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Originally Posted by sarahmck 
How will that work? How long is that flight? Will you have to fly there in advance and just hang out until the time comes or will you fly in labor? Where and with whom do the local women give birth?
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The flight into Bethel (our "hub city") is like ten minutes, then the Alaska Air jet into Anchorage is an hour. You have to go in at a set point before your due date (I forget what week) and just hang out. I'm not sure how that'll work... will insurance pay for me to sit on my arse in a hotel room in Anchorage? We'll find out. I know a few coworkers (one who was in this village last year, but is now in a different village in the same district) who have had babies up here, so I may have to break our "don't tell anyone" rule and ask the one I know to be a very quiet, non-gossipy kind of person, so I can get some advice on the whole process. Gotta talk to DH first, though. We're both pretty "don't tell anyone" at this point. We need to get used to it ourselves; we were expecting the conception process to take longer.

Native women give birth at YKHC (Yukon-Kuskokwim Health Corporation) in Bethel (if they're high-risk, they go to Alaska Native Medical Center in Anchorage), but our school district's insurance provider network thingy couldn't come to an agreement with them, so I'm not covered there. Women who go into YKHC stay at what's called the "pre-maternal home," which is basically a group living kind of place where women hang out and wait to have babies. I've heard some iffy things about YKHC, so I'm not sure I'd go there even if they were in-network.
I had found a place that looked GREAT (standalone birth center with an apartment for women who have to come in from elsewhere to wait to have their baby), but they're not in my network.

If I can't find something good in-network in Alaska, I'll go down to the Lower 48 and give birth in either Wisconsin or Minnesota. My coverage isn't as good (although not as bad as in-Alaska-out-of-network... like I said, our insurance is weird), but I'd have somewhere to stay.
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