Fees & Payments
Wiyama Midwifery Fees and Charges
Wiyama Midwifery does not participate with any insurance companies currently. This is subject to reconsideration as the laws and accessibility for homebirth providers and reimbursement rates change in the states where our homebirths occur. We are happy to provide any assistance in getting your HSA to assist with payments, or itemized billing for you to file for reimbursement from your insurance company after your 6 week visit. There will be an additional charge for billing access, and there is never a guarantee that your insurance will reimburse you. At this time cannot participate in medicaid with Ohio, West Virginia or Kentucky.
Never let the charges for midwifery care define your desire for midwifery care or a homebirth. Although we prefer that all fees for midwifery be paid by 36 weeks of pregnancy, we often work out very generous payment plans and incentives to get all fees paid earlier. We also offer barter arrangements. Feel free to initiate a conversation about creative ways to get your fees paid.
If you further than 30 miles from the Marietta, OH area, there are mileage fees that must be paid prior to your due date. Please see below for current mileage charges.
Never let the charges for midwifery care define your desire for midwifery care or a homebirth. Although we prefer that all fees for midwifery be paid by 36 weeks of pregnancy, we often work out very generous payment plans and incentives to get all fees paid earlier. We also offer barter arrangements. Feel free to initiate a conversation about creative ways to get your fees paid.
If you further than 30 miles from the Marietta, OH area, there are mileage fees that must be paid prior to your due date. Please see below for current mileage charges.
Getting Started
Consultation
$50.00 - Check, Cash or Paypal Transfer
Traditionally performed in the Wiyama office, an opportunity to meet the midwife, ask questions and evaluate if midwifery and homebirth, or other services are right for you. If you come into care, the value of this fee will be deducted from the retainer fee.
Retainer Fee
$450.00-$500.00 - Check, Cash or Paypal Transfer
The deposit is traditionally a non-refundable retainer that holds your due time on the midwife's calendar, restricting her from serving other clients, often turning people away if her case load reaches 4 cases in a calendar month. It also serves to pay for an assistant to be on call for your birth as well. The retainer fee is $500.00, modified to $450.00 if you have paid for a consultation. If you leave the care of Wiyama Midwifery prior to the birth of your baby, whether you pay for a package or for services as rendered, the Deposit/Retainer is not refundable. This fee is separate from the Midwifery Care Packages, is not part of any clinical charges and required to initiate care. I am happy to take it in two payments to offset the bulk, but it needs to be paid in full before your date is fully reserved on the Wiyama Calendar. If a retainer has been paid and prenatal circumstances arise that precludes you from homebirth with that pregnancy, the retainer may be applied to subsequent pregnancies, with preference over new clients.
Midwifery Care Packages
In order to keep our fees as low as possible, and as affordable for all of our clients, these packages are cash pay discounted fees for service. They are separate from and in addition to the consultation fee, the retainer fee and the mileage fee. If we provide assistance in filing your insurance, you will be expected to pay the cash price up front, work with our biller, or self file with an invoice. There may be additional fees for managing insurance billing applications. We are not in network with any insurance provider at this time. Most insurances do not reimburse for homebirth services at this time, but you are welcome to contact them and find out what your benefits include. We offer payment plans up to a year to keep our fees accessible to all families. Once we go on call for you (37 weeks) ALL fees agreed upon are due, regardless of birth location or outcome. Clients who fail to keep payment arrangements in a cordial manner may be subject to small claims court. While running a midwifery practice is expensive, we never want any client to not have the birth they want because of financial considerations. Please talk to us, we may have options for barter or longer payment plans that may accommodate your needs.
