Frequently Asked Questions

After careful thought and consideration this is a self-pay practice. In order to give full holistic care to expecting mothers and women the Midwife Model of Care™ is practiced. The common insurance company does not recognize the value of this and minimizes pregnant women to diagnosis codes. They tend to focus on quantity of care and not the overall quality of care. Once your bill is paid in full I will give you a detailed bill of service with all the necessary codes to file directly with your insurance and get the reimbursement they offer. I do ask for your insurance information to have available for any tests I may collect. The Laboratories and Radiology services I use as part of your care will file your insurance for their services.

The fees for my services are as follows: Maternity Package for CNM led Prenatal and postpartum care is $3000.00 Gynecology care depends on the type of visit. A Well Woman Exam is $150.00 A Problem Gynecology visit is $100-$150.00 In office testing charges are kept to a minimum A detailed list can be provided to you at your request.

Any laboratory and imaging visits are billed to your insurance by the place giving the services. Childbirth education, Doula services, and Lactation Consultants each have their own fees for the services they provide.

I will be honest and open with you from the beginning regarding the fees and will help set up a payment plan that best suits you. There are certainly Medical Loan services available to help with expenses up front. Credit cards are also accepted for payment. All Maternity care will need to be paid in full by 36 weeks of pregnancy.

Cash, check, credit card, & Venmo

I do not have a billing service since I am a self pay service provider. However, I have an account for my clients with SLB billing. SLB billing is a Midwife owned and run billing and coding company specializing in getting reimbursement for Midwifery care. You will basically hire them and they work directly with your insurance company to get the best reimbursement possible. Some clients self-file with their insurance company and do the work of discussing reimbursement. Any paperwork you need to assist with this will be provided by me and my administrative assistant.

Your prenatal package includes all of your visits throughout your pregnancy. Home visits can occur if you live in the Winchester area. Your Prenatal care the package includes a 3 and 6 week postpartum visit. All prenatal packages also include the ability to communicate directly with me as needed for questions and advice. This is discussed at the first visit in detail.

We get to know each other and gather the necessary health information needed to show us signs that a baby and mother are progressing safely together. Plenty of time is spent giving guidance regarding nutrition, self care, and stress reduction. We discuss lab results, ultrasound results, and how birth happens. We encourage gathering as much knowledge as possible before labor and birth so a new family is prepared. The average visit with me is 30 minutes or longer.

A Nurse Midwife is a healthcare provider trained in the disciplines of Nursing and Midwifery. We specialize in low risk and normal pregnancy and birth. An OB/GYN is a medical provider who is trained in the art of Obstetrics and Gynecology. Obstetrics encompasses low risk and high risk pregnancy conditions and includes surgical intervention as necessary. Gynecology is the medical and surgical care of a woman's reproductive system for a lifetime. Both disciplines must meet minimal requirements and sit for a Board Exam. They both must maintain their certification and continue to meet safety requirements as set forth by their certifying organization.

I keep detailed records of our visits and any laboratory and ultrasound testing completed. I then can share these with the medical providers that are a vital part of the health care system to handle high risk and complicated pregnancies. I have worked with many amazing physicians throughout the years and know they strive for a safe outcome for you and your baby as well.

I am an independent Nurse Midwife but have open dialogue with many OB/GYNs and Maternal Fetal Medicine experts. If you need to be transferred to their care I will make it professional and ensure you are getting excellent medical care. I also have dialogue with other Midwives in our community and at the National level to be sure standards of care and evidence based practice are followed.