Question 1

Do you participate with insurance companies?

Accepted Answer

After careful thought and consideration, this is a self-pay practice. In order to provide 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, we intend to give you a detailed bill of service with all the necessary codes to file directly with your insurance and get the reimbursement they offer. We do ask for your insurance information to have available for any tests we may collect. The Laboratories and Radiology services we use as part of your care will file your insurance for their services.

Question 2

What are your fees?

Accepted Answer

The fee for our services is as follows: Full Maternity Package for Homebirth is $5500.00. Full Maternity Package with birth at "The Cottage" is $6000.00. The additional fee is for rental of "The Cottage" in collaboration with Grace Midwifery. Mini 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.

Question 3

What is included in the cost of care?

Accepted Answer

Your prenatal package includes all of your visits throughout your pregnancy. Home visits by the CNMs can occur if you live in the Winchester area. If you are having a baby at home or at "The Cottage" your package includes intimate and personalized care during your labor and birth, immediate care of your baby, and visits to you and your baby 4 times after you have given birth. If you plan to see us only for Prenatal care the package includes a 2 and 6-week postpartum visit. All prenatal packages also include the ability to communicate directly with us as needed for questions and advice. This is discussed at the first visit in detail.

Question 4

What happens at a midwife visit?

Accepted Answer

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.

Question 5

Do you have a medical doctor you are able to consult with if necessary?

Accepted Answer

We are an independent Nurse Midwifery group but have open dialogue with many OB/GYNs and Maternal Fetal Medicine experts. If you need to be transferred to their care we will make it professional and ensure you are getting excellent medical care. We 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.

Question 6

Do I have to take my baby to a Pediatrician after birth?

Accepted Answer

We prefer your baby to have a checkup at a healthcare provider within a week of delivery. We will send a copy of the baby’s birth record with you. We truly suggest meeting with a provider during your pregnancy to see if they seem supportive of your philosophy in healthcare and raising your children.

Question 7

Do you offer breastfeeding support?

Accepted Answer

As a former breastfeeding consultant and past breastfeeding mother Karen is passionate about breastfeeding and the amazing benefits it offers to families. Sandra has helped many new mothers along the way with breastfeeding as well. We will assist you after birth and give guidance along the way. We know several Lactation consultants who are excellent resources if breastfeeding has challenges. We encourage our patients to attend local La Leche League Meetings for guidance and support!

Frequently Asked Questions

Karen R. Nguyen, CNM

Midwifery Services