Welcome Growing Families
MPB Health offers maternity sharing for eligible members who meet program guidelines. Below is a summary of how maternity sharing works, including eligibility, costs, and services.
Maternity Sharing Overview
Maternity sharing may include eligible medical expenses related to:
Prenatal care
Labor and delivery
Postnatal care
Licensed midwifery services are generally eligible, up to $7,000
Sharing is available for eligible members who meet all program requirements.
Eligibility Requirements
To qualify for maternity sharing:
Conception must occur after six (6) consecutive months of continuous membership
Conception dates must be confirmed by medical records
Members must notify MPB Health promptly after the pregnancy is confirmed
Pregnancies with an expected delivery date prior to this waiting period are not eligible for sharing.
Initial Unshareable Amount (IUA)
Maternity sharing has a structured IUA based on your household membership:
Household IUA $1,250 → Maternity IUA $2,500
Household IUA $2,500 → Maternity IUA $2,500
Household IUA $5,000 → Maternity IUA $5,000
Once your maternity IUA is met, eligible maternity expenses may be shared according to program guidelines.
What is Eligible for Sharing:
Prenatal Care
Routine OB-GYN visits
Up to three standard ultrasounds (more only with complications)
STD/STI screenings ordered by a licensed provider
Fetal non-stress testing (after 36 weeks)
CDC-approved immunizations when ordered appropriately:
RSV (third trimester, Sept–Jan)
Tdap (27–36 weeks)
Delivery
Hospital, birthing center, or home birth delivery
Hospital room and board
Vaginal delivery and C-section delivery
Anesthesia services
One in-hospital pediatrician visit prior to discharge (if newborn is added within 30 days)
Postnatal Care
Notify us within 30 days of birth to add your newborn to your membership.
Mother’s 6-week postpartum visit (including pap test)
2-week cesarean post-op visit
Special Circumstances
Premature birth: Non-routine newborn care requires a separate sharing request
IVF & fertility treatments: Not eligible for sharing
Gestational diabetes: Considered a pregnancy complication; medications may be shareable under prescription guidelines
Nutritionists, testing supplies, and glucometers are not eligible
Planning Ahead
Enroll early if you are planning to conceive
Notify MPB Health as soon as pregnancy is confirmed
Keep copies of all medical records and bills
Review the full Member Guidelines for detailed information
Need Help or Have Questions?
Our team is here to help you understand your maternity sharing benefits and eligibility.
📞 Concierge: 1-800-519-2969
📧 Email: concierge@mympb.com
🌐 Member Portal: https://app.mpb.health/