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Me, again - Talk to me about Medicaid...

post #1 of 5
Thread Starter 
I've been working on my husband to get him to agree to a midwife outside of a hospital, but it's not really working. He was all for it with the last pregnancy, but after I had a miscarriage and the midwife brushed it off, I think my husband is gun shy about dealing with a midwife. We wound up going to a midwife in an OB practice, who sat down and discussed with us about what happens with a miscarriage, both emotionally and physically, and how important it is to lean on each other. It was a very "good" experience, as opposed to being told over the phone "sounds like a miscarriage. Do you want to experience this at home or would you prefer a D&C in the hospital?" This was early on a Monday morning, before I ever even started bleeding or cramping heavily.

Anyway, I *get* why he isn't so keen on the idea of a midwife.

The only other midwifery birth center in our area isn't open on Fridays, which is the only day my husband can go to an appoint b/c he works out of town M-Th. There's no way I'm going to be able to save $800 for the OB/midwife practice, either. After struggling with a year and a half of unemployment, we have no substantial savings and the pay cut my husband took puts us at 60% of what he was making. Saving isn't really happening as fast as it could/would two or three years ago. I mean, I could, but it will probably be December and I'll be 18-22 weeks then. I'm already 9ish weeks now, and I'm feeling guilty for not getting into the doctor by now. The doctor's office seemed to be more willing to take me without insurance, if I thought I'd qualify for Medicaid. I just really don't know what to do anymore... I feel like a terrible mom to my inside baby and the stress from all of this is leading me to feel like a crummy mom to my 2 year old son, too.

We wouldn't qualify now for Medicaid b/c September's income is over the limit by just a little bit. This month (October) we won't qualify because there are 5 paychecks instead of 4 for my husband. November, though, there are only 4 paychecks and there's a good chance my p-t once-a-month check will be low enough that it puts us just under the income limit. This means, November will be our "best" income for qualification.

Does Medicaid only look at your month's income, or do they look at your potential earnings? I mean, December will be another "high" month b/c we'll have five paychecks, but that isn't a fair representation of our income. November's will be a better representation of what our income is monthly. Does this make sense? I wish my husband's job offered insurance; this would be so much easier if everything were just in place.
post #2 of 5
It depends on what they need to verify. I don't know what state you're in, but in FL I had to send in my husband's 2 paystubs that covered the previous 4 weeks of income. Or a statement of income from your employer, which can just be a letter you type up and have your boss sign, etc.

If you dont qualify for full medicaid, look into their program of financial help for the medically needy. That has a higher income limit, and doesn't cover things 100% but is a BIG help.

As far as you seeing a midwife or not...you need to do what is best for you and this baby. See the person you are most comfortable with, in the place you will be most comfortable giving birth. End of story. I've learned this the hard way, and as much say as your husband may have in all your decisions, this is a decision he CAN'T dictate. You will be the one giving birth. His discomfort is not a priority over yours.
post #3 of 5
In my state (GA) they look at one month's income, not potential income. My husband's salary fluctuates as well. Some months he'll make a good bit of overtime, and then some months he's hard-pressed to get 32 hours a week. Fortunately in Georgia they do count the unborn child as a family member and we were able to squeak in, but just barely.
post #4 of 5
Thread Starter 
Quote:
Originally Posted by othersomethings View Post
It depends on what they need to verify. I don't know what state you're in, but in FL I had to send in my husband's 2 paystubs that covered the previous 4 weeks of income. Or a statement of income from your employer, which can just be a letter you type up and have your boss sign, etc.

If you dont qualify for full medicaid, look into their program of financial help for the medically needy. That has a higher income limit, and doesn't cover things 100% but is a BIG help.

As far as you seeing a midwife or not...you need to do what is best for you and this baby. See the person you are most comfortable with, in the place you will be most comfortable giving birth. End of story. I've learned this the hard way, and as much say as your husband may have in all your decisions, this is a decision he CAN'T dictate. You will be the one giving birth. His discomfort is not a priority over yours.
To be honest, I guess I'm a bit afraid of trying a CPM again, too, just because my one experience proved to be one that left me questioning the level of care and compassion a CPM can provide. Of course, I'm trying not to "lump" them all together because I *hate* when that's done to me or someone I know.

Thank you both for your input. I hope I get this all figured out soon...
post #5 of 5
I've been under the care of several midwives and several OB's. Not all are created equal, but the amount of time and attention a midwife is willing to give me when I need her will win out over the nicest warmest OB.

You have to remember that an OB isn't with you when you're laboring, they essentially come in to catch the baby and that's it. A midwife will be with you as long as you need in labor. And a skilled midwife will be able to do things a doctor never would, providing a safer delivery for both you and the baby. The statistics and my own experience with the births I've witnessed attest to this fact.

With my first birth, I went to an OB for the first few visits. But when they were freaking out about little things like taking cranberry for a UTI, I realized I wouldn't have the birth I wanted with them and switched to a midwife. With my second pregnancy I freaked out again and went to an OB instead of the midwife I'd used previously. It turned out to be an office visit where she told me I'd miscarried, in the nicest warmest way possible. But Then she gave me the exact same options your midwife did over the phone, and other than being there in person to smile and say "I'm sorry" there was no difference.

Since then, I've witnessed a few births with a very capable midwife, and it restored my faith in the midwifery model and I chose to use that same midwife now that I'm expecting again, even though she's an hour away. I'm happy to have her. She's more skilled in my opinion than my first midwife, and more current with medical knowledge. She also works with a really good backup OB, and it makes me much more comfortable knowing all that than the options I had with my first birth.

Again, it's going to be what you the birthing mother are most comfortable with. So figure that out, if you're leaning one way or the other. Your peace in the situation is the most important thing.
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