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Insurance
Some insurance companies provide coverage for home birth
and will be billed at the usual and customary fees. To verify your benefits,
please open and complete the forms below.
Bring the completed forms in for your first initial visit.
Verification for Insurance Benefits
Client Registration Form
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Early Self Pay Cash Plans
We offer special cash rates to clients who plan to pay the
whole fee before their babies are born.
$3,600.00 fee will be reduced to $2,500.if paid in full by your 36th week.
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What is Included in Your Care
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Comprehensive prenatal, birth and postpartum care
Book - The Natural Pregnancy Book: Herbs, Nutrition, and Other Holistic Choices
Binder - At your first visit, you will receive a binder filled with information
concerning all aspects of pregnancy, birth and the postpartum period.
Complimentary Photo Session - Clients will receive a complimentary newborn
photography session. Baby photography sessions are held at my home three to
four times per year.
Newborn Screening – The test is done within 3 - 4 days following the birth.
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What is Not Included in Your Care
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Birth Kit – Order forms for your birth kit are included in your client notebook, or
you can go online to the 'Mama Page' and follow the link for ordering your birth kit.
You need to order your kit early enough to have it available for your home visit at
36 weeks. This birth kit contains the consumable items we use for the birth
(sterile gloves, bed pads, etc). The price for the basis kit is currently around $75.
Additional Birth Supplies – In addition to the birth kit, you will need a few other
items for the birth (such as juices, towels, etc). You probably already have most of
these things around your home. A list is provided in your notebook.
Childbirth Education Classes - Hypnobabies childbirth preparation classes are
taught by Carolyn at the Belvoir home. Hypnobabies is $150.00 for Birth Wellness
Clients ($350.00 for all others).
Ultrasounds – We do not routinely order ultrasounds. When an ultrasound is
ordered, the cost is extra. Some places accept insurance as well as Medicaid.
Lab Work – Labs are not included in the global fee, including the Standard lab
and any additional lab services that may be required.
Herbs, Vitamins and Medications – You will be asked to purchase and take some
good prenatal vitamins throughout your pregnancy. Sometimes we recommend
herbs for different situations. If you ever need any medications such as
antibiotics or Rhogam, (for mothers with RH- blood) this will be an additional
expense.
Physician Consult - Should you need a physician referral, you will need to pay for
his or her services separately.
Hotel Expenses For The Midwife, If More Than 50 Miles Away – If you live more
than 50 miles from Chattanooga and do not have an extra room with a bed and an
extra bathroom to accommodate us during our stay with you, then we ask that
you provide hotel accommodations. If the distance to your house hinders us from
taking a break at home during a long early labor (as we would if you lived in town),
or if we are too exhausted to safely travel on the road after a long birth, we will
choose to stay in the hotel. If it turns out that we do not need the hotel room,
the money of course is yours to keep. Please discuss specific arrangements with
us prior to your birth if you can not offer us an adequate room in your home and
you live more than 50 miles away.
Mileage - There is an additional fee for mileage if you live over 35 miles from
Chattanooga. The fees are scheduled as follows: $200.00 between 35 to 50 miles
from Chattanooga. Beyond 50 miles, add $.50 cents per mile for each additional
mile (round trip), for each visit made to the home.
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