Highland Midwife Birth Services charges a Service Package fee of $3500 for complete routine midwifery care during pregnancy and birth. Extra services may be required for some birthing mothers; see my Financial Agreement and please do not hesitate to ask me questions about how these are managed.

I recognize that $3500 is a large sum for most families. However, my clients benefit from the quality of personalized care, the emphasis on improving their overall health, and their own increased ability to control the costs. My fee is also less than what most parents must pay after insurance for hospital births.

I use a professional medical biller who specializes in insurance claims for midwifery services, to assist my clients in obtaining the maximum reimbursement to which they are entitled from their insurance company. When billing services are used, an 8% fee applies to the total.

All Washington-based insurance policies which cover maternity services are required by law to pay for my services. Policies which fall under the laws of other states vary, but if needed I am willing to petition any insurance carrier for an exemption to cover your care. I have forms and documents to help you determine the benefits you can expect from your policy.

Medicaid is also accepted. The only services not covered by Medicaid are the $200 birth assistant fee, out-of-area mileage charge if applicable, and the birth kit with your disposable supplies. Your prenatal care, labs, birth, and postpartum are all fully covered by Medicaid; please check with your plan for coverage details and requirements. Please see the Financial Agreement. I will be happy to discuss your particular needs and find the best alternative for you.

I do accept payments, and will work out a payment schedule customized for you, based upon whether you are paying for the birth yourself or expect contributions from your insurance policy.

You can use your credit or debit card to make payments if you need to! Just log into the Silver Sage store, go to "Other Payments", and choose Highland Midwife. Select various amounts to add to your cart until it totals the amount of the payment that you want to make. A 3% card processing fee for Silver Sage will be deducted only after the delivery, from any reimbursements I would pay back to you after insurance. It is secure, easy, and a printable receipt is automatically generated for you.

Some trades will be considered. We do live in a rural agricultural area; items such as firewood, hay, and produce are always welcome! Further; I will always treat gold, silver, and cash as legal tender for payment.

I reserve my absolute right to refuse to pursue collection actions against clients for whom those actions would induce financial hardship.