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Services for Healthy Pregnancies

This information is designed to help you and your doctor determine what prenatal and postpartum services are right for you. It is important to note that these services are intended for individuals who have no current disease symptoms or other specific risk factors. Depending on your individual lifestyle and family history, you may need some tests more frequently than others. For this reason, it is important to discuss these services with your physician.

Per the Affordable Care Act (ACA), Medica covers preventive prenatal care with an in-network provider 100% (no member cost share). Not all services listed below are considered preventive and may result in cost sharing to you. It is recommended that you call Member Services at the number on the back of your Medica identification (ID) card if you have questions about your plan coverage.

[Bracketed] items in the table below refer only to high-risk groups and will not be standard for all women.

Prenatal and Postpartum Services

Event	Screenings	Counseling, Education, Intervention	Immunizations, Supplements, Medications
Preconception visit	Risk profiles Height and weight/BMI Blood pressure History and physical Cervical cancer screening Rubella/rubeola Varicella Domestic violence Depression	Preterm labor education and prevention Substance use Nutrition and weight Domestic violence List of medications, herbal supplements, vitamins Accurate recording of menstrual dates	Tetanus booster Rubella / MMR [Varicella / VZIG] Hepatitis B vaccine Folic acid supplement
Visit 1 6-8 weeks	Risk profiles GC/Chlamydia Height and weight/BMI Blood pressure History and physical Rubella Varicella Domestic violence Depression CBC ABO/Rh/Ab Syphilis Urine culture HIV [Blood lead screening 21] [VBAC 22] Viral hepatitis	Preterm labor education and prevention Prenatal and lifestyle education: Physical activity Nutrition Follow-up of modifiable risk factors Nausea and vomiting Warning signs Course of care Physiology of pregnancy Discuss fetal aneuploidy screening	Tetanus booster Nutritional supplements Influenza [Varicella/VZIG 9] Pertussis
Visit 2 10-12 weeks	Weight Blood pressure Fetal aneuploidy screening Fetal heart tones	Preterm labor education and prevention Prenatal and lifestyle education: Fetal growth Review labs from visit 1 Breastfeeding Nausea and vomiting Physiology of pregnancy Follow-up of modifiable risk factors
Visit 3 16-18 weeks	Weight Blood pressure Depression Fetal aneuploidy screening Fetal heart tones OB Ultrasound (optional) Fundal height Cervical assessment	Preterm labor education and prevention Prenatal and lifestyle education: Follow-up of modifiable risk factors Physiology of pregnancy Second-trimester growth Quickening	[Progesterone]
Visit 4 22 weeks	Weight Blood pressure Fetal heart tones Fundal height Cervical assessment	Preterm labor education and prevention Prenatal and lifestyle education: Follow-up of modifiable risk factors Classes Family issues Length of stay Gestational diabetes mellitus (GDM)	[RhoGAM]
Visit 5 28 weeks	Preterm labor risk Weight Blood pressure Depression Fetal heart tones Fundal height Gestational diabetes mellitus (GDM) Domestic abuse [Rh antibody status] [Hepatitis B Ag] [GC/Chlamydia]	Psychosocial risk factors Preterm labor education and prevention Prenatal and lifestyle education: Follow-up modifiable risk factors Work Physiology of pregnancy Preregistration Fetal growth Awareness of fetal movement	[ABO/Rh/Ab 17] [Hepatitis B Ag] [RhoGAM 17]
Visit 6 32 weeks	Weight Blood pressure Fetal heart tones Fundal height	Preterm labor education and prevention Prenatal and lifestyle education: Follow-up of modifiable risk factors Travel Contraception Sexuality Pediatric care Episiotomy Labor & delivery issues Warning signs/pregnancy induced Hypertension [VBAC 22]
Visit 7 36 weeks	Weight Blood pressure Fetal heart tones Fundal height Cervix exam Confirm fetal position Culture for group B streptococcus	Prenatal and lifestyle education: Follow-up of modifiable risk factors Postpartum care Management of late pregnancy symptoms Contraception When to call provider Discussion of postpartum depression
Visit 8-11 38-41 weeks	Weight Blood pressure Fetal heart tones Fundal height Cervix exam as indicated	Prenatal and lifestyle education: Follow-up of modifiable risk factors Postpartum vaccinations Infant CPR Post-term management Labor and delivery update Breastfeeding
Postpartum visit 4-6 weeks	Cervical cancer screening [GC/Chlamydia] Height and weight/BMI Blood Pressure History and physical Domestic violence Depression Gestational diabetes mellitus (GDM)	Contraception Discussion of postpartum depression Breastfeeding concerns and support	Tetanus/pertussis