Maternity services include all medical care related to pregnancy and childbirth. You do not need a referral to receive maternity care from obstetricians, gynecologists, or nurse midwives. Your out-of-pocket costs will vary depending on your plan. Review your Benefit Description for more details.
Resources for New Parents
Reimbursement for up to $90 for one childbirth class for a covered expectant mother and up to $45 for each refresher childbirth class. Learn more
Adding a Dependent Child
If you are having a baby or adopting a child, be sure to add them to your health plan within 30-days of the date of birth or adoption/placement.
Contact the Harvard Benefits Office at 617-496-4001 to learn more about adding a dependent child to your plan coverage.
Selecting a Pediatrician
Select a pediatrician in the Harvard University Group Health Plan network and contact Member Services with the name of the provider.
POS, POS Plus, and HDHP members can select a pediatrician that is not in the Harvard University Group Health Plan network—please note that your out-of-pocket costs will be higher. Learn more
Lactation counseling is covered at $0 cost share when performed by a doctor, nurse practitioner or an IBLCE (International Board of Lactation Consultant Examiners) licensed lactation counselor.
- At this time, there is no network of participating licensed lactation counselors. Most members will be asked to pay out-of-pocket and file for reimbursement for services. If you pay out-of-pocket, you need to submit a subscriber claim form and receipt to be reimbursed. Note: some providers in Massachusetts have agreed to submit claims on behalf of our members. Learn more.
Visit the Blue Cross Blue Shield website for more details on breastfeeding.
Breast pumps are covered under the durable medical equipment benefit.
- Rental or purchase of one manual or one electric breast pump. The pump must be purchased from a durable medical equipment supplier in our network.
- One pump per birth including multiple births (for example we will cover the purchase of one pump for a member who had twins).
Hospital grade electric pumps are not covered. Replacement parts for a breast pump or other nursing supplies such as nursing bras are also not covered.
You can order a breast pump from a Blue Cross Blue Shield of Massachusetts medical supplier by visiting the Blue Cross Blue Shield of Massachusetts website - select "DME - Breast Pump" as the specialty to search, or directly from one of the following manufacturers:
To order a breast pump, you will need a prescription with the following information:
- The due date or birth date of your baby
- The diagnosis code
- Your clinician's NPI#, name, address, and telephone number—this information would typically be listed on any prescription