fee, financials, and insurance
Fee for care
Beginning March 1, 2024, the total package fee will be $6,200. All clients are offered a flexible payment plan, with the total package fee due by 36 weeks.
This fee includes:
• Unlimited regular prenatal visits.
• At least one in-home prenatal visit at 36-37 weeks gestation.
• Two community care or group visits.
• Blood draws or lab specimen collection at the office (please be aware there is a separate fee charged by the lab for processing the labs).
• Labor, birth, and immediate postpartum midwifery care for client and baby.
• Two in-home postpartum midwifery visit at 24-36 hours, and at 2 wks.
• 1 final postpartum office visit at 5-6 wks.
• 24 hour availability via phone beginning at 37 weeks.
• A birth tub for use in labor.
This fee does not include the following:
• Lab work, Pap, Chlamydia and Gonorrhea screen, Group B Strep culture (generally billable directly to insurance).
• Any referred services: ultrasound, physician fees, hospital fees or charges incurred due to transfer of care.
• Supplements
• Birth supplies
Late to care:
Birthwise Midwifery will occasionally accept clients wanting to transfer into our care later in the pregnancy, if there is availability for the client’s due date, and after a health screening and virtual consultation to determine if we are a good fit.
Sliding Scale:
We also offer a sliding scale for a small number of clients who desire a homebirth but feel paying our full fee would cause hardship.
Insurance coverage
Due to the nature of the care we provide, Birthwise clients are expected to pay in full, out-of-pocket, ahead of the birth. Birthwise Midwifery is not in network with any insurance companies. Coverage varies greatly depending on the plan, your deductible, out-of-network provider coverage, and whether or not your insurance company covers homebirth and/or Certified Professional Midwives. Birthwise uses SLB Billing for insurance billing. Please ask us how you can register with them to get a VOB and see if your insurance company reimburses for homebirth.
All services can be paid through a Health Savings Account or Flexible Spending Account. Unfortunately, Maryland Medicaid does not cover home birth services with CPMs.
Photo by Heartlove Photography, courtesy of Tova Brody