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HSP pays for pregnancy-related services only. Benefits terminate 60 days
after the date of delivery, plus until the end of that month. HSP-enrolled individuals are also
enrolled in MassHealth Limited. MassHealth Limited covers delivery and emergency services.
Medical and Behavioral Health Services Covered
- Primary and specialty visits
- Outpatient behavioral health visits (up to 10 visits per pregnancy)
- Radiology and laboratory services
- Amniocentesis
- Durable medical equipment and supplies, including breast pumps, up to $300 per pregnancy
- Home nursing visits (limited to 2 visits for pregnancies without complications and limited to 5 visits for pregnancies with complications or C-sections)
- Office-based emergency oral health (i.e. trauma)
- Office visits including family planning
Examples of services not covered under HSP
- Non pregnancy-related services
- Hospital inpatient care
- Emergency room treatment
- Home birth
- Elective abortion
- Reversal of tubal ligation
- Transportation to prenatal care
- Transportation to the hospital for labor and/or delivery
- Chiropractic services
- Routine oral care
- Physical therapy
- Cosmetic or comfort care/items
Pharmacy
- Copayments are $3 for each generic drug and $4 for each brand-name drug
- Prescriptions are administered through Wellpoint Pharmacy ProServ. Pharmacists - Please use group number 28194, the member's ID number listed on the front of this letter,
and Rx Bin Number 610053.
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