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What is your fee and how is it paid?

Commercial Insurance

My fee is $8,500.  I ask for a $500 deposit at the start of care, which will be applied to the total fee.  For those with insurance coverage, my biller will verify your benefits and seek to obtain an out of network referral for my care.  I am not in network with any health insurance plans. Health insurance policies differ as to how much they will reimburse for care.  Typically care for a pregnant woman is billed and paid as one inclusive package; that is, prenatal care, labor and birth care, and postpartum care, after the birth of the baby.

Once your benefits are verified and an out of network referral is obtained, or not, we will have a picture as to how my bill will be reimbursed by your insurance plan.  You will be responsible for any balance above the anticipated payment by your insurance plan.  I ask that you pay this balance during the course of your pregnancy and in full by 34 weeks.  After the birth of the baby I will bill your insurance plan for your care.  If a balance remains after the plan has paid me, you will be responsible for that balance.  If the insurance plan pays me more than my fee after taking into account what you have already paid me, I will reimburse you that overpayment. You may use a health savings account to pay my fee.

 

If you transfer out of my care during your pregnancy the bill will be prorated per visit.  The fee is considered earned by 34 weeks.  If you are transferred in labor or require a hospital birth prior to the onset of labor at or beyond 34 weeks, I will remain your support and advocate and will accompany you to the hospital for your birth.  

Laboratory, ultrasound, or services provided by other health care providers are not covered by my fee.

Medicaid
Medicaid aka New York State insurance will be accepted for payment of care once an out of network exception is obtained by my billing service.

Self-Pay

A payment plan will be jointly determined between us at the start of your care. If you choose to pay my fee in full, a 10% discount will be applied.

If you transfer out of my care during your pregnancy the bill will be prorated per visit.  The fee is considered earned by 34 weeks.  If you are transferred in labor or require a hospital birth prior to the onset of labor at or beyond 34 weeks, I will remain your support and advocate and will accompany you to the hospital for your birth.  

Laboratory, ultrasound, or services provided by other health care providers are not covered by my fee.

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