My 16 year old daughter is pregnant. Will my group health insurance coverage cover her expenses?

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Asked June 11, 2012

1 Answer


Whether or not your group health insurance coverage will cover your 16 year old daughter's pregnancy expenses will depend on several factors, including the terms of your policy and the state you live in. Under the Affordable Care Act (ACA), pregnancy and childbirth are considered essential health benefits, which means that all health insurance plans sold on the individual and small group markets must cover them. However, group health plans may have different coverage requirements depending on the state and the specific terms of the plan. In some states, group health insurance plans are required to cover dependent children's pregnancy-related expenses regardless of age. However, in other states, coverage may depend on the child's age or other factors. Additionally, some group health plans may have exclusions or limitations on coverage for dependent children's pregnancy-related expenses. It is important to review your group health insurance policy or contact your insurance provider to determine what specific benefits are included in your plan and whether or not your daughter's pregnancy-related expenses will be covered. You may also want to consider additional coverage options, such as Medicaid or a separate individual health insurance plan, to ensure that your daughter receives the necessary medical care during her pregnancy. Finally, it is important to keep in mind that even if your group health insurance plan does cover your daughter's pregnancy-related expenses, there may be out-of-pocket costs, such as deductibles, copayments, or coinsurance, that you will be responsible for.

Answered June 11, 2012 by Anonymous

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