How do I enroll my baby with VISTA Healthplans?
Commercial Plan Members
Contact your Benefits Administrator to have your baby added to your policy within 30 days of the baby’s birth so there is no gap in coverage. You will need to fill out a Member Status Change form and turn it in to your Benefits Administrator for your baby to have continued coverage along with the rest of the family already on the plan.
Member Change Status Form
Individual Plan Members
Add your baby to your policy within 30 days of the baby’s birth so there is no gap in coverage. You will need to fill out a Newborn Registration form and send it to VISTA for your baby to have continued coverage along with the rest of the family already on the plan.
Newborn Registration Form
How do I find an obstetrician or gynecologist near my home or workplace?
You can find an obstetrician or gynecologist by using VISTA’s “Find a Physician” tool located at the top left hand corner of this web page. Click on the “Go” button, then select the specialty you would like to search to see a list of all VISTA participating physicians.
Can my OB/GYN refer me to another specialist?
Commercial HMO, POS, PPO, Individual POS, Medicaid and Healthy Kids Members
Your gynecologist or obstetrician may only give you a prescription for any covered services (including services from a gynecological oncologist, maternal and fetal medicine specialist, reproductive endocrinologist or urogynecologist) that do not require Pre-Authorization from VISTA.
Your gynecologist or obstetrician may only give you a prescription for covered services from a gynecological oncologist, maternal and fetal medicine specialist, reproductive endocrinologist or urogynecologist.
Commercial, Individual, Medicaid, Medicare and Healthy Kids Members
Participating gynecological oncologists, maternal and fetal medicine specialists, reproductive endocrinologists or urogynecologists will contact VISTA directly for Pre-Authorization before your appointment.
Open Access, POS and PPO Members
You may access care from a specialist without a referral or prescription from a gynecologist or obstetrician.
When should my child have a check up or receive an immunization?
In our effort to improve provider and member awareness of nationally established screening guidelines for routine childhood care, VISTA supports the use of nationally evidence-based preventive care screening guidelines.
Childhood Routine Care and Immunization Schedule
Where can I have my baby?
VISTA is contracted with the following hospitals that provide maternity services
|Childhood Routine Care|
|Well-child Check-ups||at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, and 2 years of age – then yearly thereafter|
|Hearing||Screening in Newborn period recommended|
|Vision||Routinely beginning at age 3|
|Lead Screening||Screen all at risk children (all Medicaid children by law) for blood lead at age 12 months and at age 24 months|
|Childhood Immunization Schedule|
Recommended childhood and adolescent immunization schedule, by vaccine and age
This schedule indicates the recommended ages for routine administration of currently licensed childhood vaccines, as of December 1, 2005, for children through age 18 years. Any dose not administered at the recommended age should be administered at any subsequent visit, when indicated and feasible.
Vista Healthplan supports the preventive care guidelines and immunization schedule for children which are recommended by the American Academy of Pediatrics. Members and providers may access this periodicity guideline in its entirety at http://www.aap.org . Physicians are encouraged to familiarize themselves with these guidelines and to incorporate them into their daily patient management. This guideline is referenced with the understanding that a physician’s screening and treatment plan for any particular patient will be individualized. Vista Healthplan will review the above referenced guidelines annually. It is important to note that alternative screening guidelines exist, and physicians and members are encouraged to refer to other authoritative sources as their individual clinical situation may require.