Start your care with the concierge
Your dedicated concierge team provides phone and email support exclusively to Premier Plan members with clinical support available after hours.
Baby on the way? Scripps offers Premier Plan members a comprehensive range of maternity services and resources designed to provide support and keep mother and baby healthy — from early pregnancy to postpartum.
Expert, compassionate maternity care
Whether this is your firstborn or a new sibling, Scripps physicians, midwives, nurses and clinical staff are ready to care for you and your baby before, during and after pregnancy.
Count on Scripps for expert prenatal, perinatal (high-risk pregnancy care), delivery and postpartum care at locations throughout San Diego County.
Your Premier Plan maternity services include:
- Four hospital locations with maternity centers throughout San Diego County
- The first San Diego hospital to be designated a Baby-Friendly facility by UNICEF and the World Health Organization at Scripps Memorial Hospital Encinitas
- Lactation specialists and consultations at every location
- Staff that respect your wishes and birth plans
- Midwife services
- Neonatal intensive care units (NICUs) at Scripps Memorial Hospital La Jolla, Scripps Memorial Hospital Encinitas and Scripps Mercy Hospital campuses in San Diego and Chula Vista
We know that giving birth is an extraordinary experience, and your maternity team will partner with you to accommodate your birth plan.
At all Scripps maternity centers, women go through labor, delivery and recovery in one state-of-the-art labor and delivery room. Every room is equipped with a fetal monitoring system, so your nurses, physicians and midwives can continuously monitor your vital signs and your baby’s heart rate.
Resources for parents and parents-to-be
Premier Plan members also have access to exclusive resources to better support you and your family’s health and wellbeing — all at no additional cost, including:
- Doula maternity services
- Expanded simplified pricing* for maternity services, covering most services at 100% once your deductible is met — new for 2021
- Maternity app
- Maternity classes and support groups
- Lyra Employee Assistance Program (EAP)
- Onsite lactation support while breastfeeding
Learn more about these resources below.
*Some eligibility exclusions apply.
Premier Plan members may also enjoy doula benefits before, during and after pregnancy. From helping you plan for your baby’s birth and providing support during labor and delivery to assisting during the first few weeks at home, a doula can offer a valuable and comforting experience and support. For more information, download the doula benefits summary (PDF, 560 KB) and the doula claim form (PDF, 710 KB).
Below you’ll find answers to commonly asked questions about Qualcomm Premier Plans, including covered services and the claim submission process.
Is there a maximum dollar benefit for doulas?
The maximum dollar benefit for doula services is $3,000 per pregnancy for doula claims incurred on or after September 1, 2020.
What services are covered under the doula benefit?
The following are doula services covered by the plan for each stage of pregnancy:
Antepartum services may include the following:
- Review the member’s home environment, equipment, child-care needs, transportation needs and requirement for interpreter services
- Review the member’s support system (family, friends and/or significant other)
- Discuss the member’s preferred infant feeding method
- If breastfeeding is preferred, assist in scheduling lactation consult post-delivery
- Provide information regarding prenatal classes
- Identify place of delivery and mode of transportation, if applicable
- Discuss the member’s expectation of the birth experience, labor and delivery process and anesthesia, including discussion of a birth plan to be shared with delivering provider (OB-GYN or midwife)
- Support and reinforce information provided in prenatal classes concerning labor, delivery and postpartum care of both the member and the newborn, including to:
- Confirm that there is a car seat available for transporting the infant
- Review infant safe sleeping practices
- Offer suggestions for coping strategies in the postpartum period
- Discuss notification of active labor and expectations regarding attendance during the labor and delivery process
Labor and Delivery Attendance
Services provided during labor and delivery may include the following:
- At the member’s request, be present at the birth and remain through the immediate postpartum period
- Provide help and guidance on measures for comfort and pain relief, such as breathing, relaxation, movement, positioning and comforting touch
- Provide emotional support and facilitate communication with hospital staff
- Provide immediate postpartum support and initiation of breastfeeding, as needed (if applicable and trained to provide such breastfeeding support)
Postpartum services may include the following:
- Discuss the birth experience
- Discuss importance of postpartum physician/midwife follow-up care
- Follow up on the infant’s first wellness checkup scheduling
- Encourage member to discuss the immunization schedule with the child’s health-care provider
- If breastfeeding, provide support
- Review recommendations for postpartum health, including rest/sleep
- Assist in prioritizing offers of help from friends and extended family
- Assist the member in understanding baby cues and suggest techniques for soothing the baby
- Demonstrate and have the member provide a return demonstration of infant care
- Educate the member on infant carrying devices available
What services are not covered under the doula benefit?
