Olivebridge Midwifery PLLC

Insurance/payment/services

 

 

Home birth Insurance

   I believe homebirth should be accessible for all healthy pregnant women.

Medical insurance reimbursement is generally pre-approved for homebirth services. Most NY insurance companies will grant an exception for home birth for out of network midwives to be paid at an in network rate. My professional biller will help with the insurance process including follow up with the insurance company after the birth. My billing service and I will work with you to determine what your insurance will pay and what may be your responsibility, depending on the policy you have.  You will be responsible for co-payments, deductibles and for paying the biller's fee.

The first Meet and Greet is at no charge and following that a deposit will be required for subsequent visits. I would like full payment by 30 weeks, which a portion or all of it (depending on what the insurance pays) will be reimbursed to you once the insurance company pays me, usually 2-6 months after the birth.  

  If you do not have insurance, please contact Connie Kieltyka to discuss options. 

 

Well Woman Care 

  • Preconception counseling
  • Annual Exams including pap smears
  • Teen counseling
  • Gyn problems
  • Menopausal support 
  • Arvigo Massage

Olivebridge Midwifery is not an in-network provider for well woman care for insurance purposes. If you have out-of-network coverage, I can provide an invoice which may be submitted to your insurance company for reimbursement for gyn care. I charge a reasonable rate if you choose not to use your insurance.

 

Services:

Prenatal appointments (each approximately 45mins up to an hour) are scheduled every four weeks until 30 weeks gestation, then every 2 weeks until 36 weeks, then at least once weekly until labor starts.  I will visit you at your home at  the 36th or 37th week so I know the exact location of your house and get a feel for your home. If you need extra visits or consults for any concerns you will be seen as needed.

  At these appointments we do the physical assessment including urinalysis, blood pressure checks, nutrition, fetal growth, fetal heart rate, position and well being. We also discuss your emotional and spiritual desires and needs about giving birth at home. We talk about postpartum care, breastfeeding, vaccines, pediatricians, doulas, birthing tubs, siblings and pets. 

I will discuss prenatal testing options and ultrasounds so that you can make informed choices about your care. I can draw your labs in my office and can give you a prescription for ultrasounds.

During the prenatal period if you or I decide that home birth is not the best option for you, I will assist you with finding the appropriate midwife or doctor for your care. I will transfer all of your records to that provider. You and your insurance will be responsible for the payment of the prenatal visits with me.

 

Birth and Postpartum Care

I will come to your home for labor and birth when I am needed. We will communicate by phone when early labor starts and depending what is going on with you and your family, we or I will make a decision of when to check out the well being of you and your baby and your labor status.

I bring fetal dopplers to monitor the baby's heartbeat, (in or out of water), equipment to monitor your vital signs, herbs, homeopathic and pharmaceutical medicines, IV equipment and IV fluid, oxygen and resuscitation equipment which are only used when clinically necessary. My assistants and I are certified for CPR and neonatal resuscitation. I bring sterile instruments for cutting the umbilical cord and suturing equipment (and lidocaine) if stitches are necessary.

 

We generally stay approximately 3 hours after the birth or as long as needed. During this time we clean up after the birth (usually one garbage bag), start the first load of laundry, and after you and your family have time for bonding, I assist with breastfeeding, I am a breastfeeding CLC. I perform a newborn exam including weighing the baby, administer medications to baby as discussed prenatally, feed and assist the mother to the bathroom while instructing her about perineum care. We take care of the placenta in the way you have chosen

prenatally. We tuck mom, baby and family in for a long nap, leave postpartum instructions. I remain on call for you 24/7 for the next 6 weeks for questions.

I return within 24-36 hours to reassess the family, within 5-7 days and more often if needed.  A pulse ox check on baby is done as well as a PKU during this time period.  At 2 weeks if you are up for a safe outing, you will come to my office. I recommend you make a well visit with your pediatrician between 2-6 weeks to establish your relationship (sooner if there is anything unusual).  I will see you for your 6 week postpartum visit at my office.

You and your family are welcome to come to the "ommoms" group the first Wednesday of every month, to meet with other parents and babies. 

 

I have admitting privileges at Kingston Hospital.  Careful monitoring of mother and baby is done during labor, if a transfer is necessary or wanted during labor, I will continue providing care during your labor and delivery at Kingston hospital and consult with a OB/family practitioner doctor as needed.  If  there is an emergency we will transfer to the closest most appropriate hospital. I will accompany and stay with you throughout the labor and birth process up until you are breastfeeding your baby and  until you feel comfortable. You and your insurance will be responsible for my full fee.