Frequently Asked Questions

[accordion_content title=”What are the different types of midwives?”]Midwives are qualified health care providers who go through comprehensive training and examinations for certification. Certification is offered by the American College of Nurse Midwives (ACNM) and the North American Registry of Midwives (NARM). The practice and credentials related to midwifery differ throughout the United States. Below is a brief description of each of type of midwife:

  • Certified Nurse-Midwife (CNM): an individual trained and licensed in both nursing and midwifery. Nurse-midwives possess at least a bachelor’s degree from an accredited institution of higher education and are certified by the American College of Nurse Midwives.
  • Certified Professional Midwife (CPM): an individual trained in midwifery who meets practice standards of the North American Registry of Midwives.
  • Direct-Entry Midwife (DEM): an independent individual trained in midwifery through a variety of sources that can include: self-study, apprenticeship, a midwifery school, or a college/university program.
  • Licensed Midwife (LM): an individual trained and licensed in midwifery. Licensed midwives have gone through a process approved by the state in which they practice. The California Licensed Midwife is licensed by the Medical Board of California, after completion of a MEAC accredited program.

[accordion_content title=”Do insurance companies cover for midwifery care?”]Joy In Birth Midwifery is not contracted with any insurance carriers as an in-network provider. Some PPO and POS insurance plans will cover midwifery and home birth care at an out-of-network rate, although some will approve an “in-network gap exception.” Rarely an EPO or HMO will agree to cover the care as well.  You can contact your insurance provider’s Verification of Benefits department to find out if they cover midwifery services with a Licensed or Certified Professional Midwife.

Joy In Birth Midwifery contracts with Doyle Billing, an insurance billing company that specializes in filing and pursuing insurance claims. They help take the trouble out of a sometimes tedious process! For a small $20 fee, clients can request that Doyle Billing contact the VOB department for them, and research what kind of coverage the insurance provider will allow.  Although the amount of reimbursement cannot be guaranteed or predetermined, Doyle Billing will put their experience and expertise into helping each client receive the most reimbursement possible.

We are not MediCal providers, although most lab tests are covered by MediCal. Flexible Spending Accounts (FSAs) do allow for midwifery services as an eligible expense.[/accordion_content]
[accordion_content title=”How do I set up a consultation?”]If your exploration of our website has piqued your interest, and you’d like to set up a free consultation to meet the midwife and get your questions answered, fill out the contact form here. You will be contacted within 24 hours to set up a time!
[accordion_content title=”When is too early or too late to start care?”]Every woman begins her journey to out-of-hospital birth at a different point in her pregnancy. Some like to start care as early as 7-8 weeks, and some come to care as late as full term. Being a late transfer to care is not usually an issue as long as you have had regular prenatal care, are low-risk, and have researched your options. It is best to contact our office as soon as possible to make sure there is an opening for the time you are due. We limit the number of clients we take to 4-5 a month. Our fee structure does not change, no matter when you come to care.[/accordion_content]
[accordion_content title=”Do you take credit cards?”]Yes, we accept Visa and Mastercard. There is a 3% surcharge added for all credit card charges. As much as we don’t like adding extra fees, it helps us keep our overall costs down. We also take cash, and personal checks.[/accordion_content]