FAQ &
Fees
“There are no stupid questions” still applies in adulthood! We always want you to bring a list of questions about pregnancy, midwifery, doulas, waterbirth, home birth or our birth center, and will happily customize your time with us to make sure they alllll get answered. They are important- and so are you!
We’re here to answer any questions you might have!
FAQS
How often do you see me prenatally?
We will see you on the same schedule any maternity provider would- but our visits are so much more! More time, more care, more education, just for you. We will meet you at your tour, then as soon as you are ready you will schedule a fun Orientation visit. This is when we can order any needed or desired labs or ultrasounds. After that, you’ll be scheduled for a private 1:1 with your midwife where we will plan out your custom pregnancy journey to birth!
We’ll make sure you have your Embracing the Journey Prenatal Care Circle scheduled for your whole pregnancy, so you have lots of time to make arrangements. You will join a group of families who are due the same month as you! You’ll have private belly checks with your midwife, then join the circle for education, friendship and laughs!
Private 1:1 Midwife visits usually happen before 12 weeks, then at 28, 36, 38, 40, 41 and 42 weeks.
How often do you see mothers and babies after the birth?
We believe postpartum care is as important as prenatal care, particularly for first time mothers. So many changes in such a short time means most families need lots of support! Your midwife will want to see you and your new baby about 24-36 hours after the birth to check on both of you, and also to perform the Newborn metabolic and congenital heart defect screening tests, if you have chosen them. Then we will see you and your new baby regularly- around 5-7 days, around 10-14 days and again around 6 weeks. Those visits are scheduled for everyone, but if you or your baby need more TLC, we always have time and are happy to see you for a problem visit! We also have a IBCLC on staff for troubles! During this time, we are able to make sure the entire new family is healthy and thriving.
What about lab work and ultrasounds?
We draw any labs that are necessary right at Embrace. We usually recommend a prenatal panel at your first visit, a glucose test at 28 weeks, and then a CBC and a Group B strep test at 37 weeks. Some mothers need a few more tests, and some choose a few less.
We usually recommend a fetal anatomy scan be done between 18-20 weeks. The baby is fully formed by then, which minimizes any risk, and allows us to get as much information as possible (and even determine the sex of the baby, if you want).
For patients without insurance, we offer labs through a private company that will save you over $1000 over Labcorp prices. We also have a private company for ultrasounds that save most clients several hundred dollars vs hospital prices. We understand the stress of these things and do our best to offer options!
What do midwives use at births?
Do I need a doula?
So, we are pretty strict about doulas for first time mothers, VBAC mothers, and mothers who have never had an unmedicated birth. A doula will “mother the mother” and keep you feeling comfortable. Embrace Midwifery Care & Birth Center has list of doulas we love and have worked with, we have doulas that offer great discounts based on need, and of course, you are always welcome to bring a doula you’ve hired independently of us. No matter where you find your doula — find her! She’s an important part of the team
What if I can’t take the pain?
When mothers are educated, supported and in familiar surroundings, those endorphins do their work and mothers do great.
What if there is an emergency?
What medicines are available at the birth center?
Isn’t midwifery care expensive?
14-16 hours of prenatal care. We often spend more time together during our tours than doctors spend during the entire pregnancy!
6-36 hours of labor and birth. Personal, complete care by a team you know and trust.
3-8 hours of immediate postpartum care. Comfortable, spacious queen beds, newborn exam, postpartum education and lots of smiles and TLC. You just had a baby!
4-6 hours of postpartum visits for you and your new baby, covering healing your body, beginning breastfeeding, weight checks for baby, postpartum mood disorder screening, and so much more!
24/7/365 midwifery access for labor and emergencies from your 37th week to 2 weeks postpartum
Fees & Insurance
We are used to saving and paying for lots of things that are important to us.
Engagement rings and weddings. Cars and down payments on houses. Vacations. That dog you’ve been dreaming of. New furniture. We spend our money on things that are important to us, things that enrich our lives, things that are once in a lifetime, things that create beautiful memories. You will only birth the baby you are carrying once. Ask any woman, even one 80 years old, what her birth was like and she will tell you her story. She will tell you the details, and tell you the victory, and yes, tell you the troubles. Your baby being born gently, safely and with love is priceless.
If you have traditional insurance, it can be confusing…
Deductibles, co-pays, in-network, out-of-network.. and did you know that even if you go to an in-network hospital, you might receive care from an out-of-network doctor or anesthesiologist, and have to pay BOTH in-network and out-of-network deductibles?
What about items that aren’t covered under your policy?
Does your baby have a deductible, too?
Will your pregnancy cross over your policy’s year end, and will you need to pay an additional deductible?
