Medicaid Coverage for Midwifery Care
Medicaid Coverage for Midwifery Care
Choosing the right care provider for your pregnancy and birth is a deeply personal and significant decision. Just as we believe in informed choice for your clinical care, we also believe in informed choice in your financial decisions. Our goal is to provide complete transparency regarding the investment involved for your care.
We thought long and hard about how to make this practice sustainable so that we can afford to practice for many years to come, but also so that we can work with clients across all income levels. For this reason, we are proud to be in-network with all Medicaid (Apple Health) plans, and accept a small number of Medicaid clients per month. Please note that we are out-of-network providers with all private insurance companies.
Services Covered by Medicaid:
For clients covered by Medicaid, the following services are fully covered by your insurance:
- Midwifery Care: all routine prenatal visits with us, one Licensed Midwife at your birth, and all of your postpartum care.
- Outside Services: essential outside services such as ultrasounds, lab work, medications, vaccines, and hospital care in the unlikely event of a hospital transfer.
- Customized Labor Prep Tincture
Services Not Covered by Medicaid:
Unfortunately, there are a few services vital to our model of care that insurance does not cover:
- Second Licensed Midwife Fee ($620): In our commitment to providing safe midwifery care, we ensure two licensed midwives are present at every birth. This allows us to provide the safest care possible so that once your baby is born, there is a skilled provider for both you and your baby. Unfortunately, while insurance companies will pay for a whole hospital staff to attend your birth, they will only pay for one licensed midwife to be at your birth. We ask that you pay this fee directly to the second midwife at the time of your birth. It is the community standard for clients to pay out-of-pocket for the second provider attending their community birth.
- Non-Covered Services Fee ($1,000): This fee helps us provide the full scope of midwifery care that insurance does not reimburse us for. It is a standard fee in our community that ensures you receive the personalized, continuous care you deserve. These services include:
- Midwife-Led Continuity of Care (seeing the same providers throughout your care)
- More frequent and longer prenatal visits
- Direct 24/7 access to your midwives
- Increased postpartum visits after birth
- Birth Tub Rental (Optional, Home Birth Only) ($200): For clients planning a water birth at home, you have the option to rent a birth tub from us. This fee covers the cost of an inflatable tub, a tub liner, and detailed instructions on how to assemble it in the time leading up to your birth.
