Best Health Insurance for Pregnant Women (2026)


Updated: December 12, 2025

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Key Takeaways
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Ambetter leads in pregnancy coverage with comprehensive prenatal benefits but charges $536 monthly with high deductibles.

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Kaiser Permanente offers the lowest deductible at $2,032, reducing your out-of-pocket costs during delivery complications.

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Under the Affordable Care Act, women can't be denied health insurance due to pregnancy, although pregnancy doesn't qualify for a special enrollment period.

Best Health Insurance Providers for Pregnancy

MoneyGeek’s analysis of the best health insurance providers for pregnant women shows trade-offs between cost, network strength and how much you could pay at delivery. Ambetter charges $536 per month and stands out for prenatal and postpartum benefits but has the highest deductible and maximum out-of-pocket (MOOP) costs, so you'll pay more out-of-pocket. Blue Cross Blue Shield offers the lowest premium at $393 with strong provider networks if you want to keep trusted doctors. Kaiser Permanente costs $439 monthly but pairs that with the lowest deductible and MOOP, which can ease bills if labor or newborn care is complex.

Prenatal and Postpartum Care
Ambetter
$536
$7,895
$5,860
Strong Provider Networks
Blue Cross Blue Shield
$393
$6,850
$3,400
Low Deductible
Kaiser Permanente
$439
$5,493
$2,032

These estimates reflect Silver-tier Marketplace plans for a 26-year-old pregnant woman and are based on MoneyGeek’s sample profile. Your actual premium, deductible and out-of-pocket costs will depend on your state, income, household size, tobacco use and chosen insurer.

Best Health Insurance for Prenatal & Postpartum Care

Company Image
Ambetter
MoneyGeek Rating
4.5/ 5
4/5Affordability
5/5Customer Experience
5/5Denial Rate
  • Monthly Cost

    $536
  • Out-of-Pocket Maximum

    $7,895
  • Deductible

    $5,860

Best Company With Strong Provider Networks for Pregnant Women

Company Image
Blue Cross Blue Shield
MoneyGeek Rating
4.8/ 5
5/5Affordability
5/5Customer Experience
2.5/5Denial Rate
  • Monthly Cost

    $393
  • Out-of-Pocket Maximum

    $6,850
  • Deductible

    $3,400

Best Health Insurance With a Low Deductible for Pregnancy

Company Image
Kaiser Permanente
MoneyGeek Rating
5.0/ 5
5/5Affordability
4.9/5Customer Experience
5/5Denial Rate
  • Monthly Cost

    $439
  • Out-of-Pocket Maximum

    $5,493
  • Deductible

    $2,032

Best Health Insurance Plans During Maternity

Comparing health plans while pregnant feels overwhelming, but three numbers tell you what matters most. Your monthly premium determines your regular payment. Your deductible shows what you'll pay before coverage starts sharing costs for prenatal visits and ultrasounds. Your out-of-pocket maximum caps expenses if complications mean a longer hospital stay. Use the table below to compare plans from multiple insurers, filtered by plan type and metal tier.

Data filtered by:
EPO
Bronze
Yes
Blue Cross Blue ShieldBluecross B15e $0 Virtual Care From Teladoc Health®$421$7,950$7,950
UnitedHealthcareUHC Bronze Value ($0 Virtual Urgent Care, No Referrals)$468$10,600$3,000
UnitedHealthcareUHC Bronze-X Value ($0 Virtual Urgent Care, No Referrals)$468$10,600$3,000
Compare Health Insurance Rates

Ensure you are getting the best rate for your insurance. Compare quotes from the top insurance companies.

How Much Does Health Insurance Cost for Pregnant Women?

Health insurance costs per month for pregnant women vary by plan type. POS plans average $529 per month while PPO plans cost around $632 per month. That extra $100 per month for PPO coverage usually buys more flexibility to see specialists or out-of-network providers. If you mostly use in-network care, you may prefer POS or HMO plans and put the savings toward prenatal classes, baby gear or a stronger emergency fund.