The average cost of a vaginal birth in Virginia is close to $14,000! That doesn’t include prenatal care, postpartum care, newborn care, or the additional costs of a cesarean birth, which is currently a 34% chance in RVA. These are just a few of the problems and issues that mainstream medicine and health insurance has left us with. And here at Embrace, we can’t fix it.
We totally wish we could.
There are endless insurance companies and policies, and as a small business, we cannot handle the huge undertaking that billing insurance entails. So at Embrace, we offer payment plans until you are 36 weeks. After you pay your deposit for care, we can split your balance into equal monthly payments. We also partner with Medloan and Care Credit, if you need more time. For people with very high deductibles, sometimes they decide to not use their insurance and instead pay with their FSA card.
If you’d like to see how your insurance company would handle care at Embrace, we highly recommend you reach out to URBiller@gmail.com. They can do all the dirty work for just $25 and get you a full breakdown of what your insurance will cover- including in-network, out-of-network, deductibles, copays, GAP exceptions, pre-authorizations and anything else they can find to help! After your baby, you can also hire them to process your insurance claim. They are PROs over there!
Tri-Care — Thank you for your family’s service! Our founding midwife, Corina, is a Vet too! She’s passionate about military families having access to birth center care, so we are a Tricare Provider and all our professional fees are covered at 100%. Due to the lack of licensing in Virginia, our facility fees are not covered. We offer a steep military discount, but you must get your Verification of Benefits from URBiller@gmail.com for $25. We are happy to discuss with you how that looks for our military families!
Medicaid — Sigh. Medicaid is tough. Although we are licensed Medicaid providers, the powers and politics have created a pay system that is not feasible for small businesses. It is a struggle for us to be able to be reimbursed a minimal amount for our professional fees. Call your representatives and holler. Many people are working at a legislative level to get it fixed! Every family deserves a midwife!
Unfortunately, Medicaid does not cover our facility fees. We offer sliding scale and payment plans to help!
FHA/FSA — You are welcome to use your benefits to pay for your care with us.
MediLoan and Credit Cards — We are happy to say we have a loan company that finances our care. If your credit is good, up to 18 months is interest free! If your credit is…well…troubled, they have other options that have reasonable interest rates. Some of our clients use their credit cards to finance care.
Creative Solutions — Having your baby somewhere you love is important! Some people have crowd-funded. Some have asked for donations at their baby shower. Some have doubled down on their budget and cut out all extras to make it happen. Some have sold second cars or gotten second jobs.
We Finance, Too! — And finally, remember we take payments! A deposit for care at your Orientation visit, then we will divide your balance up over the remainder of your pregnancy. Unfortunately, we cannot carry your balance after that. Call us! We are happy to explore any and all of these choices.
Resources
Some Useful & Reliable Websites
Mama Natural is our favorite website and resource overall! SO much good information.
PubMed for is hard core medical info!
Cochrane Collaborative for trusted evidence. Informed Decisions. Better Health.
American Academy of Family Practitioners a less interventive approach than ACOG
Dr. Sears a trusted resource for parents through pregnancy, birth, breastfeeding, beyond.
Kelly Mom for great, reliable, down-to-earth information for virtually any question.
Belly Belly is an Australian based resource that is wonderful.
Evidence Based Birth is a website to help you sort through all the evidence.
Dr. Jack Newman is Canada’s leading breastfeeding expert.
La Leche League is the world’s resource for breastfeeding information and support.
The Happiest Baby on the Blocktechnique is pure magic for calming fussy babies!
Purple Crying Gas? Colic? Reflux? This is a great resource for understanding why babies are fussy. Hint: It’s probably not your diet!
Circumcision a page that looks at the pros and cons of circumcision.
Circumcision information for more circumcision info, but this page is definitely anti-circumcision unless medically necessary.
Dr. Brewer’s pregnancy diet has good studies minimizing your risk of gestational diabetes and pre-eclampsia.
March of Dimes offers wonderful info, especially regarding pre-term labor and genetic testing.
Spinning Babies helps you get your baby in the perfect position for labor and birth. Start early!
Water birth is good for mamas and babies.
Hypnobirthing is magic…I have seen many, many mothers using Hypnobirthing labor and birth with ease.
Bradley Birth is the original husband-coached childbirth class.
Lamaze is the original childbirth class.
Women, Infants, and Children or WIC, serves low-income pregnant, lactating and postpartum women and children up to age five.
Herbs in Pregnancy can be a safe alternative to medicines, but be educated.
Over the Counter Meds in pregnancy. Know what is safe for those minor illnesses and irritations.
Essential Oils in pregnancy can be safe, but be sure you have accurate information. This is an excellent resource.