Your invoice may look something like this:
Your invoice may look something like this:
- Consultation fee: $50.00
- Retainer fee: $450 (or 500 if you didn't do a consultation)
- Midwifery package fees: $2800.00 to $5000.00
- Mileage: $100.00 - $500.00+
- Add-Ons: varies
Basic Midwifery Package
$2800.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
Package deals save consumers hundreds of dollars over paying for services as they occur. If you leave care before the birth of your child, charges may be itemized to evaluate a pro-rated refund. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Basic Package includes:
Package deals save consumers hundreds of dollars over paying for services as they occur. If you leave care before the birth of your child, charges may be itemized to evaluate a pro-rated refund. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Basic Package includes:
- Prenatal care (1 in home (around 36 weeks), including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Homebirth class
- Labor & birth support (in home, or other location, as dictated by desire or necessity),
- Postpartum care both in home (24h and 3-5 days) and in office (3 wks and 6 wks),
- Newborn care (including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Chart/Document management,
- Nutritional/Lifestyle consulting,
- Referrals for other testing or professionals as dictated by your needs and care,
- Unlimited phone support during business hours, 24/7 support for emergencies.
Prepared Midwifery Package
$3200.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
The end of pregnancy can creep up on you quickly. This package offers some assistance in feeling prepared. In addition to the Basic Midwifery Package, this package offers childbirth education, birth pool rental, delivery, set-up, maintenance, deconstruct and sanitation fee. Since this is a strain on the birth team at the labor and/or time of the birth, it may require an additional team member to be available to help with the pool set up. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Prepared Package includes:
The Prepared Package includes:
- Prenatal care (1 in home (around 36 weeks), including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Homebirth class
- Labor & birth support (in home, or other location, as dictated by desire or necessity),
- Postpartum care both in home (24h and 3-5 days) and in office (3 wks and 6 wks),
- Newborn care (including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Chart/Document management,
- Nutritional/Lifestyle consulting,
- Referrals for other testing or professionals as dictated by your needs and care,
- Unlimited phone support during business hours, 24/7 support for emergencies,
- Birthing Naturally - 4 week childbirth education series or one all day Saturday class ($200.00 value),
- Birth Pool Rental, Delivery, Set-Up, Maintenance during labor, Deconstruct, Sanitation, Clean-up ($250.00 value)
Pampered Mama Midwifery Package
$3500.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
The Pampered Mama Package is the Basic Package with some nurturing extras. If you leave care before the birth of your child, charges may be itemized to evaluate a pro-rated refund. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Pampered Package includes:
The Pampered Package includes:
- Prenatal care (1 in home (around 36 weeks), including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Labor & birth support (in home, or other location, as dictated by desire or necessity),
- Homebirth class
- Postpartum care both in home (24h and 3-5 days) and in office (3 wks and 6 wks),
- Newborn care (including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Chart/Document management,
- Nutritional/Lifestyle consulting,
- Referrals for other testing or professionals as dictated by your needs and care,
- Unlimited phone support during business hours, 24/7 support for emergencies,
- 1 Homeopathic Case taking session ($100.00 value)
- 2 Homeopathic Remedies ($10.00 value)
- 2 Packages of Pregnancy Tea ($30.00 value)
- 1 Belly Casting Session ($100.00 value)
- 5 Reflexology, Reiki or Bodywork sessions ($200.00 value)
- 1 Stress Reduction or Pregnancy Hypnosis session w/ Recording (w/ Aromatherapy)
OR
1 Personalized Blessingway ($100.00 Value) - Birth Pool Rental, Delivery, Set-Up, Maintenance during labor, Deconstruct, Sanitation, Clean-up ($250.00 value)
Home Care Midwifery Package
$4000.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
The home care package allows you to receive all of your prenatal care in the comfort of your own home. If you leave care before the birth of your child, charges may be itemized to evaluate a pro-rated refund. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Home Care Package includes:
The Home Care Package includes:
- Prenatal care (All in home, including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Labor & birth support (in home, or other location, as dictated by desire or necessity),
- Homebirth class
- Postpartum care all in home,
- Newborn care (including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Chart/Document management,
- Nutritional/Lifestyle consulting,
- Referrals for other testing or professionals as dictated by your needs and care,
- Unlimited phone support during business hours, 24/7 support for emergencies,
Queen of Her Castle Midwifery Package
$5000.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
The Deluxe care package is a combination of all three of the packages above combined. You get all of your basic midwifery care, the extra nurture package and all of it in your home. The extra nurture sessions must be scheduled either before or after a regular prenatal visit. If you leave care before the birth of your child, charges may be itemized to evaluate a pro-rated refund. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage.
