To those birthing at a birth center

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Sandradee84's picture
Joined: 08/02/08
Posts: 229
To those birthing at a birth center

I feel so rude asking this question, but if you're risked out of their care (due to GD or something else)... do you get a portion of your money back if you're paying out of pocket? We've been paying ahead of schedule, but there's that worry in the back of my head if I am risked out of their care, what happens to my money. I kinda want to call them and ask, but on the other hand, I feel like maybe i'm jumping the gun so to speak and should just wait and ask when it becomes an issue. My book from them doesnt cover any billing stuff.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

I don't think there's a thing in the world wrong with asking that! Being able to plan and make good decisions requires information, and if it's worrying you then it is worth asking!

I birthed at a birth center but I think you must mean an independant birth center because if you risked out of ours you still got the midwives' care at the hospital it's run by so I wouldn't have really expected anything back (I also was not paying out of pocket).

Joined: 08/22/06
Posts: 621

That's definitely a question to ask. It's a business and they run it that way.

I would say they only bill for the services actually rendered, but I'm sure every place could operate different. When I used the birth center for my son, I started with them at 20 weeks and only paid half of their fee because I didn't use them for the first half of the pregnancy.

The thing about a transfer though is that you do technically use the service. If you go in and labor for a while, then have to transfer, you've still used their services except for the actual delivery. My midwives stay at the hospital through delivery so they are technically there the whole time.

definitely ask...that's not a crazy question to ask them. Actually it's a great question I've never considered asking, but will now!

Sandradee84's picture
Joined: 08/02/08
Posts: 229

Ah yes I should have clarified, its a free standing birth center Smile I have to pay out of pocket because my military wont cover them. I suppose I will call tomorrow and ask, i missed a class by accident, so I need to call them anyway.

I didnt expect that I'd get it all back of course though, i just wonder if they charge a 'per visit' rate if you have to leave. IE: we've paid in 2k out of the 3.5k total over the course of 4 visits, so if they charge say 200 per visit*4 visits, well, we'd get back ~1200.

If we have a hospital visit with an OBGYN, my military insurance will cover it (@100%), but obviously that's only if I am risked out of the birth center. (That's another rant in itself, my insurance wont cover either of the two independent birth centers here in Tampa)

jooniper's picture
Joined: 08/27/07
Posts: 780

No insight here since we're not doing a birthing center, but I definitely think this is a reasonable thing to wonder. I know I've wondered the same thing about my homebirth (I believe the conclusion is that if I transfer to the hospital I don't get any money back, because the money pays for the prenatal checkups and the "spot" I reserved for december- she could theoretically have taken other clients so my money goes not just to the delivery but to the potential loss of a different client). At least, I THINK that's what happens.

Joined: 01/22/07
Posts: 170

If we are risked out BEFORE labor we only pay for the prenatal services used. So they prorate the amount etc. But if we are risked out after labor (failure to progress etc) has started there is no refund. I think thats reasonable. If you transfer to the hospital in labor they go with you and stay with you for the duration of labor/section.

TiggersMommy's picture
Joined: 02/14/10
Posts: 6043

"princess consuella" wrote:

If we are risked out BEFORE labor we only pay for the prenatal services used. So they prorate the amount etc. But if we are risked out after labor (failure to progress etc) has started there is no refund. I think thats reasonable. If you transfer to the hospital in labor they go with you and stay with you for the duration of labor/section.

I'm pretty sure this is how mine works but I only paid one copay so I didn't ask about the fine print.

Sandradee84's picture
Joined: 08/02/08
Posts: 229

The birth center called me back today on a different issue but i brought up the topic since I had the billing lady on the phone and she said that if i was unfortunate to be risked out of their care that they would charge a set rate per visit and then just charge that and return the rest of my money.

She did say that during my glucose test that I can go walking to help burn off a little sugar if i'm worried Wink I wonder if that's 'cheating'.

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