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INFORMATION & FAQ's
The Home Birth Global Fee
Home birth midwifery care for pregnancy, labor, birth, newborn, and postpartum care are offered as a package under a single global insurance fee (see table below).
I (Tiffany) operate under a cash pay fee model, rather than accepting insurance. This allows me to offer a sliding scale arrangement, and give reasonable cash pay discounts as reflected in the table below.
It also allows me greater freedom to practice in a way that aligns with my philosophy and is safe for all concerned -- clients, babies, and myself. It's also a way to keep costs down and eliminate a lot of unnecessary paperwork.
I am happy to provide a coded receipt for any and all payments received at the end of your care so that if you desire, you can submit a claim to your insurance for potential reimbursement.
How Much Does a Home Birth Cost?
My fee is based on a sliding-scale model, and payment plans are available. The balance is due at 36 weeks.
|Annual Income||Total Global Fee||Discounted Cash Pay Fee*||$29,999 and below||$7,500||$3,100|
|$30,000 - $39,999||$7,500||$3,400|
|$40,000 - $49,999||$7,500||$3,700|
|$50,000 and above||$7,500||$4,000|
*If paid in full by 36 weeks
Though a few of these can be waived, there is no discount for doing so.
- 24-hour availability of your midwife
- Access to your client portal & records
- Lending library access
- Complete care from 1st trimester through 6 weeks postpartum
- On-call availability for your birth from 37 weeks until your baby is 48 hours old
- Necessary birth equipment and medications
- Birth pool kit rental (if desired)
- Postpartum basics kit
- Newborn exam and procedures
- Birth certificate processing
- Assistant fees
- One free postpartum visit with an IBCLC
What’s Not Included:
- Lab work (both routine and non-routine)
- Referred services
- Consultations with other providers
- Hospital transport
- General birth supplies (complete list provided at 28 weeks)
Payment Structure & Discounts:
Once you hire me, I will calculate your Cash Pay Fee, including any applicable fees, labs, and minus any discounts. A non-refundable retainer fee is due no later than your first appointment, when we sign the Financial Agreement. This fee varies, depending on when you begin care.
- 9 - 14 weeks: $400
- 15 - 28 weeks: $650
- 29 - 32 weeks: $1,000
- 32+ weeks: 75% of total fee
This retainer fee not only pays for your initial appointment, it also reserves your due date on my calendar.
Payments can be made as a lump sum, or on a monthly basis from the beginning of care until the balance paid in full at the 36 week home visit. I accept cash, check, HSA/FSA accounts, and major credit cards.
Routine labs, drawn at 12 weeks and 28 weeks, cost approximately $300 if they are not covered by insurance. This amount can be paid at the time of service, or added to your total and broken up into your monthly payment.
A $400 discount is available for:
- Repeat clients
- Active duty military and/or first responders
- Paying in full at the initial appointment
Note: Only ONE discount may be applied, due to the sliding scale model. They do not stack.
Additional details are available in my Financial Agreement. Be sure to request a consultation, and I will be happy to provide the information to you.
Travel & Home Care Options
Travel fees will only apply to those who live or move during care more than 45 minutes away from my office location. This fee serves to cover the extra costs associated with the four standard home visits during the course of your care.
Home Care Option
Some women prefer midwifery care to take place entirely in their own home, for a variety of reasons. If you desire all of your care to be done in your home, there is a $1,000 charge to help cover the additional costs associated with this model.
Request a consultation to see complete details, and to ask any questions you have about the cost of homebirth.