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Discussion Starter · #1 ·
Maybe this belongs in birth professionals or homebirth. I can try there too. But if you only have a couple of pre-natals (in order to have a MW on call if needed in emergency) but are planning on a UC (and she knows it), do you normally pay the full homebirth package price of pre-natal visits, labor and birth and post-partum visits?
 

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This is not now I would work it with such clients.<br><br>
Instead, I would charge per visit for the prenatals ($75-100 each, depending on a few factors), a one time fee of probably $100. for being on call, and then something for coming to the birth, if I do (probably $500., also depends on a few factors). And oh yes, another $75-100 each, for postpartum visits if they are wanted. So...basically, if you really did have a successful UC, then it would be tons cheaper; and if you decided you wanted me to be at the birth, it would cost less, but close to the same as it does for 'regular hb clients'.
 

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You should ask the midwife. If she doesn't know that you're having a UC, she should get her full fee. She has to reserve a space for you that could have gone to someone who wanted her at their birth. If she's UC-supportive and will really just be back up for you, and just do a couple of prenatals, you'll need to ask her about financial arrangements. I'm sure it varies.
 

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My MW was aware that I *may* UC (it's what I wanted from the beginning, but I chose to keep my options open in hopes of preveting lots of regret should things not go that way) because in my initial "interview" emails I asked all the MW's if they were okay with the possibility. Anyway, my MW came to my first appointment (at 22 weeks, which is earlier than I'd planned but it worked out) and let me know that she usually charges clients the entire $1500 (she's a DEM, so it's less expensive) but she was only going to charge me $50/appt and if she was there for the delivery then I'd pay the remaning fees afterwards.<br><br>
So I ended up having about 4-5 prenatals from 22weeks to the day of birth (I went into labor that night) and payed about $300 total for her (we compensated for gas costs too- she lives 2 hours away).
 

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Discussion Starter · #5 ·
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<div>Originally Posted by <strong>1babysmom</strong> <a href="/community/forum/post/11632040"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">My MW was aware that I *may* UC (it's what I wanted from the beginning, but I chose to keep my options open in hopes of preveting lots of regret should things not go that way) because in my initial "interview" emails I asked all the MW's if they were okay with the possibility. Anyway, my MW came to my first appointment (at 22 weeks, which is earlier than I'd planned but it worked out) and let me know that she usually charges clients the entire $1500 (she's a DEM, so it's less expensive) but she was only going to charge me $50/appt and if she was there for the delivery then I'd pay the remaning fees afterwards.<br><br>
So I ended up having about 4-5 prenatals from 22weeks to the day of birth (I went into labor that night) and payed about $300 total for her (we compensated for gas costs too- she lives 2 hours away).</div>
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This is the scenario I'm hoping for!
 

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After 2 appts. I told my mw that I was ucing. She was great about it and said she would support me in whatever way I needed. I ended up seeing her 2-3 times for prenatals. They mainly entailed going over what-ifs and birth supplies. She usually palpated my uterus but that was it. She charged $30 a visit. She came after we uced to do a nb exam and pku - that was $30 for the visit and $30 for the pku.
 

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The mw I saw for one prenatal visit was aware I wanted to UP/UC (I had some light spotting which brought me to her office). She charged me $100 for the visit - I got some blood work, peed in a cup, she palpated and checked fht for about 10 seconds with a doppler. She told me she would do up to three prenatals if I wanted to think about hiring her for the birth, and then apply the $300 towards the $3500 home birth package rate. I dunno what she would have charged if I'd gone for more prenatals than that.<br><br>
As it turns out I called her assistant/apprentice (who had been doula at my dd's hospital birth, so we had a pre-existing relationship) after the birth to check on me since it was taking many hours for my placenta to deliver. She came out at one in the morning and stayed for about an hour. I payed the midwife for her visit ($100) but since she was an apprentice she wouldn't get paid, but I wanted her to be paid for her time so I wrote her another check for the $100 that would go specifically to her. Obviously I didn't *have* to do that but it was definitely the right thing to do. I'd also like to get her a gift when she passes her licensing exam as an additional "thank you" for supporting UP/UC.<br><br>
The midwife also offered to charge my insurance for the visit but when I told her my provider she said her experience was they wouldn't cover any of it. Nice of her to offer to do the paperwork, though!
 
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