FAQ: Billing and Insurance for Nurse Midwifery Service and Birth Center
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We can assist you in choosing or changing your PCP to a UC San Diego Health System physician who is accepting new patients with HMO insurance. PCPs are usually chosen based on your needs and geographic area. Call our physician navigators at 1-800-926-8273 for help selecting a PCP. Also visit Primary Care.
Midwives and obstetricians are not listed as primary care providers on most insurance plans.
Once you have a PCP at UC San Diego Health System, you can self-refer for obstetrical and gynecological services. You do not need to see your PCP first, as this can delay your entry into prenatal care. We will assist you in obtaining an internal authorization for insurance purposes. We encourage you to develop a relationship with your PCP for all of your health care, not just obstetrics and gynecology.
Each HMO has its own rules. Some will not allow a transfer of care or entry into care after 28 weeks of pregnancy (40 weeks is considered a normal term pregnancy). We encourage you to call your insurance company directly.
UC San Diego Health System accepts many insurances. See Insurance Accepted. Please contact your individual insurance company for the most up-to-date information on services covered.
The Birth Center is physically located in the UC San Diego Medical Center, and is not a free-standing birthing center. Your insurance company will be billed for a “hospital admission.” There is no difference in charge or reimbursement if you deliver in the Birth Center or in Labor and Delivery.
Do not panic! Currently, insurance companies do not list midwives individually. The midwives bill as part of our department of Reproductive Medicine.
UC San Diego Health System contracts with several managed care Medi-Cal insurance carriers. See Medi-Cal Plans Accepted.
More Pregnancy & Childbirth FAQs