The following services are not covered:
- Ongoing, regular child care
- Housekeeping assistance
- Medical diagnosis or treatment
- Administration of medications
How do I submit a claim for doula services?
The doula claim form (PDF, 710 KB) can be used only when services are rendered by doulas before, during and after a birth. It cannot be used for other services not associated with doulas or pregnancy. Please refer to the covered services referenced and benefit maximum above.
This form was created to help you submit claims for services rendered by doulas who may be unfamiliar with insurance claim processes. These providers may require you to pay for services up front prior to filing a claim with UHC. Services must be completed before a claim can be submitted; deposits or pre-payments cannot be reimbursed until after services have occurred. Once a claim is received, appropriate amounts will be credited toward your in-network deductible and out-of-pocket maximum. You may receive reimbursement if your deductible has already been met.
To ensure faster processing of your claim, be sure to do the following:
Use black or blue ink and print clearly and legibly. Complete all the applicable fields on the form. Ask your provider for their license/certification number or have them fill that out for you below. Be sure to submit a separate form for each claim and to attach an itemized receipt/invoice after services have occurred. The itemized receipt/invoice must contain a summary of services, corresponding dates of service, total cost, and proof of payment, if applicable.
What happens after my doula claim form is submitted?
Once you have completed the doula claim form, mail or fax it to the address/number listed below and be sure to include the cover sheet at the top of your paperwork. Be sure to attach copies of your itemized invoice or itemized receipt detailing what services occurred.
The address and fax number are as follows:
P.O. Box 30431
Salt Lake City UT, 84130
Fax #: 801-938-2102
After UnitedHealthcare processes your claim, they will send you an Explanation of Benefits (EOB) in the mail or online, depending on your elected preference. The EOB will explain the charges, how these amounts applied to your plan deductible and out-of-pocket maximum, as well as any reimbursement that may be due to you. You may also view your EOB information online at myuhc.com.
Can I be reimbursed for doula expenses exceeding the $3,000 maximum benefit from my FSA?
Yes, you can use your General Purpose FSA (or Limited Purpose FSA if you have reached the medical deductible) for reimbursements of out-of-pocket doula expenses in excess of the $3,000 maximum benefit.
Please include the Letter of Medical Necessity (LMN) when submitting the reimbursement request to Optum to be reimbursed from your FSA.
- Download a doula claim form (PDF, 710 KB)
- Download the Letter of Medical Necessity (PDF, 150 KB)
Pricing for maternity services
Qualcomm Premier Plan members have simplified pricing for maternity services. This was further expanded in 2021. Beginning January 1, 2021, there is a single overall charge, or bundled pricing, for routine pregnancies, inclusive of most prenatal care, delivery and postnatal care for a specified period of time.
In addition, for those eligible for the maternity services bundle(1), once your deductible* has been met (due to maternity or non-maternity related services) for the year, subsequent maternity related services will be covered by the medical plan at 100%. Your annual out-of-pocket max would not apply.
Review the new bundled maternity pricing for more information.
(1) The bundle structure will apply to eligible moms whose primary coverage is under a Qualcomm Premier Plan at 13 weeks of pregnancy. For those who enroll in a Premier Plan past 13 weeks, or do not qualify for the expanded bundle due to certain high risk clinical conditions, the non-bundle standard delivery and routine OB care rates will apply. Does not apply to secondary coverage or when seeking care from out-of-network provider.
* For Premier Plan PPO members, applies to the applicable per person or per family deductible met first.
The MyScrippsBaby mobile app is your care companion from conception to your baby’s first birthday. MyScrippsBaby puts education, resources and inspiration right at your fingertips almost anywhere, anytime. It’s like having your care team in your pocket — and may mean fewer calls to your provider’s office and more time between prenatal visits. All Scripps Clinic and Scripps Coastal Medical Center OBGYN providers have access to and offer the MyScrippsBaby app.
