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Maternity_2000x

Maternity

At ShareRight, we hold a special place in our hearts for babies, and our team is committed to standing by your side through every step of your journey.

Is my maternity eligible for sharing?

Maternity expenses become eligible for sharing after the mother has been a member for 12 months. Sharing is capped at $150,000 for each pregnancy event, encompassing antepartum care, delivery costs, complications for the mother and/or child(ren), and postpartum care.

To qualify, delivery must be conducted by a licensed, certified, or registered medical doctor, doctor of osteopathy, or midwife in the state of delivery. 

If the mother hasn't been a member for 12 months before delivery, maternity bills won't be shared for:

  • Medical bills before the baby's membership starts.
  • Ongoing maternity medical conditions for the mother or child.
 
The newborn can be a member from birth if a request to add them to the membership is made within 30 days of the date of birth.

What happens if my maternity expenses aren't eligible for sharing?

If either mom or dad are members of ShareRight, your newborn can be part of your ShareRight household right from birth. Simply complete and return the Application to Add a Family Member(s) within 30 days of birth. Adding your child to your membership requires no application fee.

Important: Adding your newborn to your membership does not require providing their social security number.

You may be eligible for assistance through an alternative program. Our Patient Advocates are available to assist you. If you qualify, the alternative program may cover the costs of your current pregnancy.

If you haven't been a member since conception, expenses related to your current pregnancy won't be eligible for sharing. However, your provider may offer discounts at their discretion. This includes medical bills for maternity or delivery related to the birth (mother or child). Remember, bills related to complications the baby experiences after delivery will be eligible for sharing if you add your baby to the membership within 30 days of birth.

Miscarriage - In the unfortunate event of a miscarriage, treatment may be eligible for sharing even if the maternity was ineligible.

Finding a Provider

ShareRight does not operate using a provider network. You have the freedom to retain your current provider or visit any provider you prefer.

Present your ShareRight member card.

Simply Ask the Provider to bill ShareRight using the details provided on the back of your member card. All the necessary information for their billing specialist is available on the card. Additionally, our phone number is included on the card for any inquiries they may have. If they inquire about ShareRight's participating network, you can inform them that you have the freedom to see any provider of your choice.




Midwives – Midwives and home births may be eligible for sharing with ShareRight. We recommend scheduling a call with our team for additional information. A midwife must hold a license, certification, or registration in the state of delivery for sharing to be considered. ShareRight requires verification of these credentials and documentation confirming the midwife's state license, certification, or registration. Failure to provide this documentation will result in the bills being ineligible for sharing.
 
Birthing Centers – These facilities are available as an option and follow the same process as other healthcare facilities.
 

Pre-Eligibility

Providers are required to apply for pre-eligibility for maternity to be considered for sharing. 

3-5 business day notice required, expedited review on a case-by-case basis. Medical records are required to determine pre-eligibility and failure to provide requested records for review will result in the bill being ineligible for sharing.

Providers can apply for pre-eligibility online or by calling (855) 610-2805. 

More Questions?

 We're here to help! 
 
855-610-2805