I would like a birth center or home birth, but I have Kaiser insurance and haven’t looked into the coverage options yet. This is baby #4 for me, but I had a home birth scheduled with baby #1 but was dropped by my midwife at 26wks because I developed gestational hypertension. I was able to control it with oral meds and never developed pre-E but she dropped me as soon as my BP came back elevated. So I basically paid her thousands of dollars out of pocket up until that point for nothing! Needless to say, I have a smidge of PTSD from that experience.
Would love to hear about others’ experiences though, especially those who delivered in hospital with pain intervention that had a subsequent delivery with a birth center or at home.
I just found I’m 5 weeks pregnant with my first today! I have always known I’m going to do home births and I have a friend who did so I plan to reach out to her when I can think straight again!
@MrsCaliRN wow. I'm sorry you "risked" out of care. I thiiiink Kaiser is California insurance. They got some interesting rules over there. Thanks for bringing it up tho, I'll add it to my questions for midwives. "What would make me risk out of care. How is that financially handled?"
I've got bluecross blueshield and they simply don't cover homebirth at all. Going to be all out of pocket. Although after the OB, The OB assistant for my C section, and all the hospital fees - not sure the difference is much.
Let's go home birth ladies!!!! I just don't want to be going into my birth with the mindset of fighting the hospital and asserting my choices. I'm also trying to find a midwife with breech birth training too, incase that happens again.
@new_mom_mn yeah, often the hospitals also call their labor & delivery dept/ward something like "birth center" also, so it does get confusing. Free standing birth centers are their own thing, usually set up to feel more like a home than a hospital, but also usually close to a hospital and with equipment on hand but out of sight - so it's very much in between hospital & home birth.
Now that I've moved, I'm learning that birth centers vary a lot! The one I used before was run like a co-op, all sorts of different midwifery groups had privileges to use it. So patients could choose which midwife they liked best and still deliver there.
The state I'm living in now is much more recent in legalizing home births, so the amount of midwives in general are fewer, and there is now one birth center. But it's privately owned and they don't accept any insurance, some people might be able to bill it to their insurances afterwards for reimbursement? Idk. It's on my list of questions. ALSO they don't have any photos on their website, I thought atmosphere was a huge selling point for birth centers?
I need to make some phone calls next week, set up a tour, and probably just schedule an appt with either my regular dr or the associated hospital midwifery team. I'm assuming it'll be easier to switch from them to something else if I decide to, since they would automatically be covered by my insurance. So I at least have something on the books while I finish deciding.
When I went with my OBGYN they had me sign all sorts of paperwork and financial agreements at the beginning after initial consult. It was with their office manager or something too, not the OB I was seeing. It's a little overwhelming at the start!
When I went with my OBGYN they had me sign all sorts of paperwork and financial agreements at the beginning after initial consult. It was with their office manager or something too, not the OB I was seeing. It's a little overwhelming at the start!
I've had such a variety, I honestly get overwhelmed not knowing how to "start". I had one medical group that wouldn't schedule anything until you walked into the lab to get an "official" pregnancy test. So then I've called others trying to figure out if I have to do that first and they're like, nah, why wouldn't be believe you and your home test?
The last time I went in to the hospital midwives and they did essentially a first appt (had a mini u/s even in the room). But I made it clear that I was still deciding, and was there to ask a lot of questions, and that was fine. The independent midwives have always seemed to take it for granted that you are interviewing them, and while they may have the paperwork ready, they're also very understanding about decision making. Though, like you said, they all can fill up fast.
@moogieks I'm not going for a home birth but I did have a successful VBAC with DS2. I hope you're successful and find a supportive provider.
I'm hoping for second VBAC at a birth centre. Both the hospitals near me have them attached to the labour ward. Though I know they will want me on the ward because I'm 'high risk'. But I'll fight my corner, like I did last time when I had complications and most of the doctors I saw wanted to ship me off for a c section there and then.
I am still waiting to hear back from a midwife. I applied a month ago when I found out I was pregnant, but there are very few midwives who will attend a home vbac here. I live Canada with free healthcare but individuals/ insurance can't pay for midwives and the government caps the funding. It's like a lottery system and the chances of receiving midwifery services is low.
I don't blame them, but a lot of midwives I've reached out to are taking a December/Jan break. Having to reach out to some who are farther away than I'd like but in the grand scheme it's not terrible to drive 30-50 minutes. It does take a good chunk of the day, but worth the price to make sure I have a provider that listens to me and can do things like breech birth.
Re: Homebirth
Me: 31 DH: 34
Married 11/09/2013
LO#1: LMP 09/14/2014 BFP 10/15/2014 EDD 06/24/2015 DS Born 06/14/2015
LO#2: LMP 09/18/2016 BFP 10/19/2016 EDD 06/27/2017 DD Born 06/27/2017
LO#3: LMP 05/16/2018 BFP 06/18/2018 EDD 02/20/2019
I'm thinking of trying a birth center, but I hesitate.
I had an hospital birth last year and I like my doctor.
I've got bluecross blueshield and they simply don't cover homebirth at all. Going to be all out of pocket. Although after the OB, The OB assistant for my C section, and all the hospital fees - not sure the difference is much.
Let's go home birth ladies!!!! I just don't want to be going into my birth with the mindset of fighting the hospital and asserting my choices. I'm also trying to find a midwife with breech birth training too, incase that happens again.
I need to make some phone calls next week, set up a tour, and probably just schedule an appt with either my regular dr or the associated hospital midwifery team. I'm assuming it'll be easier to switch from them to something else if I decide to, since they would automatically be covered by my insurance. So I at least have something on the books while I finish deciding.
I'm hoping for second VBAC at a birth centre. Both the hospitals near me have them attached to the labour ward. Though I know they will want me on the ward because I'm 'high risk'. But I'll fight my corner, like I did last time when I had complications and most of the doctors I saw wanted to ship me off for a c section there and then.
I got a quote for a birthcenter but it was kinda pricey. And $200 more for their homebirth services.