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4.4.1 Program Benefits
CHIP Perinatal benefits are provided by select CHIP health plans throughout the state. Benefits for the unborn child include:
• Up to 20 prenatal visits:
•First 28 weeks of pregnancy-one visit every four weeks.
•From 28 to 36 weeks of pregnancy-one visit every two to three weeks.
•From 36 weeks to delivery-one visit per week.
•Additional prenatal visits are allowed if they are medically necessary.
•Pharmacy services, limited laboratory testing, assessments, planning services, education, and counseling.
•Prescription drug coverage based on the current CHIP formulary.
•Hospital facility charges and professional services charges related to the delivery. Preterm labor that does not result in a birth and false labor are not covered benefits.
Program benefits after the child is born Include:
•Two postpartum visits for the mother.
•Traditional CHIP benefits for the newborn.
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