Many people when considering having a home birth are worried about the cost. If you are a cash pay client, many midwives charge far less than what you would pay in a hospital. With the rising costs of insurances, co-pays, and deductibles, my fee is frequently less than what many people would have to pay out even with insurance paying a portion of the costs.
1. Ask your insurance if a midwife is covered.
I am covered by many insurances out of network policies. I hire an insurance biller to verify your benefits. Many times, they know the right questions to ask to get at least a portion of my services covered. Find out if your insurance is one of them.
2. Use your FSA or HSA benefits.
I am able to run most benefit cards. I’ve also had clients who was able to have the company mail me a check.
3. Add midwifery services to your shower registry.
Instead of getting 3 of the exact same outfit or things that you will end up returning because you won’t use them, ask friends and family to contribute to your home birth fund.
4. Ask if your midwife offers gift certificates/cards.
I have never been asked this before, but it is something that I would consider.
5. Find out if your midwife offers payment plans.
Most of us do. Most midwives do have a cut off of when they expect to be paid by. So, starting a payment plan as early in pregnancy as possible will help ensure that your payments are lower.
The good old barter system is alive and well. If you have a product or service that is of value to your potential midwife, you may be able to make a trade. I personally have received massage and chiropractic services, photography sessions, an upgrade on my website, and the sign advertising my business on the back of my car that way. I know a midwife that was given a car and another that was given a freshly butchered steer towards their services.
7. Cut out non-essential spending.
For some of us that is easier than others. This could be cutting out going out to eat as much, forgoing the bi-weekly nail appointment, etc. That little bit adds up.
8. Apply for financing.
I bank with Point Bank which offers consumer loans to those that qualify. United Medical Credit is an online company that offers financing. Parasail is another online company. Some credit card companies offer 0% interest if you pay if off in the first year. This card by PayPal does no interest if paid off within 6 months.
9. Use your savings.
Not everyone has a savings account built up, so this may not work for everyone. For those that do, dipping into your savings may be the best way to pay for the birth that you want.
10. Tax refund
I wonder if the IRS knows how many babies those tax refunds pay for. Some midwives will do a lower monthly payment with the bulk due at tax time.
11. IRA or retirement fund
I saw this one listed on another website. Check carefully for fees associated with pulling money out. It may not be worth it.
12. Get a job.
If you are not already working, taking a part time job can help with the cost. I know women that have either started babysitting kids in their home or started waitressing a couple nights a week, because it was that important to them to get their home birth.
13. Sliding scale
Some midwives offer a sliding scale or a reduced fee if you are Medicaid eligible.
14. Online Fundraising
15. Sell something.
Do you have something of value that you are ready to get rid of? Do you have a bunch of clutter that would make a great yard sale? Your friends might be willing to help donate their clutter to your yard sale if you don’t think that you have enough to make the effort worthwhile.
16. Consolidate expenses.
Could you make do with a smaller cable package? Do you have Amazon Prime, Netflix, and Hulu? Some utility and insurance companies will reduce your bills by a few dollars if you switch to online statements only or autodraft payments. Getting rid of one or two of those extra services can add up over 9 months.
17. Student midwife discount
After publishing this, I thought of another idea, so you get a freebie. Ask midwives that you are interviewing, if they offer a discount if you use their student as your primary. My student midwife, Samantha is taking primary clients due in 2020 under my supervision. Contact us if you would like more information on that student discount.
How did you pay for your home birth? Do you have any ideas that I did not list?