faq

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We are in-network with Aetna, Amerigroup, Apple Health (Washington Medicaid), Cigna, Community Health Plan of Washington (CHPW), Coordinated Care, Molina Washington, Premera Blue Cross Blue Shield, Public Employees Benefits Board (PEBB), Regence Blue Shield, School Employees Benefits Board (SEBB), and United Healthcare (Commercial and Medicaid). If you are unsure whether your insurance is in-network, or would like to see us out-of-network, please reach out to care@quiltedhealth.com or text us at 253-243-2537.

If you don’t currently have insurance, we can help you apply for coverage. Many people become eligible for coverage through Medicaid when they are pregnant. Our team will ask you questions to see if you qualify and assist you in completing and submitting your application. You can discuss this during your first appointment, or reach out to care@quiltedhealth.com or text us at 253-243-2537 to start the process.

We bill insurance like most other providers. Beyond what you may owe in copays or deductibles based on your insurance policy, there are no additional fees or out-of-pocket costs from receiving care through Quilted Health. As part of our intake process, we ensure everyone is aware of how their insurance coverage works. If you have questions you’d like answered prior to your first appointment, please reach out to care@quiltedhealth.com or text us at 253-243-2537 and we will gladly help you.

Initial 20-minute phone consultations are always free, provided as a service to help you learn more about Quilted Health and find the right match for your pregnancy care.

Flexible spending accounts (FSA) and health savings accounts (HSA) are pre-tax savings accounts that are often provided as part of employer-sponsored benefits plans. We gladly accept FSA and HSA payment methods.

Yes, we offer direct payment options, payment plans, and discounts for those who qualify if you choose to not use or obtain insurance. Please reach out to care@quiltedhealth.com or text us at 253-243-2537 to discuss your individual needs.

Midwives are healthcare professionals who are trained and licensed to provide comprehensive clinical care to people before, during, and after pregnancy. They provide individualized care uniquely suited to the physical, mental, emotional, spiritual and cultural needs of each and every person they support. Midwifery is a person-centered, empowering model of maternity care that has been utilized all around the world for centuries.

Quilted Health’s midwife model of care acknowledges your life experiences, individualizes care to your needs, and uses evidence to guide decisions around interventions that may be necessary to ensure you have a safe and healthy pregnancy. Studies have shown* that midwife-led care has lower rates of labor induction, cesarean birth, preterm birth, and overall improved satisfaction with the pregnancy and birth experience.

Our team works collaboratively with many providers, including physicians and specialists, with whom we may coordinate your care from time-to-time. If medical conditions arise that our team is unable to support, we will transfer your care to our partner physicians.

*source:
https://pubmed.ncbi.nlm.nih.gov/31599830/

https://pubmed.ncbi.nlm.nih.gov/29944777/
https://pubmed.ncbi.nlm.nih.gov/27121907/

There are a number of professional designations under the umbrella of midwifery. Our model is led by Certified Nurse Midwives (CNMs) and supported collaboratively with Licensed Midwives (LMs). All midwives share a similar view on the importance of focusing on physical, psychological, and social well-being during pregnancy, minimizing unnecessary interventions, and providing hands-on medical care during labor, birth, and the postpartum period.

Types of Professional Midwives:

Certified Nurse Midwives (CNMs): Licensed through the State Board of Nursing, CNMs are healthcare professionals who specialize in women’s reproductive health and childbirth; most are registered nurses who also have a master's degree in midwifery. Nurse-midwifery training prepares a CNM to work in any number of settings, including hospitals, health clinics, birth centers, and OB/GYN practices. CNMs are also qualified to provide care beyond pregnancy, including well-woman visits, gynecologic checkups, contraceptive and family planning services, and treatment of STIs, among other services.

Licensed Midwives (LMs): Licensed through the State and certified through the North American Registry of Midwives, LMs are able to provide comprehensive care from prenatal through 6-8 weeks postpartum. They must graduate from a three-year midwifery education program accredited by the midwifery education accreditation council. Our LMs will support you before and after labor, through virtual, home, and clinic settings.

Yes. All midwives at Quilted Health can order the same testing that doctors can in relation to pregnancy. They can also prescribe, diagnose, and treat patients similar to a physician.

Our midwives share the on-call schedule as a group, so we can’t guarantee that you will have your midwife of choice attending your birth. Our teams are small, so it’s likely that you will meet the midwife who will be at your birth during the course of your care. We are happy to arrange extra meetings, too, if you need it.

Midwives attend births in all settings, including home, hospital, and birth centers.

If you choose to receive your pregnancy care through Quilted Health, you will have your birth in one of our preferred hospitals. If you’re considering birthing in a birth center or at home, we can help you understand the different options and considerations during your first appointment, and refer you to the best provider for your needs.

