Pregnancy Services

Prenatal care is an important way to keep you and your baby healthy during your pregnancy. Luckily, as a Sunshine Health member, you have access to our Care Management program that will provide you with all the resources you need, like:

• Customized care tailored to your current trimester of pregnancy
• Telephonic or virtual care management available
• High risk pregnancy care management and education
• Help with community resources, such as housing, food, clothing and more
• Rewards for completing pregnancy screenings
• In-person connection to a doula
• Help with obtaining a breast pump
• Referral assistance for mental health and substance use
• Rewards for completing substance use coaching with a care manager
• Birth control planning after delivery
• Referral assistance to community programs
• Access to our Healthy Start MomCare Network

It’s important to see a doctor if you are planning on becoming pregnant, or as soon as you know you are pregnant. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-866-796-0530.

Pregnancy Benefits

Sunshine Health covers all prenatal and postpartum appointments, as well as your delivery. Sunshine Health also gives you expanded benefits, including:

• Pregnancy Meals®: Covers up to 266 meals delivered to members who are at least 20 weeks pregnant and have a qualifying medical condition
• Fresh Funds: $50 per month for pregnant members, up to 6 months post-delivery. Members must complete postpartum visit within 7-84 days, be aged 13 or older and be enrolled in Care Management for high risk pregnancy.
• Fatherhood Engagement Referral Program: New dads can connect to help and support through our fatherhood program
• Remote Patient Monitoring: Remote patient monitoring program for high risk pregnant members to support a healthy pregnancy
• Telehealth Mental Health Care: Counseling, therapy, psychiatry and medication assisted treatment virtually for women through every phase of maternal health
• Welcome Baby Bundle: Offering pregnant members a choice of essential baby items like a crib, car seat, or stroller to support a safe and healthy start for their newborn

Doula Services

A doula is non-medical professional who can give you emotional and physical support during your pregnancy and childbirth in partnership with your provider.

During pregnancy, doulas offer support by:

• Answering questions about the childbirth process
• Developing a birth plan

At delivery:

• Stays with you constantly to provide comfort and support
• Helps communicate your preferences to the medical staff

After delivery:

• Teaches you how to care for your new baby
• Provides support and encouragement after you bring your baby home

As a Sunshine Health member, you get these doula benefits at no-cost:

• Unlimited visits 
• In-person labor support at birthing location

Doula visits can be at your home, doctor’s office or in a public place. Here are some activities to do with your doula:

• Talk and get to know each other
• Create a birth plan
• Discuss your birth traditions
• Practice movement, positions and breathing for labor
• Prepare and plan for your baby

Find a Doula Near You

• Use the Find a Provider tool

Breast Pump Coverage

• Manual Breast Pumps: As a Sunshine Health member, you can get a manual breast pump with a prescription from your doctor. Your doctor sends the order directly to our vendor, and the breast pump is shipped after your birth is confirmed.
• Electric Breast Pumps*: Sunshine Health covers Electric Breast Pumps only after the mother has given birth. To receive an electric pump, your doctor can submit a script and supporting information directly to the vendor.  
  • For Hospital Grade Pumps*: Your doctor can submit a script, supporting clinical information, and a Referral Form to the vendor. The request will be processed by us and we will send approval to the vendor for delivery.

Your chosen breast pump will be delivered after your baby is born.

*Prior Authorization is required and must be submitted after birth.

Protect Your Oral Health During Pregnancy

Getting good oral healthcare while you are pregnant is important. Pregnancy doesn’t only affect your gums, but keeping your mouth healthy protects your baby’s teeth, too. Bacteria that causes cavities can be passed down to your baby after birth.

When you enrolled in Medicaid, you were assigned one of the two statewide dental plans:

• DentaQuest
  1-888-468-5509
  
• Liberty Dental Plan
  1-833-276-0850

Visit Dental Care to learn more about your dental coverage under Medicaid.

More Support

You can also use Count the Kicks – a free pregnancy app that helps you record how long it takes your baby to get to 10 movements, tracks changes over time and more. Learn more and download the app today.

While you are pregnant, it is important to keep an eye on your health and for your support system to listen to your health concerns. Learn more through the HEAR HER® Campaign – a CDC program that aims to reduce pregnancy-related deaths by educating the public about pregnancy-related complications.

Visit Department of Children and Families (DCF) Resources for Expecting Mothers.

Visit the Agency for Health Care Administration (AHCA) From the Start maternal health page.