Maternity program
Our HDHP, Standard and High plans offer resources and support for your growing family.
G.E.H.A is here to help expecting parents along their pregnancy journey. The maternity program provides:
- A helpful source you can trust.
- Support between prenatal care visits.
- A pregnancy guide book and other educational materials.
All at no additional cost to you as part of your health benefits.
Customer Care is your primary contact for claims and benefit questions. To speak with a Maternity nurse case manager or contact Customer Care, call 1-800-821-6136. You may also email us at maternitynurse@geha.com.
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 |
Maternal health benefits
G.E.H.A's maternal health coverage ensures quality care to support safe births and appropriate support before, during and after delivery.
Doula coverage
New for 2025: G.E.H.A will cover doula maternal support throughout pregnancy, labor/delivery and post-partum up to $1,000 per pregnancy (but not greater than the cost of doula support; deductible applies for HDHP members). Doulas must be certified to provide doula services to meet the Plan requirements of a covered provider as outlined in the plan brochure. Members are responsible for all charges in excess of $1,000.
Maternal mental health benefit coverage
G.E.H.A will cover the first 5 visits per year, per pregnancy for office-based treatment of prenatal and postpartum depression with an in-network provider. Services include: diagnostic evaluation, medication evaluation and management, treatment and counseling. After the first 5 visits, benefits apply as outlined in the plan brochure.
Childbirth class benefits
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.
Let our benefits experts help you choose a G.E.H.A plan that can work for you.
By phone: Available 7 a.m.–7 p.m. CT
Live chat: Available 7 a.m.–6 p.m. CT
More ways to contact us
More ways to contact us
Health questions: 1-800-821-6136
Dental questions: 1-877-434-2336
FAQs
Q: Where can I find an explanation of maternity benefits?
A: Your G.E.H.A 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 G.E.H.A Customer Care at 1-800-821-6136 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 1-800-821-6136 to ask a G.E.H.A Customer Care representative.
Q: How much time do I have to add my baby to my G.E.H.A policy?
A: You have up to 60 days to add your baby to your plan. You should contact our Enrollment Department at 1-800-821-6136 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 G.E.H.A plan brochure if you need clarification.
Q: Is the Maternal RSV vaccine or RSV antibody for babies covered by G.E.H.A if it's recommended?
A: RSV vaccines are covered at $0 cost share for ages 0–24 months and 60 and older as well as members with a maternity diagnosis. For a complete list of covered immunizations, go to the Centers for Disease Control (CDC) vaccine schedules.
Helpful websites
- Office on Women's Health — womenshealth.gov/pregnancy
- American Congress of Obstetricians and Gynecologists — acog.org
- Hear Her Campaign — cdc.gov/hearher
- March of Dimes — marchofdimes.org
- USDA ChooseMyPlate daily food plans — myplate.gov
- Postpartum Support International — postpartum.net
Mental health resources
- National Maternal Mental Health Hotline
- Crisis Text Line — Text "TALK" or "HOME" to 741741
- Warmline directory — When you just need someone to talk to but are not in crisis, consider using a "warmline"
- 988 Suicide & Crisis Lifeline — 1-800-273-TALK (8255) OR dial 988 to connect to local emergency mental health services
- National Domestic Violence Hotline — 1-800-799-SAFE (7233) OR text "START" to 88788
- SAMHSA National Helpline — a valuable resource for those who may be struggling with substance abuse at 1-800-662-HELP
- National Alliance on Mental Illness — valuable mental health information and resources
- National Institute of Mental Health
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.