Understanding Maternity in REDEEM

Introduction

This article provides a quick reference to maternity information that is contained in the REDEEM Healthshare® Sharing Guidelines. For complete information, please refer to the Sharing Guidelines.

Information

The following sections of the Sharing Guidelines address various aspects of how REDEEM HealthShare shares maternity bills. The links will take you to the corresponding section of the Sharing Guidelines on the REDEEM HealthShare website.

III. Sharing of Expenses-A. Expenses Eligible for Sharing

For Incurred Services or Qualifying Estimates

III. Sharing of Expenses-E. Medically Necessary

Introduction

III. Sharing of Expenses- F. Limited Sharing

1. Maternity and Newborns
- Due Date Requirements
- Maternity Services Eligible for Sharing
- Birth Defects and Conditions
- Approved Providers for Delivery
4. Therapies
- Category B: Hormone Therapies

III. Sharing of Expenses-G. Not Eligible for Sharing

20. Complications related to ineligible procedures