Paying for Our Services

We accept most major insurance plans, including some Medicaid plans. We also offer a pre-pay discount and payment plans for self-pay clients.

If you are eligible for Medicaid, you can apply through the New York State MarketplaceMany New Yorkers who do not normally qualify for Medicaid are eligible during pregnancy, because the income limit is higher and the unborn child counts as a dependent. You may be able to use prenatal Medicaid even if you are already enrolled in a commercial insurance plan.

Because insurance coverage for birthing center care is complex, we require that all clients obtain a Verification of Benefits (VOB) report through our billing service, Digital Billing. Digital Billing will investigate your plan details and will contact you to explain their findings. Digital Billing charges a discounted rate of $25.00 for clients who have attended an orientation. When you attend an orientation, you will receive instructions for contacting Digital Billing for a VOB. 

Please note that different insurance plans may be accepted for lactation services. Please check out Brooklyn Lactation Group’s list here, or call our office to find out if your insurance will cover a group obstetric breastfeeding class or a one-on-one consultation with an IBCLC.

AETNA

Unfortunately, we are not in network with Aetna. However, many Aetna plans include out-of-network benefits, and our billing agency is sometimes able to negotiate agreements with Aetna on a case-by-case basis. 

CIGNA

Our provider and birthing center facility charges are in-network.

EMBLEM-HEALTH (GHI and HIP)

Our provider and birthing center facility charges are in-network with commercial Emblem-HIP plans. Plans offered on the NY Health Exchange and Medicaid plans may be accepted with special authorizations.

Our provider and birth center service charges are in-network with GHI PPO plans, but GHI HMO and HIP plans require pre-authorization.

EMPIRE BLUE CROSS BLUE SHIELD

Our provider and birthing center facility charges are in-network with most commercial Blue Cross Blue Shield plans and the Empire BlueCross BlueShield HealthPlus Medicaid managed care plan.

Members of the Empire Plan through United Healthcare should note that our provider group is not in-network. Clients seeking obstetric care with our midwives may obtain a gap exception. Clients seeking well-woman or gynecological care with our midwives must have out-of-network benefits or an authorization. Our facility is in-network with this plan and no special authorization is needed.

HEALTHFIRST

We accept the Healthfirst Medicaid managed care plan and the Healthfirst Essential Plan.

MAGNACARE

Our provider and birthing center facility charges are in-network.

MEDICAID: Empire BlueCross BlueShield HealthPlus, Metroplus, and possibly some other Medicaid managed care plans

If you are eligible for Medicaid, please choose one of the following plans:

  • Empire BlueCross BlueShield HealthPlus (preferred)
  • MetroPlus
  • Healthfirst

We may also be able to accept United Healthcare Community Plan and Emblem HIP Medicaid, but special authorizations or agreements may be required.

Most Medicaid members are able to change plans if they enrolled or renewed within the past 90 days, or if they reapply in order to report a new pregnancy. Medicaid members can change plans by logging onto the New York State of Health website, contacting your case worker, or calling 1-800-505-5678. If at all possible, please choose Empire BlueCross BlueShield HealthPlus.

We accept straight Medicaid (no managed care plan) for gynecological care only. We do not accept straight Medicaid for obstetric care or labor and delivery.

METROPLUS

Our provider and birthing center facility charges are in-network.

MULTIPLAN/PHCS 

Our provider and birthing center facility charges are in-network.

TRICARE HEALTHNET FEDERAL SERVICES

Our provider and birthing center facility charges are in-network with standard TRICARE plans; however, clients with TRICARE Prime must obtain a gap exception for both obstetric and gynecological care. 

UNITED HEALTHCARE

We accept some commercial United Healthcare plans.

We accept United Healthcare Choice Plus for obstetric care only, but not gynecological care. Clients with United Healthcare Choice and United Healthcare Choice Plus must obtain a gap exception from their primary care physician before being seen by our midwives.

Members of the Empire Plan through United Healthcare should note that our provider group is not in-network. Clients seeking obstetric care with our midwives may obtain a gap exception. Clients seeking gynecological care with our midwives must have out-of-network benefits or an authorization. Our birthing center facility is in-network with and no special authorization is needed.

Unfortunately, we do not accept Oxford plans. We ask our Oxford clients to encourage Oxford to pay a reasonable and fair rate.

We may be able to accept the United Healthcare Community Plan (Medicaid) in some cases. Please see above for more information about Medicaid managed care plans.