Whether this is your first baby or a new sibling, the app guides you with weekly tools and information tailored to your pregnancy including:
- Daily personalized content from conception to baby’s first birthday
- 24/7 access to educational videos and articles
- Updates and messages from your provider
- Weight gain, glucose levels or blood pressure tracking
- Links to your care team’s contact information
As a Premier Plan member, you have access to pregnancy and parenting classes offered at Scripps, covering everything from how to make childbirth as comfortable as possible to preparing siblings, grandparents and even pets for the new addition. Sign up for pregnancy and parenting classes on Scripps.org.
Breastfeeding help and support
Scripps is here to support new mothers with the tools and resources they need to help make breastfeeding a successful and enjoyable experience. All Scripps hospital maternity nursing staff are specially trained to help with breastfeeding and lactation consultants are also available to provide personalized support after you leave the hospital. Most breastfeeding services (PDF, 240 KB) are covered by the plan at 100%.
Breastfeeding may be natural, but new moms often find it isn’t as easy as it sounds. Premier Plan members who have questions about breastfeeding or need a little help have options.
Members can meet on campus with a Scripps lactation specialist for a personal consultation.
These one-hour sessions are designed to assist mothers and their babies with various types of breastfeeding issues. Appointments are required and are available the fourth Thursday of every month at the Qualcomm Health Center’s building S location. Once you obtain a lactation referral from your physician or midwife, please call 858-626-4538 and identify as a Qualcomm Premier Plan member to schedule. Partners are welcome to attend the appointment; however, we ask that children other than the baby not attend.
Additionally, lactation helplines are available for non-emergency questions about lactation and to schedule a personalized consultation. Every attempt will be made to return calls within 24 hours.
Scripps Memorial Hospital Encinitas
Scripps Memorial Hospital La Jolla
Scripps Mercy Hospital Chula Vista (Bilingual: English/Spanish)
Connect with other breastfeeding mothers and share your experiences and tips in a friendly, supportive environment. Support groups are led by a Scripps lactation consultant/educator who is available to offer practical suggestions and guidance.
During Covid-19 the in-person breastfeeding support groups are not meeting, but we are still available to support your needs. Join a free Virtual Breastfeeding Support Group. Contact the Premier Plan concierge to register at 844-884-7266 or email@example.com. There is no charge to join a breastfeeding support group.
Having a baby is an exciting and highly emotional experience, especially if this is your first birth. The questions below will help you better understand what to expect when you have your baby at Scripps.
What is the difference between a midwife and a doula?
Midwives and doulas offer similar services but are quite different in their roles. Midwives are licensed health care practitioners and can assist with prenatal care through labor and delivery. Doulas are not medically certified and focus more on the mother’s needs throughout her pregnancy and into postpartum care.
Learn more about midwives from the American College of Nurse-Midwives, including what a midwife is, some common myths and how to decide if a midwife is right for you.
Learn more about doulas from DONA International. View the Qualcomm Premier Plans Doula Benefit Summary (PDF, 560 KB).
Are Scripps midwives available at all Scripps locations?
Not yet. Midwife services are available to Scripps Clinic patients who deliver at Scripps Memorial Hospital La Jolla, and to Scripps Coastal Medical Center patients who deliver at Scripps Memorial Hospital Encinitas. (These birthing locations are also referred to as birthing centers.)
Can Scripps support my birth plan?
The birth of your baby is a special and unique experience, and a memory that you will always cherish. For many women, it can be helpful to have a birth plan in place before delivery.
A birth plan is a written guide to your labor preferences. It is given to the nurses and your physician when you arrive at the hospital to help the clinical staff understand your wants and needs during your delivery. We can accommodate many common birth plans and labor preferences. Ask about your specific preferences when you take the maternity tour at the hospital where you will give birth.
Need some help writing your birth plan? This decision making guide can help.
Will I go through labor and delivery in the same room?
Yes. At all Scripps maternity units you will experience labor, delivery and recovery in the same room. However, if you deliver by C-section (cesarean section) or require surgical care, you will be cared for in an operating room within the maternity unit.
Will staff be available to help me breastfeed right after delivery?
Yes! All Scripps maternity units encourage and support your decision to breastfeed, and our maternity nurses are specially trained to help new mothers with breastfeeding. In addition, lactation experts are available to offer support in the hospital.
Should I choose a pediatrician before my baby is born?
It’s a very good idea to select a pediatrician for your baby before you deliver. We recommend you begin looking for a pediatrician approximately 27-29 weeks into your pregnancy. For help selecting a pediatrician or understanding your benefits, contact the Premier Plan concierge team at 844-884-7266 (844-884-QCOM) or firstname.lastname@example.org.