Payment & Insurance

We offer individualized financial agreements and payment plans.

Many of our clients use FSA/HSA cards for their birth center care.

We also work with a non-profit who helps subsidize the cost of care for our lower income clients; the grant application is available at our tours. Click here to register for one of our upcoming dates.

We are provisional Medi-Cal providers, and our Medi-Cal families are responsible only for our birth center facility fees. We are committed to being economically accessible.


San Francisco Birth Center is an in-network facility through Anthem Blue Cross, and we are in-network providers through Anthem Blue Cross as of mid-April 2020.

For all other insurers, we are out-of-network and fees for care are due directly to us. Our clients often use FSA/HSA cards to pay for part or all of their birth center care.

Your health insurance coverage (PPO, HMO, etc.) is an agreement between you and your insurer. Depending on the terms of your plan, you may be eligible for reimbursement for some portion of the cost of our services. Reimbursement varies and depends your deductible, co-pay, and the specific terms of your plan. Our billing service is able to submit claims to some out-of-network insurers, for others we are happy to provide a superbill for you to submit to your out-of-network insurer.

Insurers treat pregnancy claims different from other medical visits. The first visit can be billed during pregnancy, while the majority of your care falls under what insurers refer to as ‘global’ obstetric services encompassing pregnancy, labor, delivery, and postpartum care all in one single code, which can be billed after your final visit.

 Pregnancy Care Package

Our pregnancy care package includes prenatal, labor, delivery, and postpartum care.

  • Private Prenatal Visits:
    – Three private 1 hour midwife visits at the beginning of care
    – An additional hour long Birth Team appointment in your 36th week
    – Additional 30 min office visits throughout care as needed

  • Group Prenatals: Group prenatal visits in the second and third trimester include education and guest speakers in addition to one-on-one clinical evaluation

  • Birth: One of our SF Birth Center midwives will attend your labor and birth. A second licensed birth assistant will also be present during birth and immediately postpartum.

  • Postpartum Visits:
    – Three home visits in the first week postpartum
    – Postpartum office visit at 2 weeks
    – Postpartum office visit at 5-6 weeks.

  • Well Baby Care: Your baby will be assessed at our postpartum visits during the first month
    and we will refer you to a pediatric provider with any concerns. These visits do not replace
    your regular pediatric visits.

  • Lactation: We will assist you with general lactation support at the postpartum visits.

  • Excluded services: San Francisco Birth Center fee does not include some medications,
    ultrasounds performed by non-SFBC providers, laboratory tests, physician consultation visits, lactation consultants, hospital services, doulas, or childbirth classes.