Frequently Asked Questions
- Financial questions
- Transfer of Care and Doctor/Midwife Rolls questions
- Prenatal Care questions
- The Birth questions
- Post Partum questions
Do you take insurance?
While I am not considered an “in network” provider with any insurance companies, I am usually covered under your “out of network” benefits. You will need to pay me my full fee, but once your baby is born, my insurance biller will submit your claim. Many of my clients are getting reimbursed for their entire fee! Even folks with high out of network deductibles! Claims are processed within 45 days, but I’m seeing turn around of 2 weeks typically. Ask me about your benefits eligibility when we meet and I can tell you your coverage on the spot!
Do you accept Medicaid or TriCare?
At this time, Medicaid refuses to cover my services. But keep in mind that payment in full is not due until 36 weeks of gestation, so you will be able to make payments as you go and won’t be expected to come up with a lump sum right away! In very rare cases, I will work out extended payment plans. So please ask! I have heard of some folks having success getting reimbursed by TriCare and I’d be happy to help by providing any necessary paperwork.
What do you charge?
My fee, due in full at 36 weeks, is $3200.00. I require a retainer of $400 at your initial appointment. This $400 retainer is included in the full fee. Labs and Ultrasound can be billed to your insurance. There is a list of birth supplies that you will need to provide that can usually be procured for less than $50.
What is a CPM, RM?
A Certified Professional Midwife, Registered by the State of Colorado. The CPM credential is awarded by the North American Registry of Midwives (NARM), a National organization that regulates the education of midwives. Student midwives must meet rigorous educational requirements, work through an apprenticeship with a midwife, pass practical skills requirements and finally a massive written examination. The state of Colorado recognizes the
CPM credential awarded by NARM as qualification for registration, RM.
What is the difference between a CPM and and CNM?
As outlined above, a CPM is a midwife who has focused her education solely in the area of birth, women’s health and all that entails. She has made home birth her primary demographic for education and has had years of hands on home birth experience before she is licensed. A CNM is a midwife who has gone to years of nursing school learning a broad scope of nursing care in many fields. She has then gone on to do a program in midwifery, largely, but not solely in the hospital or birth center setting. The CPM route follows the more traditional path of midwifery; education passed from generations of women to their successors, while the CNM path follows a more Western medicinal path. Both credentials entail an awesome amount of hours and work to achieve. The safety of moms and babies is the common goal of both CPMs and CNMs.
Yes, it is true that CNMs are considered “in-network” with several different insurance groups. But this does not mean that your birth will be free. It means that your birth will be covered by insurance at the rate of your “in-network” benefits. You will still have to pay your deductible and co-insurance. In many cases the cash out of pocket will be the same or more than my fee! Ask me about your benefits eligibility when we meet and I can tell you on the spot what your benefits will be!
Do you have a back up doctor?
No. The state of Colorado will not allow doctors to back up out of hospital midwives. In fact doctors would stand to lose their malpractice insurance if they were perceived to be backing up midwives out of hospital! That said, many of us have excellent relationships with local doctors as we do have to refer patients occasionally and at times transfer to the hospital in labor. I have worked hard over the years to cultivate good relationships so that any transfers or
referrals are very smooth. I never want to have to refer a client out of my care, but in times of medical necessity I find peace in knowing that we can facilitate a smooth transfer of case and make sure the needs of the client are met!
What happens if I have to go to the hospital in labor?
In the incredibly rare event of an emergency, we activate 911 and stabilize everyone for immediate transport! But one of the main functions of your midwife is to notice and anticipate any problems through diligent care and monitoring so that we can reach out for help before an emergency occurs. Therefore the overwhelming majority of transports are non-emergent and we simply pile into cars and drive to the hospital. The main downtown hospital is staffed with
on call hospitalists. These doctors are absolutely fantastic and work hard to maintain great relationships with local midwives. We have meetings every few months and learn much from each other. They are amazing at helping maintain a safe birth situation while still respecting the desires of the birthing family. We would prefer to facilitate each and every delivery at home. But it is so nice to know that when we do need to go in we will be met by an extremely competent and compassionate team of providers!
Do you stay with me if we have to transport to the hospital in labor?
Yes! Absolutely yes! I do not have hospital privileges and will have to transfer your care to the doctors, but I will absolutely stay by your side to offer support, advice and information. No one walks into home birth wanting to end up in the hospital and it can therefore be a scary and foreign experience. I will stay with you to ease that fear and assist in any way that I am able.
Do you continue care with me after birth if I have to transfer in labor?
Yes! Once you return home from the hospital we resume our care and I do post partum we’ll care for you and baby for the first 6 weeks after birth.
Do you accept high risk clients?
No. Home birth is safe for healthy women and babies. My number one priority is for the safety of the birthing family. The safest place for a high risk client to birth is in the hospital under the care of a doctor.
When do I begin care with a midwife?
I begin seeing clients around 10 weeks of pregnancy. But I’m always available for earlier appointments for clients who need extra assistance.
How often do I see my midwife?
You will see me every three weeks third Trimester, approximately 28 weeks gestation. Then we will meet every two weeks until we do your home visit at 36 weeks gestation. After that we will meet back at my office weekly until you deliver.
How long are prenatal appointments?
I schedule your appointment for one hour. The clinical assessment portion of that takes up about 15 minutes leaving plenty of time for you to ask any questions you have and for us to spend adequate time together to form a trusting and close relationship leading up to the birth.
Can I bring my partner and/or kids to my appointments?
Absolutely! This is a family experience and I want to be available for all members of your family! I love getting to know your other children so that they are comfortable with me coming into your house in a capacity that is different from the way you spend time with most guests. I also want to help your partner feel included in the experience. You, the pregnant mother, are my clinical patient, but your whole family is a part of pregnancy and birth!
Can I call you anytime I need?
Of course! You will have my number available to you around the clock, 24/7. You never have to go through a nurse or office staff, you will be able to speak directly with me any time!
Do you do waterbirth?
Yes! I provide a birthing pool to you at no extra cost. You are welcome to brith in the pool or on dry land. Whichever feels best for you!
Do I have to deliver lying down?
No way! The beauty of home birth is that you are able to birth in the most effective position for you and your baby. Your body grew this baby and your body knows the best way in which to deliver. I will offer suggestions as needed and helpful advice, but everything is always your choice.
When do you come?
I arrive once you are in active labor. Arriving too early can put pressure on birthing women to move things along; a “watched pot” scenario. We will be communicating often through your early labor and it is typically very easy to determine when I should come.
How long do you stay?
I stay through active labor, delivery and for 2-3 hours after. We make sure that you and baby are stable, that you get something to eat and drink, are able to use the bathroom, shower if desired and that breastfeeding is established. We also weigh and measure the baby and do a comprehensive exam. Last but not least, we clean up!
What about the mess?
We are a well oiled machine when it comes to managing and cleaning up any mess associated with birth! At every step along the way, we make every effort to keep your space comfortable and tidy. By the time we leave, you should have nothing but your baby in your arms to remind you that you gave birth in your home.
How often do I see you?
I return to your house to see you 24-48 hours after the birth, again between days 3-5 and once again between days 7-10. I am available by phone 24/7. It is very important that your needs are met and questions answered in those first few days! And since it is important that you rest, recover and bond with your baby, I come to you that first week. After that, you and baby see me in office weeks 2, 4 and 6.