Data filtered by:
26
POS$529$6,345
HMO$543$6,515
EPO$545$6,535
PPO$632$7,582

What Does Health Insurance Cover for Pregnant Women

Health insurance covers prenatal care, delivery and postpartum visits. You'll pay nothing for ultrasounds, genetic screenings, glucose tests and blood work with in-network providers. Labor and delivery are covered, whether you have a vaginal birth or C-section. Coverage extends to complications like gestational diabetes or preeclampsia, plus postpartum care including breastfeeding support and breast pumps

Before Delivery
Prenatal doctor visits, ultrasounds, lab work, gestational diabetes screening (starts at 24 weeks), hepatitis B test at your first visit, screening for urinary tract infections
Preventive Add-Ons
Folic acid supplements, preeclampsia monitoring if you have high blood pressure, STI screenings based on risk factors, tobacco cessation programs for smokers
Labor & Delivery
Hospital stay, vaginal or C-section birth, epidurals and pain management, medications to induce labor
After Baby Arrives
Birth control, breast pump and supplies, lactation consultant visits, depression screening at your baby's checkups
Hospital care, standard screenings, vaccinations (covered under baby's own insurance)

How to Get Insurance When Pregnant

You have several ways to get covered during pregnancy, and the timing actually isn't as bad as you'd think. Being pregnant won't let you enroll outside the usual signup window, but you can sign up during Open Enrollment (November 1 to January 15) or apply for Medicaid anytime. Once your baby arrives, you get 60 days to enroll in a plan, and your coverage starts from your baby's birthday, even if you wait the full two months.

  1. 1
    Employer-Sponsored Health Plans

    Job-based health insurance usually costs less because your employer pays part. Most workplace plans cover pregnancy and childbirth under the Affordable Care Act. You won't have as many options, often two to four plans, but you'll usually save money even with fewer choices. For 2026, your employer's insurance counts as affordable when you pay less than 9.96% of your household income for your share of the premium.

  2. 2
    Health Insurance Marketplace

    Open Enrollment for 2026 runs November 1 through January 15. You can shop and buy plans at HealthCare.gov or your state's marketplace, and it's the only place to get tax credits (also called subsidies) that lower your monthly bill. When you apply, you'll fill in the application form whether you want help paying, and the system automatically checks if you qualify for savings

    Without help, costs add up fast. A Silver plan might run $500 monthly at full price but could drop to $50 with tax credits, depending on what you earn.

  3. 3
    Spouse's or partner's insurance

    If you're married or in a domestic partnership, check if your spouse, partner or eligible boyfriend/girlfriend has health insurance that covers pregnancy. You may be eligible to be added as a dependent on their plan.

  4. 4
    Medicaid

    Medicaid gives you free or very low-cost pregnancy coverage. You can apply any day of the year, unlike Marketplace plans with their narrow enrollment window. Apply through your state's Medicaid office or through HealthCare.gov by mentioning in your application form that you need help paying for coverage. Eligibility is based on your income, family size and whether you're a U.S. citizen or legal resident. 

    Coverage length depends on where you live. Every state covers you for at least two months after delivery, but some extend this to a full year. If you have Medicaid when your baby is born, your newborn automatically gets enrolled and stays covered for at least 12 months.

  5. 5
    Children's Health Insurance Program (CHIP)

    CHIP covers pregnant women who earn too much for Medicaid. Your costs stay low based on your income, just like Medicaid works. Apply directly through your state's marketplace or via HealthCare.gov. 

    CHIP rules vary by state as some cover pregnant women, others only cover kids. Check your state's program before applying to see if you're eligible.

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DON'T HAVE HEALTH INSURANCE?

If you’re pregnant without insurance, you still have options for care. Community health centers offer low-cost or free prenatal visits based on your income. Healthy Start sites in many communities provide pregnancy care, home visits and support through your baby’s first 18 months. For emotional help, call or text 1-833-TLC-MAMA any time.

