Prenatal Care Provided by Primary Care Physicians

Aetna covers prenatal care provided by qualified family physicians (antepartum care only) and allows members to remain with their family physician for prenatal care or delivery. Key requirements: the practice must identify itself to Aetna and agree to Aetna policies, bill antepartum visits with CPT 59425/59426, coordinate all genetic testing through the Beginning Right Maternity Program, and the member must choose a participating obstetrician as co‑manager.

"The pregnant Aetna member must be offered the choice of prenatal care by either the practice or a participating obstetrician."

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