Naturopathic medicine is a natural approach to health and healing which emphasizes a holistic approach to the diagnosis, treatment and prevention of illness. Naturopathic physicians diagnose and treat patients by using natural modalities such as clinical nutrition, herbal medicine, and homeopathy. Covered Services include: Evaluation and management. Health condition related treatments. Physical therapy modalities such as hot and cold packs. To locate a Participating Provider, visit www.chpgroup.com. The CHP Group is a Participating Provider we contract with to provide naturopathic medicine Services. If you need assistance searching for a Participating Provider, or to verify the current participation status of a provider, or if you do not have access to the online directory, please contact Member Services. 23. Obstetrics, Maternity and Newborn Care This Plan covers obstetrics, maternity and newborn care Services, including Services for pregnancy and pregnancy complications. There is no pre-existing condition waiting period. Services must be determined by the Member’s PCP or women’s health care Participating Provider, in conjunction with the mother, to be Medically Necessary and appropriate based on accepted medical practice. Services covered include: Prenatal care visits and postpartum visits, Maternity hospital care for mother and baby, including Services for complications of pregnancy. Vaginal or cesarean childbirth delivery, in a hospital or a birth center, including facility fees. Home childbirth services when provided by a Participating Provider, including Medically Necessary supplies for a home birth, for low risk pregnancies. Newborn medical Services following birth and initial physical exam. Newborn PKU test. Medically Necessary donor human milk for inpatient use for infants who are medically or physically unable to receive maternal human milk or participate in breastfeeding or whose mother is medically or physically unable to produce maternal human milk. Medically Necessary maternity inpatient hospital Services for mother and baby are covered, including complication of pregnancy for obstetrical care. Routine newborn medical Services following birth and initial physical exam, newborn PKU test, and newborn nursery care will be covered during hospitalization of the mother receiving maternity benefits under this Plan, and will not be subject to a Cost Share. Certain maternity Services, such as screening for gestational diabetes and breastfeeding equipment, supplies, counseling, and support, are covered under the “Preventive Care Services” section. We will not limit the length of a maternity inpatient hospital stay for a mother and baby to less than 48 hours for vaginal delivery and 96 hours for a cesarean section delivery. The length of inpatient hospital stay is determined by the Member’s PCP or Participating Provider, in consultation with the mother. Our policy complies with the federal Newborns’ and Mothers’ Health Protection Act of 1996 (NMHPA). Use of birthing centers for delivery must be preauthorized as described in the “Prior and Concurrent Authorization and Utilization Review” section of this EOC. Medically Necessary Services furnished in connection with childbirth at your home are covered when provided by a Participating Provider, subject to the specialty care office visit Cost Share. EWCLGHDHP1983ACT0124 55 WAPEBB-CD-ACT
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