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?
Your licensed and certified midwife always bring her heart, hands and experience—and has lots of supplies! We have water proof dopplers to monitor your baby throughout labor, all the equipment to watch your vital signs, sterile tools such as scissors to cut the cord, resuscitation equipment, baby scales, herbal tinctures, homeopathy, medicines to treat hemorrhage, IVs for dehydration, oxygen…our supplies are virtually limitless
Do I need a doula?
We think everyone needs a doula! They are magical creatures who make sure you have a never ending supply of physical and emotional comfort. Some women and men feel that a doula will take the place of the partner- but a great doula supports the whole family, and encourages a partner to do what they do best – love the birthing woman!

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?
Only a small percentage of our mothers transfer for pain relief, and those are usually due to babies who are in troublesome positions. We encourage doulas and Hypnobirthing childbirth education classes to help you cope, and we offer TENS units, sterile water injections, heat packs, rebozos, birth swings and tubs to help!
When mothers are educated, supported and in familiar surroundings, those endorphins do their work and mothers do great.
What if there is an emergency?
Although out-of-hospital natural birth is safe for low risk mothers, emergencies can and do happen. This is one of the many reasons you want to hire a midwife with a great education and lots of out-of-hospital experience. Licensed, certified professional midwives are the only midwives in the USA trained in handling out-of-hospital emergencies. Over the last 7 years, our practice has needed emergent transfers less than 1% of the time but we are still happy to say that the birth center has EMS available 24 hours a day, just across the street. Johnston Willis Hospital is just a little over 3 miles away and we have a very detailed transfer plan in place should we need to go to the hospital quickly.
What medicines are available at the birth center?
We have medicine to slow your bleeding after birth, antibiotics for GBS positive clients, IV therapy and Zofran if you are dehydrated or vomiting. We have oxygen, in case you or your baby needs a boost. All of our medicines are ready at every birth, but are only used if needed. For the baby, we offer erythromycin ointment to prevent eye infections and we offer Vitamin K by injection or oral drops.
Isn’t midwifery care expensive?
The average cost of an uncomplicated vaginal birth, in the hospital with a doctor, is almost $14,000 in Richmond VA. After deductibles, co-pays and items not covered by insurance, many families find midwifery care to be less expensive than filing a claim. In comparison, natural birth center and home birth costs are a small fraction- even though you get hours and hour more care during your pregnancy, birth and postpartum!Here’s a rough estimate of our average time spent with a client:

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 CardsWe 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 SolutionsHaving 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.

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