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What is a MidwifeMidwife Services + Scope of Services + Fees and Forms + Homebirth FAQ + Legal Issues

If you are interested in receiving care from Natural Attachment, please download New Client Forms here.

What is Natural Attachment’s Standard Fee?

COMPLETE PRENATAL, LABOR AND BIRTH, POSTPARTUM AND INITIAL NEWBORN CARE $1200

  • This is payable in full by six (6) weeks postpartum.
  • All fees may be paid on a monthly/weekly payment schedule after deposit is paid.
  • Cash, Checks, Money Orders as well as Major Credit Cards and eChecks paid through PayPal are all accepted for your convenience.
  • The following four Options are available for clients to choose from -- these Options are not written in stone, may be amended and still allow for partial bartering as payment:
  • Option A -- No Discounts
    $1200 - Including $150 deposit due at New Client Intake Visit
    Remaining $1050 to be divided into payments of at least $100 monthly, with all fees paid in full by six (6) weeks postpartum.
  • Option B -- 15% reduced rate for East End Food Co-op Members (tan/brown card members only)
    $1020 - Including $150 deposit due at New Client Intake Visit
    Remaining $870 to be divided into payments of at least $100 monthly, with all fees paid in full by six (6) weeks postpartum.
  • Option C -- 15% reduced rate for paying all fees in full by 28 weeks gestation
    $1020 - Including $150 deposit due at New Client Intake Visit
    Remaining $870 to be divided into payments of at least $100 monthly, with all fees paid in full by 28 weeks gestation.
  • Option D -- 30% reduced rate when combining Options B and C
    $840 - Including $150 deposit due at New Client Intake Visit
    Remaining $690 to be divided into payments of at least $100 monthly, with all fees paid in full by 28 weeks gestation.

What is Natural Attachment’s Reduced Fee and Qualifications?

COMPLETE PRENATAL, LABOR AND BIRTH, POSTPARTUM AND INITIAL NEWBORN CARE

  • Clients need to provide information about financial hardship with me, to be discuss before or during our Initial Consultation.
  • If you are a minor living with or without your parents/guardians, you qualify for a reduced fee.
  • If you become my client during or after 28 weeks gestation, you quality for a reduced fee.
  • Cash, Checks, Money Orders as well as Major Credit Cards and eChecks paid through PayPal are all accepted for your convenience.
  • The following two Options are available for qualifying clients -- these Options are not written in stone, may be amended and still allow for partial bartering as payment:
  • Option 1 -- This Option is for: minors and clients with monthly income less than $1000
    $750 - Including $100 deposit due at New Client Intake Visit
    Remaining $650 to be divided into payments of at least $75 monthly, with all fees paid in full by six (6) weeks postpartum.
    *East End Food Co-op Members or clients paying all fees in full by 28 weeks gestation can adjust fees from $750 to $645
    **Clients may combine discounts for paying early and being Co-op members; adjusting fees from $750 to $525
  • Option 2 -- This Option is for: clients accepted during/after 28 weeks gestation or clients with extreme financial hardship
    $500 - Including $100 deposit due at New Client Intake Visit
    Remaining $400 to be divided into payments of at least $50 monthly, with all fees paid in full by six (6) weeks postpartum.
    *East End Co-op Members can adjust fees from $500 to $425
    **There is no fee reduction for paying all fees by a certain date with this Option

What is Covered Under Natural Attachment’s Fees?

  • All Prenatal Care - including all prenatal visits (I see most women once a month for 30 weeks, every two weeks until 36 weeks, then every week until the baby is born.) If more visits are needed, they are also included.
  • Complete care during labor & delivery - I stay with you at your home through out the labor, birth and postpartum period. 
  • Postpartum Care through 6-8 weeks for both mother & baby - This includes home visits at 24-36 hours, 4 days, 2 weeks, 4 weeks and 6 or 8 weeks postpartum. If more are needed, they are included.
  • Birth Assistants - If I have birth assistants at your birth they are most often my apprentices. There is no extra charge for these birth assistants. However, on rare occasions I may recommend we call in an additional midwife. Should such a need arise, we will discuss your options and there may be an extra charge involved, depending on the situation.
  • Any herbs or homeopathic supplements supplied by Natural Attachment to benefit your pregnancy, lactation or newborn’s health.

Expenses that are NOT included in our fee:

  • Birth Kit – I will provide you with information on how to order your birth kit. You should order your kit early enough to have it available from 36 weeks on. The birth kit contains the consumable items we use for a birth (sterile gloves, bed pads, antiseptic scrub, etc).
  • Sonograms/Ultrasounds - I do not routinely request sonograms. However, if you desire one or if we need one, the cost is extra. You may go to any lab/clinic/doctor of your choice. Most providers’ fee is usually around $200. Most will accept insurance as well as Medicaid/Medicare.
  • Diagnostic Lab Work - I make every effort to limit lab and diagnostic tests or omit them altogether unless I feel they are truly necessary to ensure safety for you and your baby. If any are needed, you will be required to pay your choice of provider for those lab expenses.
  • Vitamins and Medications - You will be asked to purchase and take some good prenatal vitamins throughout your pregnancy. If you ever need any medications such as antibiotics or Rhogam (for mothers with RH- blood), this will be an extra expense paid to your physician.
  • Physician Consult or Care - Most women never need to see a physician while under my care. However, should you need or want a physician referral; you will need to pay for his or her services separately.

Are Your Fees Covered by Insurance?

I am sorry, but currently in the state of Pennsylvania non-nurse midwives can not accept or file claims for insurance coverage for their clients, in part due to the legal climate of non-nurse midwifery in Pennsylvania.

State Medicaid/Medicare does not pay for home birth or non-nurse midwife services. If you are on Medicaid/Medicare and desire a home birth, please discuss your situation with me as soon as possible to take advantage of my Reduced Payment Options.

We are an Equal Opportunity Service. Our services are available to all healthy, empowered women and their babies regardless of religion, race, alternative lifestyles or ethnic origin.

We have client visits scheduled for afternoons and evenings as a service to working mothers and their families.

If you live in Pittsburgh, PA or within 30 - 45 minute drive radius from zipcode 15212 and would like to schedule a visit, please e-mail Michele.

The material in this website is provided for information purposes only. This information is not a substitute for, medical diagnosis, medical advice, or medical treatment prescription. Consult your health care provider for more information. If you are in Pittsburgh and need a midwife, send email to PghMidwife (at) naturalattachment.com
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