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Insurance & coverage

Free for patients. In-network with most plans.

Materna Health Solutions will never charge a patient. We accept AHCCCS, PA Medicaid, Medi-Cal, Texas Medicaid, and most commercial plans. We verify eligibility in under 90 seconds so you do not end up with a surprise bill.

A family in a warm moment together

Free

For patients, always

Provider tier and value-based-care arrangements pay for everything.

$0

Copay on Medicaid plans

Maternity coverage is comprehensive for AHCCCS, PA MA, Medi-Cal, Texas Medicaid.

23+

Plans accepted

And growing. Verification takes us under 90 seconds.

100%

Eligibility verification

We check coverage in real time so you do not get a surprise bill.

Plans we accept

If your card looks like one of these, you are in-network.

Don't see your plan? Most plans not listed are still covered. Send us a photo of your card and we will verify in 90 seconds.

Arizona

AHCCCS (Arizona Medicaid)

Medicaid

Copay: $0

Comprehensive maternity, no copay

Mercy Care

Medicaid MCO

Copay: $0

AHCCCS MCO

United Healthcare Community Plan

Medicaid MCO

Copay: $0

Banner University Family Care

Medicaid MCO

Copay: $0

California

Medi-Cal (California Medicaid)

Medicaid

Copay: $0

Anthem Blue Cross Cal MediConnect

Medicaid MCO

Copay: $0

Health Net Medi-Cal

Medicaid MCO

Copay: $0

L.A. Care Health Plan

Medicaid MCO

Copay: $0

CA, AZ

Kaiser Permanente

Commercial

Copay: Per plan

Pennsylvania

PA Medical Assistance (Medicaid)

Medicaid

Copay: $0

AmeriHealth Caritas

Medicaid MCO

Copay: $0

PA MCO

UPMC for You

Medicaid MCO

Copay: $0

Highmark Wholecare

Medicaid MCO

Copay: $0

Keystone First

Medicaid MCO

Copay: $0

Texas

Texas Medicaid (STAR)

Medicaid

Copay: $0

Superior HealthPlan

Medicaid MCO

Copay: $0

Driscoll Health Plan

Medicaid MCO

Copay: $0

Commercial (multi-state)

Blue Cross Blue Shield (most plans)

Commercial

Copay: Per plan

UnitedHealthcare

Commercial

Copay: Per plan

Aetna

Commercial

Copay: Per plan

Cigna

Commercial

Copay: Per plan

Humana

Commercial

Copay: Per plan

Anthem

Commercial

Copay: Per plan

What is covered

The full continuum, with no copay surprises.

Prenatal and postpartum visits

Up to 12 months postpartum on Medicaid expansion plans

Mental-health visits

Unlimited on most Medicaid plans, no prior auth

Lactation consults

In-home or virtual, covered

Doula visits

Up to 6 covered visits in PA, AZ, NJ, NY

Specialist consults

MFM, cardio-OB, endocrinology, pelvic-floor PT

Substance use treatment

MAT, counseling, harm-reduction supplies

Wound care home visits

For C-section recovery, perineal repair

Medications

Generic $0, brand low cost on most plans

Cross-border export

Free FHIR R4 chart bundle, audited and consent-gated

Uninsured?

Materna helps you sign up for coverage, free.

We have certified application counselors on staff who can enroll you in AHCCCS, PA Medical Assistance, Medi-Cal, or a marketplace plan. The interview takes 20 minutes. You can do it in Spanish or English. Most pregnant patients qualify for emergency Medicaid even if undocumented, with no immigration risk.

Sliding-scale care

If you do not qualify for Medicaid and you do not have insurance, our partner clinics offer sliding-scale prenatal and postpartum care. The minimum visit fee is $20. We can match you with the closest one.

  • • Mariposa Community Health, Nogales AZ
  • • Regional Center for Border Health, San Luis AZ
  • • El Rio Health, Tucson AZ
  • • Yuma District Hospital
  • • San Ysidro Health, San Diego CA

Send us your card. We will tell you in 90 seconds.

Coverage verification is free, no signup required, and the answer is yes far more often than people expect.

Verify coverage