Cost Explainer

Do you offer a sliding scale?  

Yes, we offer a sliding scale to our self-pay/out-of-network clients.


Do you accept FSA/HSA cards?  

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


What about insurance coverage?

Click here for info regarding the out-of-network insurance and payment timeline. Fees for care are due in full directly to us by 36 weeks of pregnancy according to your personalized payment plan. Depending on the terms of your health insurance, you may be eligible for reimbursement 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. Our billing service will submit claims for your birth center care to your insurer. Your health insurance coverage is an agreement between you and your insurer, and we cannot advise on choosing an insurance plan nor guarantee what they will cover.


A note regarding insurance billing for pregnancy:

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


Do you accept Medi-Cal?

We are in three San Francisco Health Plan groups (UCSF, SF Health Network, Community Clinic Network) and are covered by some Anthem Medi-Cal plans. We cannot guarantee your plan’s coverage; contact your managed care plan directly to obtain any referral or authorization they may require. Health plans do not always cover all services, and some fees may be due directly from you.


Do you offer payment plans?

Yes. An initial payment is due at the beginning of care. For our self-pay/out-of-network clients, the remaining balance can be divided into equal monthly auto-payments, with the balance due in full by 36 weeks gestation.


Note regarding missed appointments:

A $50 charge will be assessed for each missed appointment or no-show. A 24-hour cancellation notice is required in order to avoid this charge.

I received an invoice but don’t see a link to pay. How can I submit payment?

Here is a payment link.


Who do I contact regarding my insurance claims?

Email patientservices@cosentus.com with questions regarding your insurance claims and/or invoices for payment.