A–Z Glossary

Prior authorization

Prior authorization is approval from an insurance plan that may be required before certain medical services, medications, or specialist visits are covered.

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Insurance coverage and out-of-pocket costs

Insurance coverage and out-of-pocket costs

Why birth coverage can feel confusing Birth is a medical event, a hospital or birth center encounter, and the beginning of a newborn’s own medical record. That combination makes billing more complex than many routine health visits. A single labor admission may include professional fees from an obstetrician or midwife, a facility charge, medications, fetal […]

How baby coverage works US

How baby coverage works US

What baby coverage means in the US Baby coverage refers to the health insurance or public coverage that pays, in whole or in part, for a child’s medical services from birth onward. It is not a single national benefit. Families may use an employer-sponsored group plan, an individual plan purchased through the Health Insurance Marketplace, […]

Medicaid for babies explained

Medicaid for babies explained

What Medicaid means for a baby Medicaid is a joint federal and state health coverage program for eligible people with limited income and, in some circumstances, specific medical or family characteristics. CHIP, the Children’s Health Insurance Program, covers certain children whose families earn too much to qualify for Medicaid but may still have difficulty affording […]