My cash pay fee is $4500 for the entirety of midwifery care if paid by 36 weeks. This includes routine prenatal care, standard prenatal labs, labor and delivery, and postpartum care. This also includes any medications you might require as a part of routine care like IV Fluid Therapy, IV Antibiotics, medications for postpartum bleeding, and standard newborn medications. My fee does not include physician care, ultrasound, circumcision, or any advanced diagnostic tests that may come up as a part of your care. I'd love the opportunity to discuss fees in-person to discuss if insurance is an option for you and work out a payment plan that serves your needs.
Do you accept insurance?
I am not considered in-network with any particular insurance provider, but I work with a biller who helps with filing insurance claims. At the onset of care, we can run a Verification of Benefits to see what your insurance will cover. At the moment, Cost Sharing Plans, Cigna, Aetna, Humana, and United are the best bets. I am currently working on a way to bill Blue Cross Blue Shield. We are also working on accreditation with CABC and state licensure, which we are hopeful will make it possible to bill some portion of your care to Tricare and Medicaid. Watch my vlog on insurance to learn more about how to make insurance work for you, or schedule a free consultation to discuss option for payments.
Do you accept medicaid?
At this time I am not able to accept Medicaid. As I work through the accreditation and licensure process, I am hopeful that Medicaid will be an option to cover my services in part or in full.
Is this really safe?
My skills make me an expert in normal, low-risk pregnancy and delivery. This means that my job is essentially risk management and risk assessment. As a midwife, I view pregnancy as a normal, physiological function, and treat my clients holistically. During your care, we are having ongoing conversations about your diet and movement, as well as monitoring for signs and symptoms that things are veering off of a normal course. I am constantly assessing and reassessing your care and thinking 'does this path we're on still look normal and low risk five steps ahead? How about ten?' If I ever have a feeling that the path we're on is heading towards an unsafe place, we have a conversation about your options and what we can do to create a safer birth for you and baby. I am trained in fetal heart assessment, IV therapies, life-saving medications, basic vital statistic monitoring, and resuscitation to ensure that I am always ready for the unexpected.
What if I need to go to the hospital?
While the large majority of my clients will deliver according to their original plan, birth is unpredictable, and certain scenarios might require transport to the hospital. During your birth your safety is my priority, and I am monitoring you and your baby based on the most up to date, evidence-based practices to ensure that we stay within the definition of low risk. During your labor, we are having an ongoing conversation about what is happening and what your options are. This means that you are aware of the risks and benefits and making informed decisions about your care at every turn. The moment something seems concerning, we will discuss the scenario and begin to make a plan. This way we are most often able to get to the hospital far before there is an emergency. I will accompany you to the hospital, remain on-site through delivery and until you and baby are stable, and continue to provide postpartum care.
What if I had a prior cesarean?
Unfortunately, in Louisiana I am unable to provide primary care for VBAC clients.
What if my baby is breech?
In accordance with the Rules and Regulations of the state of Louisiana, breech delivery is outside of my scope of practice. During your care, I will monitor your baby's position. If we find that your baby is breech, we will discuss various methods to encourage your baby to rotate to a head-down position. If your baby is persistently breech, I am required to transfer care to an OB. In this case, I will continue to care for you throughout your pregnancy, attend your birth in the hospital, and provide postpartum care.