                                 CODE OF VIRGINIA

OBSTETRICAL BENEFITS; COVERAGE FOR POSTPARTUM SERVICES (§ 38.2-3414.1)

A. Each insurer proposing to issue an individual or group hospital policy or
major medical policy in this Commonwealth, each corporation proposing to issue
an individual or group hospital, medical or major medical subscription contract,
and each health maintenance organization providing a health care plan for health
care services that provides benefits for obstetrical services shall provide
coverage for postpartum services as provided in this section.

B. Such coverage shall include benefits for inpatient care and a home visit or
visits which shall be in accordance with the medical criteria, outlined in the
most current version of or an official update to the &#8220;Guidelines for
Perinatal Care&#8221; prepared by the American Academy of Pediatrics and the
American College of Obstetricians and Gynecologists or the &#8220;Standards for
Obstetric-Gynecologic Services&#8221; prepared by the American College of
Obstetricians and Gynecologists. Such coverage shall be provided incorporating
any changes in such Guidelines or Standards within six months of the publication
of such Guidelines or Standards or any official amendment thereto.

C. The requirements of this section shall apply to all insurance policies,
contracts and plans delivered, issued for delivery, reissued, or extended on and
after July 1, 1996, or at any time thereafter when any term of the policy,
contract or plan is changed or any premium adjustment is made.

D. This section shall not apply to short-term travel, accident only, or limited
or specified disease policies or contracts, nor to policies or contracts
designed for issuance to persons eligible for coverage under Title XVIII of the
Social Security Act, known as Medicare, or any other similar coverage under
state or federal governmental plans.

HISTORY: 1996, cc. 155, 201; 2014, c. 814.