitalized. • Meet your deductible for the newborn. However, if only covered preventive care services (see page 65) are billed for the newborn, you will not meet your newborn’s deductible or pay the coinsurance when you see a preferred provider. Circumcision of the penis is covered as a medical benefit (subject to your deductible and coinsurance). Because this is not a preventive service, your out-of-pocket cost may include your newborn’s deductible and coinsurance for professional provider services. Note: The Newborns’ and Mother’s Health Protection Act (NMHPA) requires a hospital length of stay in connection with childbirth for a mother or her newborn and may not restrict benefits for the stay to less than 48 hours following a vaginal delivery or 96 hours following a delivery by cesarean section. A newborn dependent of a covered gestational parent is covered by the plan from birth to at least 21 days following birth. Even if the newborn is later enrolled in different coverage, the newborn will still be covered under the gestational parent’s plan coverage for the first 21 days. Visit the HCA website at hca.wa.gov/erb for what you need to do for continued coverage. If your obstetric care began while covered under another health plan, and your providers are not part of the UMP network, contact UMP Customer Service to discuss your options. 2024 UMP CDHP (PEBB) Certificate of Coverage 63