Every policy offered for sale as a basic benefit policy shall give the insured the option of purchasing the following coverages, subject to underwriting guidelines:

1. (1) Children's preventive healthcare coverage for services rendered at the following age intervals by a single physician during the course of one (1) visit:

   1. (A) Birth;
   2. (B) Two (2) months;
   3. (C) Four (4) months;
   4. (D) Six (6) months;
   5. (E) Nine (9) months;
   6. (F) Twelve (12) months;
   7. (G) Fifteen (15) months;
   8. (H) Eighteen (18) months;
   9. (I) Two (2) years;
   10. (J) Three (3) years;
   11. (K) Four (4) years;
   12. (L) Five (5) years; and
   13. (M) Six (6) years;

2. (2)

   1. (A) Benefits for children’s preventive health care shall be reimbursed at levels equal with the levels established for the same services under the Medicaid program in the State of Arkansas.
   2. (B) Furthermore, all copayments and other amounts payable by insureds pursuant to 23 CAR § 107-103 shall be applicable to benefits payable for children’s preventive health care;

3. (3)

   1. (A) Prenatal care coverage shall be offered, which includes coverage for:

      1. (i) One (1) prenatal visit per month during the first two (2) trimesters of pregnancy;
      2. (ii) Two (2) office visits per month during the seventh and eighth month of pregnancy; and
      3. (iii) One (1) office visit per week during the ninth month until term. (B) Coverage shall include all necessary examinations, laboratory and diagnostic procedures, and tests deemed appropriate by the treating physician; and

4. (4) Obstetrical care shall be offered, which includes:

   1. (A) Physician services;
   2. (B) Delivery room services; and
   3. (C) Other medically necessary hospital services.