Bottom Line

The best health insurance for pregnant women balances cost and coverage. While the ACA guarantees access, plan details matter for your wallet. Ambetter's comprehensive prenatal care costs $536 monthly with higher deductibles. Kaiser Permanente's lower $2,032 deductible reduces your financial burden from unexpected delivery expenses.

Best Health Insurance for Pregnancy: FAQ

We've answered some of the frequently asked questions about best health insurance for pregnant women to make securing comprehensive coverage easier:

What is the best health insurance for pregnancy?

Will new insurance cover an existing pregnancy?

Is pregnancy a pre-existing condition?

Do I need to notify insurance of pregnancy?

Do all pregnant women qualify for Medicaid?

Will short-term health insurance cover pregnancy?

What health insurance options are available for unmarried parents?

How We Chose the Best Health Insurance for Pregnant Women

Choosing health insurance during pregnancy means balancing monthly costs with delivery expenses that can reach $30,000 or more without coverage. Prenatal visits, ultrasounds and unexpected complications create financial pressure when you're already preparing for a new family member. We designed our analysis to identify which insurers provide the best value for expectant mothers navigating maternity coverage. 

We compared health insurance companies using three factors weighted by importance to pregnant women:   

Affordability score (50%): Healthcare costs impact your budget most when planning for delivery and newborn expenses. We evaluate three cost factors that roll up into your overall affordability score:   

  • Monthly premium: The provider with the lowest average monthly cost scores highest since reducing premiums frees up money for baby expenses.
  • Deductible: The amount you pay before insurance covers costs. Lower deductibles score highest since delivery costs hit immediately when you need coverage most.
  • Maximum out-of-pocket: The MOOP caps what you'll pay annually beyond premiums. Lower MOOPs score better since complications during pregnancy or delivery can create unexpected bills.

Quality score (40%): We evaluated plan performance using pregnancy-specific metrics to ensure expectant mothers get appropriate medical care. The Quality Rating System provides a 5-star rating measuring medical care, member experience and plan administration. Prenatal and Postpartum Care Score shows how effectively plans support early and proactive pregnancy care. Timeliness of Prenatal Care Score assesses whether new mothers receive timely follow-up care after childbirth, including depression screening, contraception counseling and recovery checks. Providers with higher scores rank better.

Denial rate score (10%): Fewer denials mean less hassle getting prenatal care and delivery coverage approved when you need it most. Insurers with lower denial rates score highest. 

How We Score Different Plan Types and Metal Tiers 
We normalized scores within each category for fair comparisons. The top insurer in each group receives a 5 out of 5, with others scored proportionally. 

We used Silver EPO plans to identify our best overall pick, best for prenatal and postpartum care, and best for low deductible. However, each plan type (HMO, PPO, EPO and POS) and metal tier (Catastrophic, Bronze, Expanded Bronze, Silver, Gold and Platinum) is scored independently.

In some cases, we adjusted the weightings as follows: 

For "Best Health Insurance for Prenatal and Postpartum Care," we increased the quality rating score weighting to 60%, decreased the affordability score to 30%, and kept other categories the same.

For "Best Health Insurance With Low Deductible," we increased the deductible score weighting to 30% and decreased the premium score to 10%.   

Sample Consumer 

MoneyGeek collected data on all available health plans for consumers ages 18, 26, 40, 50 and 60. Monthly premiums are based on a 26-year-old buyer, unless otherwise noted. We analyzed costs using data from federal and state marketplaces and downloaded plan data directly from the Centers for Medicare & Medicaid Services (CMS). Plan data was updated with the CMS exchange data released in November for the 2026 enrollment period.

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About Brenna Kelly


Brenna Kelly headshot

Brenna Kelly, the former Health Insurance Content Manager at MoneyGeek, is a licensed health insurance agent and real estate associate. She is qualified to provide expert insight and advice on medical insurance, disability, long-term care, critical illness, Medicare Supplements and Medicare Advantage Plans.

Kelly has a Bachelor of Science and a Master of Arts in Applied Sociology from the University of Central Florida. She uses her content production experience and health insurance expertise to deliver informative articles.


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