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How did you pay for it?

Last post 09-22-2008 9:41 AM by upholding birth. 9 replies.
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  • 07-07-2008 1:21 PM

    • Mrs Garcia
    • Not Ranked
    • Joined on 09-03-2007
    • The ax forgets; the tree remembers~African proverb
    • Posts 519

    How did you pay for it?

    So I **may** have found a homebirth midwife to attend my VBACC, but my health insurance (shall I call it sick insurance?) won't cover a home birth.  I'm not sure yet what her fees are going to be, but I know that it's worth paying the money out of my own pocket to not have to be butchered again.  I was just wondering how you all paid for it?  Were you able to barter?  Work out payment plans?  Did you get a cheaper rate if you paid it all at once?  I have some money in savings, but it's our emergency fund I'd like to keep it there if possible.  Of course, if I needed to I would be willing to use it, I would just like to avoid it if possible.  Do you have any suggestions for me?

     

    Thanks!!!

    Amanda 

  • 07-07-2008 2:01 PM In reply to

    • lncooper
    • Top 200 Contributor
    • Joined on 10-09-2004
    • Geneva, NY
    • Posts 1,603

    Re: How did you pay for it?

    Woohoo!

    I babysat to earn some of it. I also did craft shows and sold slings to make a few extra bucks. . .

    This is yard sale season!

    I have a bunch of hunters in my family, so I was able to barter some venison for some of the cost.

    I've heard of some taking out a small personal loan.

    What about tax return money? Having kids, I know we always get a nice chunk back. Sure, you may not have that money right now, but it'll be something reliable that will be coming in next year. . . would the midwife be willing to accept a contract saying that you'll pay her for the immediate expenses (gas money, urine test strips, bloodwork, etc) and then pay the rest of the fee by a date that you'd have your tax return back?
  • 07-07-2008 4:32 PM In reply to

    • Mrs Garcia
    • Not Ranked
    • Joined on 09-03-2007
    • The ax forgets; the tree remembers~African proverb
    • Posts 519

    Re: How did you pay for it?

    So, here's the full rundown.  She is actually from New Mexico.  I found her on the ICAN list.  I would have to fly her out here and give her a place to stay and pay her $2,500 up front.  I'm not really sure how the logistics of prenatal care would work.  I suppose I would have to find a separate provider for that.  I'm wondering if this is even going to work?  How would I know when to get her out here?  What if she gets here too late or I go into labor early?  I would be out the money because it's non-refundable.  Does $2,500 seem steep for just the delivery or is it just me?  She definitely has the experience and expertise that I'm looking for in a midwife, it just sucks that she's in another state.  She has attended 20 VBACCs with no ruptures and only one transfer. 

  • 07-07-2008 7:40 PM In reply to

    • lncooper
    • Top 200 Contributor
    • Joined on 10-09-2004
    • Geneva, NY
    • Posts 1,603

    Re: How did you pay for it?

    I *personally* don't think the $2500 seems too steep, but that's JMO. A lot of it depends on what you're used to in your area as far as what other midwives would charge. . . I would pressume that you would either seek care through another care provider, or do the prenatal stuff yourself and just check in with her.

    Maybe suggest that you pay her the $2500 up front, but if you go into labor before she arrives, or something comes up ahead of time before she gets there that warrants you transferring care that you'd get a partial refund? I mean, I think it would be fair to still pay her some because she'd still be consulting with you and blocking off that time on her calendar for you, but IMO the entire amount wouldn't be warranted because she wouldn't actually be doing the birth. Again, JMO. Maybe discuss that option with her?

    As far as when she'd come, I'm sure there's no 'one size fits all' answer. You'd have to discuss that more with her. Sounds like she has great experience and confidence and would offer the kind of support that your special circumstance deserves! :)
  • 07-07-2008 9:31 PM In reply to

    • ChristieBFAP
    • Not Ranked
    • Joined on 02-09-2004
    • www.SweetPeaRingSlings.com
    • Posts 120

    Re: How did you pay for it?

