Part 5 – Covered Services (continued) IMPORTANT: Refer to the Schedule of Benefits for your plan option for the cost share amounts that you must pay for covered services and for the benefit limits that may apply to specific covered services. Once you reach your benefit limit for a specific covered service, no more benefits are provided by Blue Cross Blue Shield HMO Blue for those services or supplies. WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 46 transferred from the birthing center to a general hospital for inpatient care. If this occurs, the cost share amount that is described in your Schedule of Benefits for inpatient maternity admissions will also apply. (This is in addition to your cost share for any charges that are billed by the birthing center.)  Delivery of one or more than one baby. This includes prenatal and postnatal medical care and lab tests, x-rays, and other covered tests that are furnished for you by a physician; or by a nurse midwife. Your benefits for prenatal and postnatal medical care and lab tests, x-rays, and other covered tests that are furnished by a physician or by a nurse midwife are included in Blue Cross Blue Shield HMO Blue’s payment for the delivery. The benefits that are provided for these services will be those that are in effect on the date of delivery. When a physician or a nurse midwife furnishes only prenatal and/or postnatal care, benefits for those services are based on the date the care is received. This health plan also covers prenatal and postnatal medical care exams and lab tests, x-rays, and other covered tests when they are furnished for you by a general hospital; or by a community health center. Your benefits for these services are based on the date the care is received.  Standby attendance that is furnished for you by a physician (who is a pediatrician), when a known or suspected complication threatening your health or the health of your child requires that a pediatrician be present during the delivery.  Childbirth classes for up to $90 for one childbirth course for each covered pregnant member and up to $45 for each refresher childbirth course. Pregnant members are encouraged to attend the childbirth course that is recommended by their physician or by their health care facility or by their nurse midwife. You must pay the full cost of the childbirth course. After you complete the course, call the Blue Cross Blue Shield HMO Blue customer service office for a claim form to file your claim. You will not be reimbursed for this amount unless you complete the course, except when your delivery occurs before the course ends. All pregnant members may take part in a program that provides support and education for them. Through this program, members receive outreach and education that add to the care they get from their obstetrician or nurse midwife. You can call the Blue Cross Blue Shield HMO Blue customer service office for more information. No benefits are provided for a home birth, unless: the home birth is due to an emergency or unplanned delivery that occurs at home prior to being admitted to a hospital; or the home birth occurs outside of Massachusetts. Well Newborn Care This health plan covers well newborn care when it is furnished during a covered inpatient maternity stay or during a covered outpatient maternity admission in a licensed outpatient birthing center. This coverage includes:  Pediatric care that is furnished for a well newborn by a physician (who is a pediatrician); or by a nurse practitioner.  Routine circumcision that is furnished by a physician.