Fees and Scheduling Information for Home Birth Services ***Yes, I accept Medicaid/Centennial Care!***
My payment plan is set up to accommodate families' needs. All families should have access to health care that they need, regardless of ability to pay. I encourage my clients to investigate their eligibility for Medicaid if they do not/can not carry Health Insurance. I accept the lower fees from these Insurance/Assistance Programs as a way of accommodating clients with low Income. The screening of financial eligibility done by the Income Support Division is my criteria for providing this lower fee. Please let me know if you need information regarding eligibility for these programs, or if at any time your financial status changes and we need to make a new plan.
A client receiving care beginning in the first trimester will see me an average of 15 times (Monthly until the 28th week, biweekly until the 36th week, weekly until the 41st week, and every 2 days until week 42) and most families will be seen at least 5 times postpartum. For a client coming into my care late in pregnancy, I may require more frequent visits, as a vital component of midwifery care is the close relationship formed between midwife, mothers, and families. There are a variety of reasons in which mothers and babies may need additional visits with midwife, and there is not an extra charge for these, nor is there an extra charge for very long labors. I want you to feel comfortable contacting me at any time you feel you need extra attention or care. For clients living greater than 50 miles away from me, I may ask for additional travel costs. The CASH (discounted) fee for midwifery care including birth, prenatal, and postpartum care is $3400. For clients who live greater than 50 miles from the midwife, there is an additional $500 fee. A $500 deposit is required to begin care and hold your place for your due-time for cash-paying clients. This deposit may be split into 2 payments. Cash paying clients will also be expected to pay for ultrasounds and lab fees, and if needed, Rhogam ($90); and newborn screens ($120 directly paid to the newborn screening program). The typical charge to ALL insurances (private or medicaid) is $3500 (global fee) and clients are expected to pay their co-pays and deductibles and to know the terms of their insurance coverage. Your insurance will also be charged separately for postpartum visits (under mother or baby’s insurance), supplies and other miscellaneous services such as labor checks during practice labor . This amount varies. Ultrasounds and Lab Fees are usually covered by insurances, even when they do not cover Home Birth.
Your Home Birth Kit (around $45 to $75) is a separate purchase, as well as purchase or rental of water birth supplies/tub if desired.
More detailed information on financial arrangements can be requested via my contact form.
If a client requires a transfer from my care during pregnancy, we will calculate the cost of care, and issue a refund if necessary.
I am available for hospital labor support, and can often resume postpartum care, or offer breastfeeding counseling/support and can discuss my fees for those services if the need arises.
If a mother requires transport during labor/birth, I will accompany and support her at the hospital, however, no refund will be issued.