Maternity program
Our HDHP, Standard and High plans offer resources and rewards for your growing family.
If you have special concerns or questions about utilization of your maternity benefits, a GEHA maternity nurse is available to assist you. Call 800.821.6136 and ask for the Care Management Department to reach a Maternity Nurse Consultant. Access additional maternity resources
Breast pump benefits
How to order your breast pump
Your breast pump benefit covers one dual suction, double-channel electric breast pump at 100% with a physician's prescription, every 12 months when purchased from an in-network provider (such as your OB-GYN). A new prescription is required when requesting a new or replacement pump. Additional pumps may be obtained at your expense. Limit to one pump every 12 months.
When to order your pump
Members can order a pump as early as 30 days prior to their due date or once baby is born if they deliver prematurely.
Where to get your pump
You may obtain the breast pump and supplies from a contracted (in-network) provider (such as your OB-GYN). Not all providers are contracted to supply breast pumps (or associated supplies), so confirm with your provider if they are contracted with your medical network to supply pumps. A list of nationwide breast pump providers is included below — these providers can ship on a nationwide basis. Providers may have different brands or models in stock, which are subject to change.
If you choose to use a non-contracted (out-of-network) provider, you will be responsible for all costs as outlined in the plan brochure. You will not be reimbursed for a pump or supplies purchased at a retail store.
Nationwide breast pump providers
| Home network | Contracted breast pump provider |
|---|---|
| UnitedHealthcare Choice Plus UnitedHealthcare Select Plus |
AdaptHealth Patient Care Solutions 844.727.6667
Aeroflow Breastpumps 844.867.9890 Byram Healthcare 877.902.9726 Edgepark Medical Supplies 800.321.0591 Pumping Essentials 866.688.4203 |
Childbirth class benefits
New for 2024: Members receive up to a $150 allowance (but not greater than the cost of the class; deductible applies for HDHP members) for childbirth classes, both in-network or out-of-network, as long as they are offered through a covered provider or facility.
FAQs
Q: Where can I find an explanation of maternity benefits?
A: Your GEHA plan brochure is your best source of information. Generally speaking, if you use in-network providers and have a pregnancy without complications, you will be covered at 100% (Calendar year deductible applies for HDHP members.). There may be circumstances in which this does not apply. Please call GEHA Customer Care at 800.821.6136 for clarification if needed.
Q: How do I know if my doctor, hospital and lab are in-network?
A:You can check online or call 800.821.6136 to ask a GEHA Customer Care representative.
Q: How much time do I have to add my baby to my GEHA policy?
A: You have up to 60 days to add your baby to your plan. You should contact our Enrollment Department at 800.821.6136 for details.
Q: Is my baby covered under my maternity benefits while they are in the hospital?
A: The baby will be covered for normal nursery charges only. If your baby requires special or non-routine care, they will be considered under the general
medical benefits as a separate person on your policy. This includes circumcision. Please see your GEHA plan brochure if you need clarification.
Helpful websites
- March of Dimes – marchofdimes.org
- National Breastfeeding Helpline – womenshealth.gov/Breastfeeding
- Postpartum Support International – postpartum.net
- American Congress of Obstetricians and Gynecologists – acog.org
- National Maternal Mental Health Hotline
This is a brief description of the features of Government Employees Health Association, Inc.'s medical plans. Please read the GEHA Federal brochures. All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.