• Sentara Health Plans
  • Members
  • Providers
  • Employers
  • Brokers
Sentara Health Plans logo
Contact Us
  • English
  • Spanish
Sign In / Register
Contact Us
Main navigation is closed
    • Drug Authorizations
    • Medical Authorizations
    • Join the Network
    • Billing Reference Sheets and Claims Submission and Guidelines
    • Appeals & Reconsiderations
    • EDI Transaction Overview and EFT Set Up
    • EFT/ERA Enrollment
    • Requests for Remittance Advice
    • Advance Care Planning
    • Avoidance of Antibiotic Use
    • Clinical Guidelines
    • HEDIS® Measures
    • Immunization Schedules
    • Medical Policies
    • Laboratory Benefit Management
    • Optum Managed Transplant Program
    • Pediatric Obesity Prevention and Treatment Toolkit
    • Programs
    • Tobacco Cessation Program
  • Find Doctors, Drugs and Facilities
  • News
    • Formularies/Drug Lists
    • Order Forms
    • JIVA Resources
    • Join Our Network
    • Provider Education
    • Provider Manuals and Directories
    • Provider Orientation
    • Provider Toolkit
    • Update Your Information
    • Webinars and Video Library
    • Integration Information
  • Close Care Gaps
  • Sentara Health Plans
  • Members
  • Providers
  • Employers
  • Brokers
  1. Home
  2. Providers
  3. Clinical Reference
  4. Medical Policies
  5. Medical Policies - Obstetrics

Medical Policies - Obstetrics

  • Doula Services Medicaid - OB 13

    PDF, 248 KBLast Updated: 05/13/2025

    PDF, 248 KBLast Updated: 05/13/2025

  • Elective Termination of Pregnancy Commercial - OB 01

    PDF, 227 KBLast Updated: 05/13/2025

    PDF, 227 KBLast Updated: 05/13/2025

  • Elective Termination of Pregnancy Medicaid - Obstetrics 01

    PDF, 225 KBLast Updated: 05/13/2025

    PDF, 225 KBLast Updated: 05/13/2025

  • Fetal Surgeries in Utero Commercial - OB 10

    PDF, 283 KBLast Updated: 05/13/2025

    PDF, 283 KBLast Updated: 05/13/2025

  • Fetal Surgeries in Utero Medicaid - OB 10

    PDF, 295 KBLast Updated: 05/13/2025

    PDF, 295 KBLast Updated: 05/13/2025

  • Fetal Surgeries in Utero Medicare - OB 10

    PDF, 314 KBLast Updated: 05/13/2025

    PDF, 314 KBLast Updated: 05/13/2025

  • Testing of Premature Rupture of Membrane in Pregnancy Commercial - OB 12

    PDF, 169 KBLast Updated: 05/13/2025

    PDF, 169 KBLast Updated: 05/13/2025

  • Testing of Premature Rupture of Membrane in Pregnancy Medicaid - OB 12

    PDF, 240 KBLast Updated: 05/13/2025

    PDF, 240 KBLast Updated: 05/13/2025

  • Testing of Premature Rupture of Membrane in Pregnancy Medicare - OB 12

    PDF, 244 KBLast Updated: 05/13/2025

    PDF, 244 KBLast Updated: 05/13/2025

  • Transabdominal Cerclage Commercial - OB 11

    PDF, 181 KBLast Updated: 05/13/2025

    PDF, 181 KBLast Updated: 05/13/2025

  • Transabdominal Cerclage Medicaid - OB 11

    PDF, 294 KBLast Updated: 05/13/2025

    PDF, 294 KBLast Updated: 05/13/2025

  • Transabdominal Cerclage Medicare - OB 11

    PDF, 267 KBLast Updated: 05/13/2025

    PDF, 267 KBLast Updated: 05/13/2025

  • Affiliates
  • Authorizations
  • Behavioral Health Resources
  • Billing and Claims
  • Clinical Reference
  • Find Doctors, Drugs and Facilities
  • Join Our Network
  • News
  • Pharmacy
  • Provider Connection Registration
  • Provider Support
  • Close Care Gaps
  • Compliance Documents
  • Fraud, Waste and Abuse
  • Frequently Asked Questions
  • Language Assistance
  • Machine Readable Data
  • Notice of Nondiscrimination
  • Privacy Policies and Disclosures
  • Quality Improvement
  • User Agreement
  • Careers
  • Contact Us
  • Get the App
  • News Center
  • Get Adobe Reader

Follow Us:

  • Vector.svg
  • Youtube.svg
  • Intagram.svg
  • Linkedin.svg

Follow Us:

  • Vector.svg
  • Youtube.svg
  • Intagram.svg
  • Linkedin.svg
© Sentara Health Plans 2025, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Vantage Health Maintenance Organization (HMO) and Point of Service (POS) plans are issued and underwritten by Sentara Health Plans. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and Family Access to Medical Insurance Security (FAMIS) products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS). Plus Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. The Sentara Employee Assistance Program (EAP) is administered by Sentara Behavioral Health Services, Inc. Large group self-funded health plans and BusinessEDGE® plans are administered but not underwritten by Sentara Health Administration, Inc. Wellness programs are administered by Sentara Health Administration, Inc. All plans have benefit exclusions and limitations, and terms under which the policy or plan may be continued in force or discontinued. For costs and complete details of coverage, please call your broker or review this website for more information. Sentara Health Plans complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.