What is an Emergency and an Emergency Medical Condition?

A CHIP Perinate Member is defined as an unborn child. Emergency care is a covered service if it directly relates to the delivery of the unborn child until birth. Emergency care is provided for the following Emergency Medical Conditions: 

• Medical screening examination to determine emergency when directly related to the delivery of the covered unborn child;
• Stabilization services related to the labor with the delivery of the covered unborn child;
• Emergency ground, air, and water transportation for labor and threatened labor is a covered benefit;
• Emergency ground, air, and water transportation for an emergency associated with (a) miscarriage or (b) a non-viable pregnancy (molar pregnancy, ectopic pregnancy, or a fetus that expired in utero) is a covered benefit.
   

Benefit limits: Post-delivery services or complications resulting in the need for emergency services for the mother of the CHIP Perinate are not a covered benefit.