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How do you pay for homebirth? - Page 2  

post #21 of 33
Thread Starter 
Unfortunately we are going deeper in debt every month, sometimes making it, but our income is irregular and so difficult to budget. My husband has his own business and recently lost his biggest client...so there are a lot of challenges.

Krisday, you said it well...the priority of a home in which to raise this baby is actually higher than the priority of a home birth (for us) but I am still going to try and work it out.

Birthinglau I like your suggestion, but the truth for us is that $25 would just go on the credit card instead for groceries and not really be budgeted. My husband pays child support and has storage in Montreal and I have a non-defferable student loan payment due every month...and with rent and business expenses it's a big chunk every month. Not to mention how the food bill goes up with pregnancy, yikes. Oh yeah, another priority is organic food.

I still need to make calls, and just do more research with midwives. And maybe the solution will be to do prenantal with the midwife at Kaiser (HMO) and find a midwife who could assist at the birth with limited prenatal participation.
post #22 of 33
Sorry Cindi. I got caught up in the side converstion. The sad fact is that when you are living that close to the edge in a society that devalues things like this you may just have to go with plan B. But... the student loan you can't defer... is there any chance you could change payment plan to one that is lower payments now but higher ones later? Or maybe you could refinance it? I know for exa,ple that I am about 5 years into paying off a ten year student loan. I could refi and my monthly payment would go WAY down. And with interest rates so low a lot of people are doing it. I saw a link somewhere recently for a service that does it. If I remember where I will post it.

Also, do talk with your local midwives about barter. If your husbands job is spotty right now maybe he has time to paint someones house or whatever. It's free to ask and you may get a surprise.
post #23 of 33
Quote:
Originally posted by Cindi
You know maybe you folks could start a new thread rather than tell me what my question should be, and what my priorities should be. I wanted practical advice about paying for a midwife because I would like a home birth. I am also scared about our very delicate financial situation, and am feeling so vulnerable right now, morning sickness, hormonal, relationship struggles...I would like compassion. It has not felt good to come to this thread, getting so little support.
ouch. A thunk on the head to me, aye? I surely didn't mean any offense, and any of my comments were not directed at you. I see a thread as a public discussion, not necessarily only for the benefit of the poster.

But of course the question is the point. I thought that you had gotten some good answers.

My thought is that if you haven't prepared and you don't have time to save up at this point - and I'm not knocking you if you don't, keeping things afloat in this crazy world is an acknowledged challenge, and if you know what your options are, you should either trace them all down, or go the easiest and most direct route and make sure you have a birth plan. Midwifes are usually wholistic healers, and they want to help mothers and babies to the most helpful birth they can muster.

1) find a midwife or 3 in your area, talk to them on the phone, meet them in person, tell them what you want and what your limitations are. Most of them will let you pay in installments or sliding scale based on your ability to pay, and some will even accept payments in installments for a year after the birth.

2) find out if your insurance will cover them, don't assume they won't. your midwife of choice can probably help you get coverage. if you want it, don't let them tell you that they don't cover homebirth because insurance providers start with the easiest answer - no. if you have some support from your midwife, and some suggestions from the boards and you NAG the insurance company, they may agree to cover part of the cost, if not all of it, because in reality, it's cheaper than a hospital birth, for them. all they need is the data. if a midwife/homebirth is the best option in your area, as far as you know, they would rather you have an attendant. and of course if you're "low risk", all the better.

3) if you have to try a birth center due to a limit of midwives, do the same thing.

4) try other homebirth practitioners, look under naturopathy or ND in the yellow pages, or call a naturopath and ask if they can refer you to someone who does homebirth.

It won't be easy. But you can do it, you deserve the birth you envision for yourself. If you feel discouraged, you've got tons of support right here.

Personally, my homebirth providers are naturopathic doctors, and my insurance is covering 70%, so we have to save up $750 between now and then. Since they are licensed doctors in the state, we can transport to any hospital, if need be, assuming there's room. We didn't fight the percentage, we were worn out when we had a stillbirth out of state last year and we almost had to pay the entire $10,000 bill. Had to nag them like hell to get them to figure it out and we still ended up paying $3,000. Also, we have to sign a waiver that says we acknowledge they don't cary any malpractice liability insurance and so we need to know that and take responsibility for our choice. And we do. And if everything goes to hell, we could be financially screwed for years to come. It's the reality.

Also, you might be able to reevaluate your student loan situation based on your current status.

So, even though I've gotten to meandering all over in my thoughts here - I just wanted to say that everyone here has the utmost confidence in homebirth and midwifery, and your ability to have the birth you need, but you are going to have to do a little leg work with the armaments and suggestions provided on this thread and on this site to find out what your liabilities are going to be financially and personally. We think you've got a fighting chance because we know that the practitioners you are likely to work with want to work with you, but the bottom line is, you are still taking a personal risk and you need to decide if this is going to work for you.

My thoughts are with you. If you want to PM me I'll be happy to call you and talk over the phone and provide as much moral support as I can. Don't let your confidence be shaken, you deserve happiness and the birth you see for yourself. Please don't fret.

