Frequently Asked Questions About OB-related Billing Changes
Thank you for trusting our team with your pregnancy care.
We look forward to sharing in your experience.
Because your pregnancy begins in 2026 and your baby is expected in 2027, we want to let you know about an upcoming change in how your pregnancy care and delivery will be billed to your insurance.
For many years, prenatal visits, delivery, and postpartum care have generally been billed together as one bundled maternity claim after delivery. Beginning in 2027, pregnancy services will instead be billed as they occur.
What does this mean for you?
Your care and prenatal visit schedule are not changing. However, beginning in 2027, you may notice some differences in your insurance paperwork and billing.
You may receive more Explanation of Benefits, or EOB, statements from your insurance company. An EOB is an explanation of how your insurance company processed a claim. It is not a bill from our office.
Prenatal visits may appear as individual claims rather than as part of one maternity claim submitted after delivery. Because your pregnancy spans two calendar years, you may see different billing activity between 2026 and 2027.
We do not expect this billing change itself to increase your out-of-pocket costs. Also, this does not mean you are receiving more visits or being charged twice. However, coverage, deductibles, and cost-sharing are determined by each patient’s individual insurance plan.
Will I have a copay for prenatal visits?
We expect most patients to have little to no cost-sharing for routine pregnancy visits. However, ancillary services, such as ultrasounds and other support services, will likely continue to be subject to copays, deductibles, and/or coinsurance amounts based on the patient’s individual insurance plan. As insurance companies update their systems, however, there may be occasional processing questions or delays.
What can I expect for OB-related charges?
Understanding your financial responsibilities is important. To learn more about OB-related charges, you can review expected charges on our Insurance & Billing page or see below:
What should I do if I receive something I do not understand?
Please contact your insurance if notice an EOB that seems confusing or does not look right.
This change affects how pregnancy care is billed—not the care you receive. We will continue to keep you informed as the new billing process is implemented.
Thank you for trusting us with your care. We look forward to supporting you throughout your pregnancy.