NC Health<em>Smart</em>

Maternity Resources for Your Pregnancy

Welcome to the State Health Plan's Maternity Resources page. Having a baby is an exciting time for you and your loved ones. It can also be a time filled with questions and concerns. Your doctor should always be your first source of guidance during your pregnancy. However, the Plan offers additional supports during this special time.

Maternity Coaching

Stork Rewards Program

Free Tobacco Cessation Support for Moms to Be

Alcohol & Drug Abstinence Supports

Maternity Checklist

Adding Newborns to Your Health Plan

Personal Health Portal

Maternity Coaching

Maternity coaching is available to all eligible members* who are expecting a baby. By working with a maternity coach over the phone, you will be able to get answers to questions that come up in between doctor appointments and receive recommendations to help you and your baby be as healthy as possible.

Maternity coaches are especially helpful if you:

  • Have a chronic condition, such as diabetes or asthma
  • Use tobacco
  • Are 35 years of age or older
  • Are having more than one baby in the pregnancy
  • Have been diagnosed with a pregnancy-related condition, such as preeclampsia (high blood pressure) or gestational diabetes (high blood sugar)

Coaches are available:

  • Monday-Friday, 8:30 a.m. – 11 p.m.
  • Saturday, 9 a.m. – 2 p.m.

Call 800-817-7044 to learn more.

Stork Rewards LogoStork Rewards Program

The Stork Rewards Program is an incentive program designed to help all newly pregnant subscribers or covered spouses (dependent children are not eligible) have a healthy, full-term baby.

As a Stork Rewards participant, you will receive personalized information from a maternity coach, a book to help guide you through pregnancy and newborn care, and access to numerous maternity resources available on your free Personal Health Portal. In addition to these resources, you will not have to pay the inpatient copay for delivery at an in-network certified medical facility or birthing center when you meet all of the following program criteria:

  • Enroll during your first trimester by calling an NC HealthSmart maternity coach,
  • Complete an initial assessment, AND
  • Continue to engage with your maternity coach or complete the assigned healthy action steps throughout your pregnancy.

Your Stork Rewards incentive will be different depending on your health plan. Please see the table below for the incentive based on your plan.

Health Plan Stork Reward Incentive Blue Options Hospital Benefit Maximum Savings
Enhanced 80/20 Plan $233 hospital copay not applied $233 check $466
Consumer-Directed Health Plan (CDHP) $250 added to HRA $50 added to HRA $300
Traditional 70/30 Plan $291 hospital copay not applied N/A $291

Click here for a list of Blue Options Designated Hospitals.

Get the support — and savings — you deserve. Call an NC HealthSmart maternity coach at 800-817-7044 and get enrolled today!

Still have questions? Please see the Stork Rewards Frequently Asked Questions for more information.

Free Tobacco Cessation Support for Moms to Be

Using tobacco during pregnancy increases the risk of early delivery, birth defects, and infant death. QuitlineNC offers free tobacco cessation support specifically for pregnant members trying to quit tobacco for themselves and their baby. QuitlineNC's Pregnancy Program provides members with 10 free sessions with a Quit Coach® over the phone, including at least two calls after delivery. Quit Coaches are available 24 hours/7 days a week. Coaches speak English and Spanish.

Call a Quit Coach today at 800-QUIT-NOW (800-784-8669).

Alcohol & Drug Abstinence Supports

pregnant woman speaking with doctorNow is the time to stop drinking alcohol and using drugs, including prescription medications not prescribed for you. Women that drink alcohol while pregnant increase their infants' risk of developing a fetal alcohol spectrum disorder, a group of conditions that can cause physical, behavioral and learning problems—some of which may have lifelong repercussions. There is no safe level of alcohol or drugs during pregnancy. For assistance with alcohol or drug abuse, call Achieve Solutions® at 800-367-6143.

Maternity Checklist

With pregnancy comes a lot of questions! We have a Journey through Pregnancy Checklist designed to help guide you through your pregnancy. With the help of this checklist, we hope your transition into maternity will leave you feeling confident about your benefits and available resources, and ready to enjoy your new family!

Adding Newborns to Your Health Plan

Please remember you have two choices of effective coverage dates for your newborn. You have the option to add your newborn to your State Health Plan on the first day of the month in which your mother with newbornbaby is born OR on the first day of the month following the date of birth.

Option #1: Newborn coverage starting the first day of the birth month
For a newborn to be covered from the date of birth, the coverage effective date must be the first day of the month in which the child is born. It is important to remember that if you add your newborn the first day of the month they are born and have employee-only or employee-spouse coverage, your coverage type will change from employee-only to employee-child, or from employee-spouse to employee-family coverage. As a result, you will have to pay the additional premium for the month in which the child is born. Because most members wait to add their newborn until after they are born, this results in premiums for two months being deducted from one paycheck.

Option #2: Newborn coverage starting the first day of the month following birth
If you choose to cover your newborn starting the first day of the month following delivery, you will be responsible for any claims incurred in the birth month for the newborn.

For more information, please see the Family Planning section of your Benefits Booklet, or speak with your health benefits representative, to get further information on newborn health care coverage.

Please remember: While there is an initial copay charge for the pregnancy diagnosis (the first visit), visits thereafter are covered at no charge. The remaining maternity visit charges are covered by one global fee subject to inpatient copay, deductible, and coinsurance upon hospital admission/delivery.

Personal Health Portal

As a State Health Plan member, you have 24-hour online access to your NC HealthSmart Personal Health Portal. Once you have registered, you can explore numerous maternity resources on topics related to breast feeding, preterm labor, when to call your doctor, and more.

*Members eligible for NC HealthSmart services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.