The Deluxe Care Package includes: This Package includes:
The Deluxe Care Package includes: This Package includes:
- Prenatal care (ALL in home, up to 10 visits, including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility),
- Homebirth class
- Labor & birth support (ALL in home, or other location, as dictated by desire or necessity),
- Postpartum care (ALL in home up to 5)
- Newborn care (All in home, included in postpartum visits, including testing procedures, but not the actual tests, which are billed separately by Labcorp or other independent testing facility)
- Chart/Document management
- Nutritional/Lifestyle consulting
- Referrals for other testing or professionals as dictated by your needs and care,
- Unlimited phone support during business hours, 24/7 support for emergencies,
- 1 Homeopathic Case taking session ($100.00 value)
- 2 Homeopathic Remedies ($10.00 value)
- 2 Packages of Pregnancy Tea ($30.00 value)
- 1 Belly Casting Session ($100.00 value)
- 5 Reflexology, Reiki or Bodywork sessions (w/ custom aromatherapy blend) ($225.00 value)
- 1 Stress Reduction or Pregnancy Hypnosis session w/ Recording (w/ Aromatherapy)
OR
1 Personalized Blessingway ($100.00 Value) - Birth Pool Rental, Delivery, Set-Up, Maintenance during labor, Deconstruct, Sanitation, Clean-up ($250.00 value)
Add - Ons & À la Carte Services
Prepared or Pampered Add-On
$500.00 - Check, Cash, Credit Card (paypal), In-House Financing or Paypal Financing
Add the Prepared or Nurtured concept to any Midwifery, Monitrice or Doula package
Add the Prepared or Nurtured concept to any Midwifery, Monitrice or Doula package
Doula Services
$900.00 - Check, Cash, Credit Card (Paypal), In-House Financing, Paypal Financing (mileage fees may apply)
A doula is woman trained and experienced in childbirth. A doula provides physical, emotional and informational support to the expectant mother and her partner during labor, delivery and in the postpartum period. Studies prove that having a doula present at birth, a woman's labors are shorter, they have fewer medical interventions, fewer cesareans and healthier babies. Evidence also suggests that women are more satisfied with their birth experience when a doula is present and fathers stay more involved with their partner and baby.
As a doula I will meet with you prenatally to create a birth plan, assist you in finding adequate prenatal education, attend you during labor and birth. Occasionally the situation allows me to photograph the labor and birth and process, so I will make every attempt to provide these services as well. While there are doulas out there that may have lower fees, you can take the utmost comfort in working with someone who has 15 over years (over 200 births) experience working with women during pregnancy and childbirth. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage. Payment plans are available.
As a doula I will meet with you prenatally to create a birth plan, assist you in finding adequate prenatal education, attend you during labor and birth. Occasionally the situation allows me to photograph the labor and birth and process, so I will make every attempt to provide these services as well. While there are doulas out there that may have lower fees, you can take the utmost comfort in working with someone who has 15 over years (over 200 births) experience working with women during pregnancy and childbirth. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage. Payment plans are available.
Monitrice Services
$1200.00 - Check, Cash, Credit Card (Paypal), In-House Financing or Paypal Financing
(Mileage fees may apply)
In the instance that a woman is determined to be safer to birth her child in a hospital, but wishes a more homebirth like experience during labor, the services of a monitrice may be useful. A monitrice acts as a doula in the birthing environment, both in the home during early and active labor, allowing you the confidence to move to the hospital when the time is right, and in the hospital after things are established and mother is making steady progress. A monitrice can monitor you and baby at home, vitals, progress of labor, fetal heart tones etc, AND provide the comfort and labor support skills of a doula. The monitrice, like the doula, meets with you prenatally, assists you with birth planning, and can even accompany you to childbirth education classes, but offers you some midwifery services during labor and birth, allowing you to relax and do the work of birth. This is a cash pay discounted fee for services, it is a separate fee, after the retainer fee and mileage. Payment plans are available.