    There isn't anyone closer?  That sounds too risky for me... with your history of preterm and all.   

  • 08-14-2008 6:47 PM In reply to

    Re: How did you pay for it?

    ChristieBFAP:

    There isn't anyone closer?  That sounds too risky for me... with your history of preterm and all.   

    I agree with this ... THERE IS NO WAY TO PREDICT WHEN THAT BABY IS COMING ... it could be 8 weeks early -- or 3 weeks late .... That seems steep to me (without all the prenatal care and stuff) ... just my opinion
  • 08-21-2008 3:20 AM In reply to

    Re: How did you pay for it?

    My midwife charges $3200 for everything, prenatal, the birth, postpartum and newborn care. She offers a 10% discount if paid in cash and full payment is due before 37 weeks.

    Have you tried look for a midwife to do it off the record? There are midwives in my area that WILL attend HBACs but it's all hush-hush and obviously paid in cash. I would ask ALL the doulas in your area and ALL the midwives in your area if they know of anyone... I bet there are a few.
     

  • 09-02-2008 1:20 PM In reply to

    Re: How did you pay for it?

    We are paying $2800 this time around up from 2300 in 06. I swear everything has gone up! We are paying via credit card...lol That price includes a 20% discount for paying early. I don't think you should be paying that much just for her to show up for your birth.
  • 09-18-2008 6:35 AM In reply to

    • MommaGlass
    • Not Ranked
    • Joined on 12-09-2005
    • Houston, TX
    • Posts 273

    Re: How did you pay for it?

    I paid $2500 for my last birth.  My midwife gives a discount when paid in cash ebfore a certain point in the pregnancy.  I also submitted the $2500 to my Flexible Spending Account, so I got a little bit of a tax benefit there. I would jsut recommend talking to yoru midwife to see what she works out.  The whole thing you have going there abotu having to fly her down, not meeting her until she comes down for the birth, provide her boarding, and not even knowign the timing soudns terrible to me!  That defeats many of the things i love about having a midwife.  The $2500 I paid also covered all my prenatal care and birth, so sounds expensive if she's just coming in for the birth part.  You can't find any midwife's in your area?  Where do you live?

    You say your insurance plan does not cover homebirth... does it specifically state that in their plan?  I'm on Cigna's HMO plan, they did not cover my last one, but this time around, same exact plan, I called my husband's Benefits department and talked to them about it.  Told them I was having a difficult time with Cigna, and they started calling Cigna.  To my surprise, 4 weeks later I got a letter saying they were covering my midwife at the "in-Network" rate of 100%. Cigna doesn't have any contracted CPM's in their network anywhere near me, so that was my reasoning.  I told them I would be happy to use an in-network provider, but they don't offer one, and refusing to cover any CPM is an illegal discrimination of trade.  Anyhow, jsut watned to say that if you're in a group plan, the benefits department is who chooses theinsurance company and the plan, and they may be great allies to make sure that the insurance company is providing the best service to their employees. 

    Once this baby is born, and my midwife has gotten the check (not about to rock the boat now!), I'm going to work with the benefits dept to see if there's anyway I can get reimbursed for my last birth that they refused to cover.

  • 09-22-2008 9:41 AM In reply to

    Re: How did you pay for it?

    MommaGlass has a good idea about bargaining with the insurance company. Eric's insurance states it doesn't cover homebirth, but it does cover midwifery. If we were married I would be sending letters, emails and making phone calls complete with studies of the safety and money saving opportunities for the insurance companies to try to get them to cover it.

    My midwife charges $ 2500 for everything and if you are more than 40 miles away another $ 300 for travel. She doesn't care how you pay as long as it is all paid off by 36 weeks. I am going to make monthly payments as much as we can afford, then top her off with taxes.

    I would certainly look around for someone closer. Some midwives might have names of other midwives. If it wasn't for my CPS predicament I would either go unassisted again, or look into a lay midwife. My midwife and her assistant offered to give me names of these women.

    Good luck to you.

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