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Expenses & Billing for Midwifery Care
We understand that expenses are an important consideration for all of our clients. If you have questions beyond the information here, please reach out to our office and we will discuss your specific questions. The information here is general guidelines and may not be applicable to your specific situation.
Midwifery & Birth Package
Our midwifery and birth care is discounted for cash-pay clients. Because we are not in-network with insurance, this cash-pay discount applies to all clients except those on Medicaid and with Health Share plans (see below). This fee includes all routine prenatal care, midwife and assistant during labor and birth, and routine postpartum care. All clients pay a non-refundable registration fee of $500 at the time of their first visit. The remaining $6000 is divided into equal payments to be paid in full by 36 weeks. Those needing special accommodations may speak to the office manager.
Medicaid Discount
While we are not in-network with Medicaid MCOs, midwives in Virginia are able to bill Virginia Medicaid as a fee-for-service provider. This allows us to offer a significant discount to Medicaid families. All clients pay a non-refundable registration fee of $500 at the time of their first visit. The remaining $2000 is divided into equal payments to be paid in full by 36 weeks. Those needing special accommodations may speak to the office manager
Health Share Plans
We are happy to coordinate with most health share plans. Because health share plans involve third-party payments, they do not qualify for our cash discount price. As such, individual pricing will vary. Our office manager works closely with clients and health share plans to coordinate billing and payments. Health shares that pay in full before 36 weeks receive a 10% discount on services.
Insurance Billing
Rooted Birth is not in-network with any insurance plans. However, we do partner with Loudon Billing Services to assist our clients in submitting for insurance reimbursement. Those clients interested in pursuing insurance billing will register with Loudon Billing. The biller will verify the insurance plan's out-of-network benefits as well as the possibility of applying for an out-of-network exception. Once care is complete, Loudon Billing will file for reimbursement on behalf of the client. There is a 10% fee for this service.
Additional Expenses
Costs that may be billed outside of the standard rate based on needs and decisions made over the course of care.
Billed by Rooted Birth Midwifery & Wellness
Certain tests and procedures incur additional expenses outside of the global fee. This may include the state-required newborn metabolic screen, newborn hearing screen, vitamin K injection, and eye ointment. Additionally, some medications and tools utilized in and around the time of birth may also be billed separately. A complete list of these costs is included in our financial packet for new clients.
Billed by Other Providers
Routine outside services provided by other providers, including but not limited to diagnostic ultrasounds, labwork, consultations with specialists, and chiropractic care are not included in the costs paid to Rooted Birth. As such, all bills for these services are to be paid directly to their providers. Many of these providers will accept insurance, but it is up to the client to ensure the services are covered and billed to their insurance provider.
Emergency transfers to hospital care, EMS services, hospital and physician fees are the responsibility of the client and must be paid directly to the provider. These services will typically be eligible for insurance billing.