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Homebirth

Homebirth Services

For some individuals, giving birth in the comfort of their own home will be their preference. This is a service offered by River Valley Birth Center! We offer the same great care, but when labor begins, your team comes to you.

We offer a limited number of spots per month to families seeking homebirth care. The availability depends on the number of clients we have due in that month, staffing, and your location. These spots can sometimes fill up quickly, so it is important to let us know early if this is your intended birth location.

Care Provided

Prenatal care is provided at River Valley Birth Center and it is the same prenatal care you would receive if you were planning to birth at the birth center. We provide routine prenatal visits from the beginning of your pregnancy all the way until you go into labor.

For homebirth families the 36 week visit is most often done as a home visit. At this visit we will familiarize ourselves with the birthing space as well as drop off your birth kit and supplies.

When you go into labor, you will give us a call and let us know and once labor is active and you are ready for your birth team, we will come to your home to provide care through labor, birth, and immediate postpartum. Most of the supplies and equipment we bring to your home is the exact same as the equipment we use in the birth center and we are able to offer the same services.

In the postpartum time, we will perform a homevisit in the first day or two after birth. At this visit we will collect the newborn metabolic screening and perform CCHD screening. We then offer regular office visits for the first 6 weeks postpartum.

Services that are bundled and provided to homebirthing families by our team:

  • Prenatal Care
  • Labor/birth care
  • 6 weeks of postpartum care
  • Newborn care at home and in office
  • Birth kit
  • Linen kit
  • Birth tub use
  • Insurance billing

Financial Considerations

The majority of insurance plans in the state of Minnesota exclude homebirth as a covered service. This means that no matter if your provider is in-network or out-of-network a birth that takes place in the home is not covered, will not apply to deductible, and must be paid for by the family out-of-pocket. It is important to call your insurance and ask specifically if they have a policy that will cover or deny planned homebirths.

We require families who are selecting to plan for a homebirth to pay a global deposit of $4500 by 34 weeks gestation. After care is complete, we will bill any applicable insurance and can provide refunds to families based on any payments received for services covered by insurance.

Should you decide to move forward with a homebirth and it is not listed as a covered service by your insurance, the prenatal care and postpartum care you receive in office should still be covered at the normal rates.

It is important to know that medicaid plans are very clear that homebirth is excluded as a service and the only way that prenatal and postpartum care are covered is when those services are performed by a provider who participates as a Medicaid provider. Often, MA will also only cover labs and ultrasounds if ordered by a Medicaid provider. We are providers with Medicaid, so prenatal and postpartum care as well as labs and ultrasounds should be covered without issue. If you are choosing a homebirth and are on a Medicaid plan, we will have a few extra forms you need to fill out that explain that the service you are choosing is not covered by MA and you agree to pay out-of-pocket for that service.

When selecting a birth location and birth team, it is important to understand your individual insurance plan and coverage. We do have a verification of benefits form that you can pick up when doing a tour/orientation session so that you can call your insurance and find out covered and excluded services as well as understand if we are covered by your insurance network for prenatal and postpartum care. This VOB form walks you through important questions to ask to get the information you need to make an informed choice for your maternity care.