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Our Basic Fees

The fee for midwifery services is $5500* and includes the birth facility fee. This basic fee includes all prenatal visits including one home visit, on-call fee; labor, birth and immediate postpartum care. Laboratory tests and ultrasound fees for mom and baby are not included in the basic midwifery fees. Having your baby at the AquaNatal Birth Center INCLUDES:

- Hypnobabies Complete Childbirth education ($399 value)
- Perinatal Massage -- after most prenatal/postpartum visits ($400 value)
- EarthMama AngelBaby breastfeeding & postpartum products - ($150 value)

Cash Pay Early Bird Payment Plan
You can save $500 by paying in full at the time of your initial visit, which makes your total fee $5000.  If you decide to make payments, we require a $1000 retainer and payments which will enable you to have paid in full by 36 weeks. 
HandsPayment Schedule
Please come by for a complimentary consultation and tour of our facilities. If you decide to work with us on your "baby project" we will schedule your first prenatal visit. We accept all major credit cards and you may also set up a payment plan. A retainer payment of $1000 is expected at the initial prenatal visit, with minimum payments of $250 each prenatal visit. A total of $2000 of the midwifery fee is non-refundable, and is due no later than the 28th week of pregnancy. Please let your midwife know if you are experiencing financial hardship, so we can work out alternative arrangements such as an extended payment plan.

Insurance
Most insurance companies cover licensed midwifery care. We have great success with billing many insurance companies! HMOs will not recognize free-standing birth centers as, so if you are planning to use our services you may wish to discuss this prejudice with your human resource person at work. Companies are able to add on licensed birth centers with Licensed and Certified Professional Midwives to their plan. It is an option with companies that use Blue Cross or Blue Shield and other major insurers. Many women have influenced their employers to make this change before they conceive, so they can enjoy full coverage. 

We are not contracted with any health insurer or government program, such as Medi-Cal or Tri-Care at this time.  Please call or stop by so we may explain how you can maximize your reimbursement from your insurer for our services.  Most HMO plans will not cover midwives or birth centers -- when our fees are less than 1/3 of what they are willing to pay an OB & hospital.


** Do the math. Your insurance company refuses to cover a birth center birth, but will pay 60-80% for hospital care. The cost for a normal vaginal birth is about $18,000 in the hospital (with 32 - 60% of women "needing"cesarean sections which inflates the cost up to $40,000). Your annual deductible and 20 - 40% co-insurance responsibility could be $4,000-$16,000. You might be SAVING $$$ having your baby at the AquaNatal Birth Center, or at least may be the same as going to the hospital for your baby's birth -- and you are preventing an unnecessary cesarean section!!


DOES YOUR INSURANCE COMPANY PAY FOR LICENSED MIDWIVES AND BIRTH AT HOME OR BIRTH CENTER?

e recommend that you contact your insurance company prior to visiting AquaNatal Birth Center to verify coverage of the specific service you are seeking as well as any copays, co-insurance or deductibles. Confirming this information in advance will help you avoid unforeseen charges.We are a freestanding birthing center, with pregnancy, labor and birth services, as well as well woman care from Licensed Midwives.

To help you verify if your insurance will cover your maternity services at AquaNatal Birth Center, please take the following steps.

STEP 1:                                                         
Get out your insurance card and call the member service information phone number on the back.

STEP 2:
Inform your insurance company that you're going to visit a AquaNatal Birth Center in your area and might like to have your baby with us.

STEP 3:
Confirm your benefits and coverage for the specific service you are seeking: maternity care with  a Licensed Midwife at Freestanding Birth Center.  If coverage is confirmed, you can have your prenatal care and birth your baby at AquaNatal Birth Center, the only specially-designed and equipped waterbirth center in the region.

*** HMO Members, please confirm your plan's rules to access AquaNatal Birth Center. Your out-of-pocket payment will be higher if you do not adhere to your plan's rules.

STEP 4:
If you find out that our services you're seeking will not be covered, visit AquaNatal Birth Center and pay our global fee with cash or credit card. AquaNatal Birth Center provides high-quality maternity care, convenient appointments, and well-woman care at an affordable price.

STEP 5:
Be sure to get the person's name and direct phone number you spoke with at your health plan – you will probably have to speak with an RN Case Reviewer in order to get a correct answer. You will need to obtain an "Authorization Number," with which we can bill your insurance. You will want to ask them if they want us to bill them (electronically thru OfficeAlly.com) for each visit, or bill our services after you baby is born.

For your convenience, we do all the itemized coding, billing, and electronic processing of your insurance claim(s), so that you will receive the maximum reimbursement under your health plan's guidelines.

AquaNatal is continually working on participating in more health plans, and taking Medi-Cal.However, if they don't see a consumer demand for our type of extraordinary birthing services, they see no need to contract with us!So Call Them on it – explain it is very important to you to have safe birthing choices – and you don't feel comfortable in a hospital, exposed to unnecessary and dangerous interventions, infections, and difficult, unknown staff.AND you'd like to be able to labor and perhaps give birth in water, and it is not available within 30 miles of your home . . .


Clients Talk About Midwifery Fees
"This is such inexpensive care! I paid the same amount for a hospital birth twenty years ago". ~ Grandmother of baby Jennifer

"At first I thought there is no way I'm going to pay $5,000 dollars out-of-pocket for a birth center birth! My HMO wouldn't cover my delivery out of the hospital. I cried, partly because I was early pregnant and cried a lot, but also I really wanted to have my baby at a birth center. The hospital birth would have been free. Then I thought about all the things we plunk money down on: our entertainment center, bedroom set, vacations etc. I decided to splurge on Sam's birth. It was worth it. I had him in the water and I will NEVER forget his little face coming up out of the water. He looked right at me. It was all really calm and gentle and worth every cent!" ~ Briseli, mother of Aiden


"It was kind of hard to come up with the money to pay the midwives, but I figured I'm not going to give birth too many times and this is the only time this baby will be born." ~ Alejandra after Victoria's birth