Lori

ps, gad, I hate it when I'm being a jerk and don't know it. guess that's the curse of having such a BIG MOUTH.
post #24 of 33
Okay... I found this in an online advice column I read.

Quote:
I myself have $40K student loan debt from theatre studies, and I can feel C.L. + T = B.'s pain. I was able to
regain my financial footing and sanity through loan consolidation through the William D. Ford Direct Consolidation
Program
. The Federal government operates it, so you get more options and are able to retain more rights when
you consolidate.

My advice is whatever you do, do not -- I repeat, do not -- consolidate with a private company. They will hound
you to the depths of hell and refuse to work with you on getting a payment schedule you can live with. The Feds
have four different repayment plans to choose from, and one of them is income contingent (meaning if you make
almost nothing, you pay almost nothing). This does mean that you will be paying more in interest over the long run,
but interest rates are at so low right now that it will definitely be worth it.

I started with the income contingent plan, and when I finally started making more money and got married, I was
able to change to the extended plan.
post #25 of 33
i read on anothr thread that someone wrote their insurance co. repeatedly to request that hb be covered, and almost a year after the birth they were reimbursed. maybe pressuring your insurance co. now would be a good idea.

do you have access to a flexible medical spending acct. through either employer? we were able to cover ppdoula services through my dependent care acct. saved us the 35%+ in taxes.

mel
post #26 of 33
Just wanted to share what we did...

We didn't have insurance either, pg was a welcome surprise so we weren't financially ready to pay for the hb. I was ready to give up when dh reminded me this was my birth, I needed to have what I wanted; there would be no do overs. We put it on a credit card. Sure we're way in debt now - well, we were before anyway but this was well worth it.
At a hospital I would likely have been induced or sectioned - not many trad. docs will let you naturally birth an 11.5 lb baby - but the hb was simply fantastic.

Have you had any luck talking w/mw's?? Definitely do that before giving up hope...good luck!!
post #27 of 33
I paid my mw in installments. I still haven't paid her off for #2, who's 6 1/2 months. I send $100 every month or two, depending on how tight we are. She doesn't have a problem with it.
post #28 of 33
We use tax returns to pay for our hb's.
Talk to your mw and see what she will do for you, mine has had her house painted, a quilt, sweater, firewood,ect. SHe is very willing to work with a person as long as they are honest. Many mw do trades of sometype. My midwifwe is so busy I bet if someone offered to clean her house as payment she would except it. LOL

It cost us 1,400 for a hb + supplies+ 35 for each prenatal.
post #29 of 33
We use tax returns to pay for our hb's.
Talk to your mw and see what she will do for you, mine has had her house painted, a quilt, sweater, firewood,ect. SHe is very willing to work with a person as long as they are honest. Many mw do trades of sometype. My midwifwe is so busy I bet if someone offered to clean her house as payment she would except it. LOL

It cost us 1,400 for a hb + supplies+ 35 for each prenatal.
post #30 of 33
HI
this is the first time I have posted on this board (I think).
We had a hb with a great midwife. She was not on the insurance panel and she did not file anyway. She did give us the forms so we sent it in ourselves. We had coverage through dh's employer for regular OB care but not midwife care. So, I wrote a letter to the INS. company about how safe it is , how inexpensive etc....We did get some small reimbusement back. Regardless we had to sign a payment contract with midwife and had to be pd by 30 weeks. Totally worth every dime.
DS's birth was wonderful, peaceful and I would go that route again if we are so blessed.
I agree, find a way to pay if it is something you really want.
K:BabyE'sMomma
post #31 of 33
Thread Starter 

UPDATE

Here's an update on our prospects:

We met with a midwife (well-reputed and has delivered four of my friends' births) and she normally charges $2300. She said with my HMO (Kaiser) taking most of my prenatal care, she could reduce that to $1500, and then would work off much of that in trade for a web site and flyers/letterhead. WOO-HOO! I like her too. And what's left we can pay off in whatever time it takes.

We are not afraid of taking on debt, but we just have too much already to put more on the credit card. We have to move and find the cash for a renter's deposit in addition to our other burdens, and unfortunately my parents are really short on money now too so can't really help us out. So this homebirth in trade possibility is so great. Now we just have to find a home for the homebirth!
post #32 of 33
Cindi
Awesome! Congratulations on finding the right midwife.
Good luck with the home search!
The right place will show up I am sure.

K:BabyE'sMomma
post #33 of 33
There's lots of options here. If you have insurance see if you can use it for your prenatal care only. Some clinics and doctors in my area are homebirth friendly and are willing to do that. I didn't have insurance coverage for either my prenatal care with a midwife and the homebirth, but I decided to keep calling around. The first midwife I contacted was very expensive and didn't offer any options. Fortunately the second one offered a sliding scale and payment options (I was a single mama at the time so this worked for me, it cost $800. for all of it PLUS $35. for my birth supplies!!!! And I paid it in installments!) so I went with this and we had great prenatal care, and a beautiful birth at home and great attentive postpartum follow-up.
If you really want to have a homebirth you can make it happen and fees, insurance and money issues are the kinds of things that can be worked around.
This time we are considering unassisted or possibly doula assisted.
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