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[Billing Codes: 4120-01-P; 4830-01-P; 4510-29-P] - page 80 / 83

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Act.

(d) Notice requirement.

Except as provided in paragraph

(d)(4) of this the individual

section, an market must

issuer offering health insurance in meet the following requirements with

respect to benefits with childbirth:

for

hospital

lengths

of

stay

in

connection

(1) Required statement.

The insurance contract must

disclose information that notifies rights under this section.

covered

individuals

of

their

(2) Disclosure notice.

To meet the disclosure requirement

set forth in paragraph disclosure notice must

(d)(1) of be used:

this

section,

the

following

Statement of Rights under the Newborns’ and Mothers’ Health

Protection Act

Under federal law, health insurance issuers generally may

not restrict benefits for any hospital length of stay in

connection with childbirth for the mother or newborn child to

less than 48 hours following a vaginal delivery, or less than

96

hours

following

a

delivery

by

cesarean

section.

However,

the

issuer may pay for a shorter stay if the attending provider

(e.g., your physician, nurse midwife, or physician assistant),

after consultation with the mother, discharges the mother or

newborn earlier.

Also, under federal law, issuers may not set the level of

benefits or out-of-pocket costs so that any later portion of the

80

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