Find your location and partner hospital

Most pregnancies and births do not require a doctor or physician, even if you have complicating risk factors. We encourage you to start care with Quilted Health, and we can identify whether you need to see a doctor for your pregnancy. We may identify that you need a doctor very early in pregnancy (for example, if you are carrying twins), along the way (for example, if you develop gestational diabetes or high blood pressure), or during labor and delivery (for example, if your baby is breech or you have a preterm birth).

Even if you already know you have certain conditions that will require a physician or specialist, we encourage you to reach out and talk to someone on our team. In many cases, we are able to provide care in partnership with a doctor or specialist. If you need or want a doctor, our team will manage the referral and transition to another provider at the appropriate time.

Doulas are trained experts on the birthing process and postpartum period. Doulas provide emotional, physical, and educational support to a person who is expecting, is in labor, or has recently given birth. Doulas are not clinical providers, but are an important part of ensuring that all people have a positive birth experience.

Quilted Health has a diverse, high-quality network of birth doulas. We’ll work with you to find the best match and cover the cost of the doula you select when you establish care with us.

Evidence shows* that the presence of a doula lowers the likelihood of complications and improves overall satisfaction with the birth experience.

*source: https://evidencebasedbirth.com/the-evidence-for-doulas/

Our free, 20-minute consultations are led by a Licensed Midwife who is ready to answer any questions you may have about Quilted Health, your care and your coverage. During your consultation, they’ll start out by asking you what you’re interested in discussing and then tailor the conversation to fit your needs.

If you have any clinical questions related to your pregnancy or medical history, we can answer those in the first medical appointment you have with us.

As you work with Quilted Health, you are likely to have a few people in your care team: A Licensed Midwife will meet with you for your first virtual appointment by phone or video. A Certified Nurse Midwife will be your primary care provider throughout pregnancy, birth, and postpartum care. Our Client Care team will support you with any non-clinical needs you have. Meet our providers and Client Care team.

We’re here for you as soon as you need us. You can schedule a visit or reach out for help at any stage – as soon as you know or think you are pregnant. Regardless of whether you just got pregnant or may be further along, we can help get you the information you need and start your care.

We also know that sometimes pregnancies are unplanned. Our midwives offer comprehensive, judgement-free options counseling to help you make a plan that is right for you. We also encourage you to reach out regardless of whether or not you have insurance, as we can help you with the application, enrollment, and plan selection process.

If you’re planning for a future pregnancy or if you just want to learn more before scheduling your first appointment, you can book a free consultation.

Quilted Health uses the best in evidence-based practice guidelines for pregnancy to determine what testing you’ll need. We will do a full prenatal lab panel, which includes:

  • Blood type assessment
  • Thyroid function
  • Immunity to rubella
  • Identifying infections that can be dangerous during pregnancy

Throughout pregnancy, we recommend standard testing for diabetes, anemia, and other infections. Our team will also recommend ultrasound and other tests to personalize your care based on your individual needs. A complete spectrum of genetic tests is available, too.

Quilted Health prioritizes the safety of our clients and staff. As a part of our COVID-19 precautions, we screen individuals for symptoms prior to clinic entry, we require that masks be worn for everyone over the age of 2, and we are limiting the total number of people in the clinic at one time. All physical exams will take place in the clinic, with the remainder of the visit taking place virtually when possible to limit exposure.

Yes, an epidural can be administered by an anesthesiologist at the hospital where you give birth. Your midwife will arrange the consultation and ordering of an epidural.

There are also other options available for pain management. Our team can help you understand your choices so you can make the best decision for you.

Yes! Our team of independent, board-certified midwives has hospital privileges (meaning they will admit and care for you in the hospital) and decades of experience with birth in various settings. They will be there to provide medical care and support you through the entire experience. In the event that your labor doesn’t progress as planned and we need additional support, our OBGYN partners are available onsite, 24/7 to step in.

Currently, all of our clients give birth at a local partner hospital. We are happy to help you decide what kind of birth is right for you. If you choose to have an out-of-hospital birth, we will refer you to our network of high-quality providers.

Our postnatal services include guidance for physical recovery, lactation support, symptom management, mental health screening and treatment (e.g. depression and anxiety), contraception services , and support navigating this major life transition, including applying for FMLA and planning for your return to work. We’ll develop a personalized postpartum care plan with you, based on your needs and preferences.

Many providers only offer to see you in their office once, 6 weeks after you give birth – but for most people, that’s not nearly enough support. Our team remains available to you 24/7, and will check in frequently to ensure you have what you need, for up to one full year after birth.

If you’re not finding the answers you need, you can schedule a free, 20-minute phone consultation with one of our midwives. They will be more than happy to talk with you – no judgements, no pressure.