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Payment & Insurance

We are committed to being economically accessible.

Do you accept Medi-Cal?

We are in some San Francisco Health Plan networks, and we are a specialist practice through Anthem Medi-Cal; you may need to obtain a referral from your primary care provider and/or your health plan to receive coverage. For those with other Medi-Cal plans, we are not an in-network facility and we encourage you to apply for a grant through our partner non-profit group to help subsidize the cost of your birth center care; please keep in mind that grant funds are limited and an application does not guarantee a grant. The grant application is available at our free midwife info sessions. Click here to register for one of our upcoming dates. 

Do you accept insurance? 

San Francisco Birth Center is in the Anthem of California PPO network. Your health insurance coverage is an agreement between you and your insurer. We cannot advise on choosing an insurance plan. We cannot guarantee how any insurer will cover your care. 

What about out-of-network coverage?

For all other private insurance plans (Blue Shield, United Healthcare, Cigna, Aetna, etc.), we are out-of-network and fees for care are due in full directly to us. Depending on the terms of your plan, you may be eligible for out-of-network reimbursement from your insurer after care is complete for some portion of the cost of our services. Reimbursement varies and depends on your deductible, co-insurance, and the specific terms of your plan. Your health insurance coverage is an agreement between you and your insurer, and we cannot guarantee what they will cover. Our billing service will submit claims to your PPO insurer.

A note regarding insurance billing for pregnancy:

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.

Do you offer payment plans?

Yes. An initial payment is due at the beginning of care. The remaining balance is divided into equal payments due monthly, with the balance due in full by 36 weeks gestation.

Do you accept FSA/HSA cards?

Yes, we accept FSA/HSA cards as payment for your birth center care.

Do you offer any discounts?

Yes. For our self-pay clients, we offer two discounts. One discount is for those who hire a professional doula. The other discount is for those having their second (or subsequent) vaginal birth.