If you’re expecting a baby in 2025, finding the best health insurance for pregnancy in California is essential. From prenatal care to labor and delivery, the right plan ensures you get quality medical care without overwhelming costs. But with so many options under Covered California, how do you know which plan is best?
This guide will walk you through the top health insurance options for pregnant women, what’s covered, and how to enroll at the right time.
Why Health Insurance Is Important During Pregnancy
Pregnancy care can be expensive without proper coverage. Routine doctor visits, ultrasounds, lab tests, and hospital stays can quickly add up. That’s why having a Covered California health plan designed for maternity care is crucial.
- Covers essential maternity services (prenatal, labor, delivery, postpartum)
- Protects against high medical bills
- Ensures newborn care is included
- Provides access to top hospitals and doctors
What Does the Best Health Insurance for Pregnancy Cover?
Under the Affordable Care Act (ACA), all Covered California plans include maternity benefits. Here’s what’s typically covered:
1. Prenatal Care
- Routine check-ups and screenings
- Blood tests and genetic screenings
- Ultrasounds to monitor baby’s development
- Prenatal vitamins and nutritional counseling
2. Labor and Delivery
- Vaginal and C-section delivery coverage
- Hospital stays and medical supplies
- Epidural and anesthesia costs
3. Postpartum and Newborn Care
- Follow-up care for mothers after birth
- Pediatric check-ups, immunizations, and newborn screenings
- Breastfeeding support and lactation counseling
4. High-Risk Pregnancy and Complications
- Specialized care for high-risk pregnancies
- Coverage for complications such as gestational diabetes or preeclampsia
- NICU (Neonatal Intensive Care Unit) services if needed
Can You Switch Health Insurance Plans While Pregnant?
If you’re already pregnant and need to change your health plan, you may have options:
- Open Enrollment (Nov 1, 2024 – Jan 31, 2025) – Choose or switch plans for the upcoming year.
- Special Enrollment Period (SEP) – You can change plans if you experience a qualifying life event (such as childbirth).
- Medi-Cal for Pregnant Women – If you qualify for Medi-Cal, you can switch to a no-cost plan anytime during pregnancy.
How to Find the Best Covered California Plan for Pregnancy
- Check if your OB-GYN and hospital are in-network – This ensures you can continue care with your current provider.
- Compare plan types (Bronze, Silver, Gold, Platinum) – Silver plans usually offer the best maternity coverage.
- See if you qualify for financial assistance – Many pregnant women qualify for premium subsidies or Medi-Cal.
- Work with a certified Covered California broker – At Skyline Benefit our licensed agent can help you find the right plan quickly.
Need Help Finding the Best Pregnancy Health Insurance in California?
Skyline Benefit is an independent health insurance broker in California offering affordable and flexible health insurance options for pregnant women. Selecting the best health insurance plans can be overwhelming; our mission is to simplify the process and help our clients every step of the way.
Schedule a consultation today. Call us now at (714) 888-5112