Total fee for services $4,600.00.   50% discount if paid before birth = $2,300.00

        Long distance fee may be required to help with gas and extra time if birth is over 30 miles from Bonner’s Ferry, ID depending on situation.  

 

Fees

        There is a non-refundable $300 fee due at or before the 2nd visit.  The remaining $2000 can be broken down into equal monthly payments to be paid at each prenatal visit.  The fee must be paid in full by the 38-week appointment unless other arrangements have been made.  This $2,300.00 fee is the cash discount price if paid before due date.  Fees filed on insurance claims will be the normal customary fees for maternity care of $4,600.00.

                Your fee includes: all routinely scheduled prenatal exams, childbirth education classes, labor monitoring, birth, immediate postpartum, monitoring for 5 or more hours, up to 4 postpartum and newborn visits, use of midwives standard equipment, an assistant at the birth, filing a birth certificate. Lab fees for standard tests are in addition to this price. Approximate prices for these tests are: prenatal profile $80, group B strep $20, and newborn screen $90.  Glucose and hemoglobin tests are included.   Ultrasound services, when recommended, are charged separately by those agencies. Care given by any other provider during your pregnancy is also in addition and your responsibility.  Hospitalization and emergency services are also the separate responsibility of the client.  There is no fee reduction for late prenatal or no prenatal care, as this could cause a high-risk situation.

If I attend any part of your labor, birth, or postpartum period, the fee will not be refunded, as there is no reduction in the actual care provided.  This applies even if another provider is present and also bills for services which he or she renders.  In most cases, more care is required in the event of a hospital transport for a complication since this requires the careful decision making skills for which midwives are trained and many more hours of time. If hospital transport is needed, I will continue to the hospital with you to help with your care, helping you to be able to make informed decisions.  If I am your primary midwife, and you decide to have your baby at Family Birth Services’ birth center in Libby, MT, and agree to Joyce’s additional care, and the use of the birth center, there are no extra fees. 

If the midwife misses the birth due to a very quick delivery or if the call asking for her assistance is made late, as a client, you agree to pay in full. If transfer is required or desired by either party before 36 weeks, as a midwife, I agree to prorate fees. After 36 weeks no refund is available.  All trade for services is non-refundable.

     It is understood that as a midwife, I have the right to withdraw my services if payment is not made or a special arrangement is not made.

  I  will also assist you in finding another provider.

 

We have read and understand this contact.  We agree to the terms contained herein.

 

 

Client signature                                                                                                       Date

 

 

Midwife signature                                                                                                   Date

 

* In the case of a hospital transport the standard midwifery charge of $2300 plus the standard doctor fee of aprox. $700 charged by the doctor for delivery only, is still very comparable to the doctor’s complete normal prenatal/delivery fee of $2600.   These prices are current prices in Libby as of 2005.  Hospital charges in Libby generally cost $5000 in addition to doctor’s fees.