Mileage Fees
$300.00 - $500.00 - Check, Cash, Credit Card, In-House Financing or Paypal Financing
If you live greater than 30 miles from Marietta, OH, you will be responsible for mileage fees. Fees increase based on distance. Travel to other areas greater than 180 miles may be possible as allowed by my on-call schedule, travel fees and lodging apply. There have also been instances where families travel to the Wiyama office for their births, and while avoiding travel fees, they end up incurring lodging fees. We are willing to explore options that create for you a foundation of comfort and safety.
>30 miles $100.00
>60 miles $200.00
>90 miles $300.00
>120 miles $400.00
>180 miles $500.00
Further distances may be considered on a case by case basis, and will likely need lodging arrangements.
>30 miles $100.00
>60 miles $200.00
>90 miles $300.00
>120 miles $400.00
>180 miles $500.00
Further distances may be considered on a case by case basis, and will likely need lodging arrangements.
Prenatal/BirthBirth Pool Package $250.00Includes rental of the pool, delivery, set up, maintenance during labor, deconstruction and clean up from waterbirth, and sanitation of all equipment. May require an additional assistant to attend your birth.
Childbirth Education Options:Birthing Naturally Classes - Group
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Holistic ConsultationHomeopathic Cons. $100.00Homeopathy is an ancient tradition of healing that combines both science and spirit. Remedies are made from many different herbs, chemicals and substances, and can treat both acute and chronic conditions. Homeopathic case taking usually takes about an hour, and your first custom remedy is included. Additional remedies may be purchased separately. Homeopathy is safe to use for the entire family, including babies and folks who are on being treated for medical conditions.
Well Woman Care $150.00Midwifery care doesn't end with the birth of the baby. There is an option for well woman care, offering you the same personalized attention, with an emphasis on lifestyle, risk assessment and holistic practices. This includes PAP tests, STD testing and referrals for mammograms. The lab tests are actually performed at an independent lab and billed separately. You can either bill your insurance or have the lab bill you directly.
Preconception/Infertility $100.00/$150 with testingStepping into a holistic lifestyle and mindset before pregnancy can go a long way toward creating the rich and nurturing environment many women hope for when becoming pregnant. Preconception Consultations and Infertility Consultations include diet and lifestyle analysis, supplement evaluation and lab work as necessary. The lab tests are actually performed at an independent lab and billed separately. You can either bill your insurance or have the lab bill you directly.
Natural Family Planning $100.00Many women are looking for alternatives to invasive or chemical birth control methods. Natural Family Planning or Fertility Awareness Method of birth control is an excellent way to honor your cycles, respect your body and be in control of when you do or do not become pregnant. These consultations are 1-2 hours long, and consist of teaching couples about fertility awareness, using charts, calendars and other helpers, to create an environment of communication and awareness, resulting in much more control over your reproductive process.
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Products & ServicesReflexology Sessions $45.00Reflexology is a special treat. Done on the feet and sometimes the hands, almost any dysfunction or discomfort can be addressed and treated through reflexology. Sessions are 30 minutes.
Herbal Tea Blends (varies)Currently we are offering Pregnancy tea and Mother's Milk tea, but new blends will be offered as the herbal harvesting season approaches. Many of our herbs are home grown or purchased in bulk from very reputable sources.
Homeopathy/AromatherapyHand Grafted Homeopathic Remedies or Custom Blended Aromatherapy oil blends to suit your particular needs. Aromatherapy blends may be added on to other services such as Reflexology and Relaxation sessions.
Stress Reduction $45.00These sessions use light touch/effleurage and audio cues to help your body learn to change stress hormones into feel good hormones like Oxytocin, Dopamine and Seratonin. These sessions can run from 30 minute to an hour. May purchase a custom Aromatherapy Blend to accompany this work.
Hypnosis/Creative Visualization Sessions $45.00Hypnosis and Creative Visualization can help in so many facets of life. Lifestyle/habit changes, illness, chronic pain, bodily dysfunction and emotional issues all respond very well to these techniques. You may use your sessions prenatally as well to overcome fears for your birth, or sort out past birth trauma. You may combine a custom Aromatherapy blend with these sessions.
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