We are in-network or will be in-network for patients delivering in 2024 with the following commercial insurance providers: Blue Cross Blue Shield Aetna United Healthcare Cigna We bill a one-time global fee to your insurance for your pregnancy care after your delivery. Your in-network deductibles and co-insurances will be billed directly to you and, in order to provide our expanded maternity services, we do charge a reasonable concierge fee for global obstetrics services and expanded integrative medicine consults, which our staff will discuss with you when you call to schedule your appointment. We do not accept Access plans serviced by our in-network insurance providers. If we are not currently in-network with your insurance, we will either provide a super bill or bill your insurance as an out-of-network provider, however you will need to have a PPO or EPO plan vs a HMO plan and be willing to utilize your out-of-network benefits. We will also require either upfront payment or a deposit on care. Typically, utilizing your out-of-network benefits has higher out-of-pocket costs, but because so much is included in our global fee for pregnancy, labor and delivery, for many patients, the out-of-pocket cost is not significantly higher than using an in-network provider and for much more comprehensive care and support of all birthing preferences. We also offer affordable cash pay/prompt pay discounts for patients without insurance or out-of network benefits or patients with large deductibles.
What is included in your fees for pregnancy and delivery?
Our one time, global fee and concierge fee for our services includes:
All in-office routine prenatal and postpartum visits, including low level ultrasounds for dating, position or fluid checks, or just for fun, with expanded appointment times of one hour for your initial visit and 30 minute returning prenatal and postpartum visits
24 hour per day direct pager access to our providers
Your doctor or midwife's professional fee for your baby's delivery
Continuous hands-on labor support with our doula and midwifery team or a "labor support" credit towards your chosen private doula
All Childbirth, Parenting, and Lactation Education
Unlimited Prenatal Yoga
Weekly Postpartum Visits for the first month after delivery
Group Lactation Counselling with our IBCLC
Group Support with our staff counselor
Limited private lactation counselling
Limited private counselling with our staff counselor
What is not included your fees?
Your initial confirmation of pregnancy or transfer of care consultation is considered outside the global fee. This appointment is a comprehensive, hour long appointment, includes a confirmation of pregnancy ultrasound and complete physical exam, if you are due for your annual well-woman exam, and is considered separate from your established pregnancy care. This is billed separately to your insurance.
The facility fee for labor and delivery at either your chosen hospital or the Renewal Center for Birth. The hospital or birthing center will bill separately for their services.
Prenatal blood-work: While most blood work in pregnancy is considered standard of care and covered by insurance, if you have any co-insurance or deductible, these will be billed separately by the lab. Our lab is in-network with all major insurance companies and also offers low cost self-pay options for cash pay or health share patients.
Anatomy Ultrasound and Follow-up High Risk Ultrasounds: Your 20 wk ultrasound and any follow-up high risk growth ultrasounds will be performed by a local maternal fetal medicine office and will be billed separately. Any co-insurance or deductible will be billed separately by this office. All affiliated Maternal Fetal Medicine offices are in-network providers.
Antepartum testing such as Biophysical Profiles or Non-stress tests for high risk patients or low risk patients with an indication for fetal monitoring.
Rhogam: For patients with negative blood types who require Rhogam administration, this is a separate charge and administered and billed by our office, typically directly to your insurance.
Postpartum Annual Exam: At 8 weeks postpartum, we generally perform an annual exam and contraception consultation, which is billed separately from your prenatal care, typically directly to your insurance.
Infant circumcision and infant testing performed in the birth center or hospital. This is billed separately.
What if I have no insurance, no out-of-network benefits, or a high deductible? Is your care affordable?
We strive to make our care affordable for as many patients as possible, while not compromising on providing the care we believe every patient deserves. We offer a generous prompt-pay discount of 30% for pregnant patients who pay for their care in total by 32 weeks and for non-pregnant patients who pay for their care on day of service.
Can I utilize your Wellness Services if I am receiving care from another practice?
Yes! We have both wellness packages and A'la carte wellness services that are available to patients of outside practices. We also offer a free weekly support group for pregnant and postpartum mothers in the community.
I plan on delivering my baby at home and have a midwife, but I need testing or to see an obstetrician or would like Dr. Aristizabal to serve as a back-up physician in case I needed to transfer for hospital birth. Do you offer these services?
We are happy to work with our local homebirth midwives and to provide collaborative care. While not a Maternal Fetal Medicine office, we do have some antepartum testing options available and offer consultations with our obstetrician, as well as transfer options for patients who risk out of home birth. You may also see our affiliated Maternal Fetal Medicine group, NIXXI Health, at our location. NIXXI Health is an in-network provider for most patients. In order to serve as a back-up for homebirth patients, patients do need to register with our office, provide records by 37 weeks, and have your midwife communicate with our physician team.