Most insurance companies do not cover home birth. However, it does depend on your individual plan. You are responsible to know if they will cover out of hospital birth expenses and how much. You may contact our office manager for more details. We do not accept KanCare.
You will need to pay for any lab costs, ultrasound, vitamins, birth kit, and our fee ($4000 for a first-time mom or VBAC and $3000 for subsequent births). Most insurance companies, if they cover home birth treat us as out-of-network providers . Maternity care is usually billed as a global code, meaning that all of the care is bundled together and there is one charge for everything. We ask that the entire fee be paid by your 36th week of pregnancy as detailed in our financial agreement.
Another problem with the insurance comes up if we transfer care in labor to the hospital. If the baby is born in the hospital then we can no longer bill the global code for maternity care. At best, we can bill for prenatal visits and postpartum visits but the reimbursement for these visits is low. The same issue with your deductible applies here too. Sometimes insurance companies will not pay for the prenatal care as a separate charge at all. You will be responsible to pay the agreed amount.
Routine ultrasound has become an expected component of prenatal care that many women desire. We will discuss with you the schedule for routine ultrasound. Though it is not a requirement, most women in our care decide to have at least one ultrasound, usually around 20 weeks. Sometimes there is a medical indication for an ultrasound exam. In this situation we will describe the concern and how ultrasound could be helpful. Again, we would refer to a local doctor where the ultrasound will be interpreted by a physician, with special attention to the issue that necessitated the referral.
While this happens rarely, it is not a problem for our practice. We have other midwives we work with for back-up. In the event that two women are laboring at the same time we will arrange to have at least one midwife and a trained labor assistant at your birth.

You will be offered most prenatal tests and screening currently available to pregnant women in the United States. For each test and/or screen you will be given information on the condition or disease being screened for, information about the test and/or screen itself, information to help understand the range of results and how the results may affect your care. You will then be able to make a decision about whether or not to do a particular test/screen.

We are very comfortable attending first-time mothers at home. In fact, it is becoming a very large part of our practice to assist first-time moms.

Many factors contribute to a woman’s perception of pain in labor. We find that with the continual support of skilled and familiar attendants, in a relaxed environment where a woman is at ease with her surroundings, a natural birth can be accomplished, often leaving a woman in awe of the power of birth. We are able to offer a variety of methods to help women cope with the discomforts of labor including massage, hydrotherapy (including waterbirth), changes of position, bodywork and other methods all without associated risks of drug use to mother and baby. We encourage exercise to reduce the need for non-homeopathic pain relief.

Anyone who has gone through pregnancy and birth has experienced the very real fear of a bad outcome. This fear is born out of both an intellectual and emotional awareness of inherent possibility of risk in birth, no matter where we are or what decisions we make. As families who have chosen non-conventional birthing options, we are all aware of the additional questioning and scrutiny that can accompany a bad outcome at home. In more than twenty years attending home births and more than 2000 combined births, we have experienced adverse outcomes. We have attended the births of babies with downs syndrome, anencephaly, Trisomy 13 and heart defects. For each of these families the joy of birth was tempered by the realization that their new baby had serious medical issues, some of which were incompatible with life. We have also experienced death that occurred in the last trimester of pregnancy and newborn death at birth in situations where there was no indication before birth. It is our desire to have complete transparency regarding our experience with birth at home. We welcome questions and discussion in order to help you decide where and with whom you would like to have your baby.