Home Birth Midwifery Care
Lux Midwifery provides comprehensive, relationship-centered care throughout pregnancy, birth, and the postpartum period. We serve the Wichita metropolitan area, Topeka, Emporia, and other areas between Lawrence and Wichita. Care is provided by Sapphire Garcia in partnership with Melinda Lavon, PhD, CPM of Bloom Midwifery, meaning families are supported by two midwives throughout their care.
This model allows for attentive, personalized care that prioritizes both safety and experience.
Cost of Care
The total cost of your care during pregnancy, birth, and postpartum is a flat $5,700.
This fee reflects comprehensive, relationship-based care throughout your pregnancy, birth, and postpartum period, including extended time, availability, and continuity of care.
What is Included
Personalized care from pregnancy through birth and postpartum is included in your cost of care.
Prenatal Care
- Approximately 18–21 prenatal visits, totaling around 20 hours of face-to-face prenatal care
- A 2-hour initial intake visit
- Ongoing visits (typically 60–90 minutes each)
- Review and interpretation of all labs and imaging
- Care coordination, including referrals and communication with other providers when needed
- Ongoing clinical assessment, education, and support throughout pregnancy
Labor & Birth Care
- On-call availability 24/7 beginning at 37 weeks gestation
- Continuous presence during active labor and birth
- In-home evaluation during onset of active labor, as indicated
- Full clinical monitoring and support throughout labor
- Immediate postpartum care following birth (typically several hours in your home)
Postpartum Care
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Multiple postpartum visits, 60 to 90 minutes each, including at:
- 24 hours (in-home)
- 48 hours (in-home)
- 1 week (in-home)
- 2 weeks (in-home or office)
- 1 month (office)
- 6–8 weeks (office)
- Ongoing assessment of both maternal recovery and newborn well-being
- Feeding and lactation support
- Continued access to care and guidance during the postpartum period
Additional Support
- Access to wellness spaces (meditation and art therapy rooms) through one year postpartum
- Access to my lending library of items and equipment to use for your birth. I have water birth equipment, a birth sling, tens units, heating pads for labor, and more. It’s all at your fingertips to optimize your birth experience.
- Communication access for questions, concerns, and guidance throughout care
- I file your baby’s birth certificate with the state of Kansas
- I collect the newborn blood spot test and send it to the state lab so that your baby can be screened for a large number of congenital metabolic disorders shortly after birth.
- We perform a newborn hearing screening on your baby at birth, per state recommendations.
- Your care fee includes a Vitamin K injection at birth for your baby, if you choose.
What is Not Included
The following are not included in the global fee:
- Laboratory processing fees – billed directly through Path Group. Cash prices are low and very reasonable. If you have insurance, Path Group can usually file it directly.
- Ultrasound and imaging costs -Cypress Imaging accepts most insurance plans and has a cash pay price for uninsured clients. The cost of imaging is not included in your midwifery care.
- The cost of Medications and prescriptions, including items such as Rhogam, if indicated.
- Any hospital-based care or services outside the midwifery scope
- Primary medical care for your general, non-pregnancy related health needs
- Well newborn checks outside of general screenings offered at birth, 24 hours, and 48 hours of life.
New Patient Fee
A $200 non-refundable New Patient Fee is required at or before your first visit in order to reserve your place in care.
This fee is included in the total fee of $5,700.
The New Patient Fee covers one-time expenses associated with initiating your care, including:
- Creation and setup of your medical chart and records
- Lab draw supplies used throughout your pregnancy
- Disposable clinical materials specific to your care during your pregnancy
- Disposable single use items specific to your care during birth
Because Lux Midwifery accepts a limited number of clients per month, this fee secures your place in care.
This fee is non-refundable, as these resources are routinely ordered in bulk and allocated specifically to established clients once care is initiated.
Insurance plans
Lux Midwifery is a self-pay, independent model of care and does not bill insurance directly. Home birth midwifery care is not typically covered by insurance in Kansas, though coverage and reimbursement can vary. Many families are able to use HSA or FSA funds toward eligible expenses, and we can provide documentation for reimbursement or out-of-network submission when needed.
Labs and ultrasounds are arranged through trusted outside providers and billed separately. Those services may be covered by your insurance depending on your specific plan, and any costs not covered are the responsibility of the client.
Payment Plans
Payment plans are available and may be structured in increments of your choosing, as long as the full balance is paid within the required timeframe.
If you choose to use a payment plan, you will be required to complete and sign a payment plan agreement form outlining your payment schedule.
Payment Timeline
The remaining balance must be paid in full by 36 weeks gestation.
This ensures that I am able to be on call for your birth beginning at 37 weeks (full term).
If your balance is not paid in full by this time:
- I may, at my discretion, continue to provide prenatal care through the end of your pregnancy, or I may refer you to another local prenatal care provider who is available to see you.
- I will assist with coordination of transfer of your records to your clinical care provider of choice.
- Your care will be transferred to the clinician of your choice.They will assume care and attend your birth.
If you anticipate difficulty meeting this timeline, please reach out early so we can discuss options.
Late Entry to Care
While Lux Midwifery is designed for clients who begin care early in pregnancy, I may be able to accept clients later in pregnancy when availability allows.
If you are seeking a late transfer, I encourage you to reach out. I understand that finding the right team to care for you during pregnancy and birth can feel stressful, and when space is available, I am happy to consider whether I can offer care.
Late transfer clients should note:
- The full patient fee still applies
- Multiple prenatal visits are required prior to birth
- Complete prenatal records from previous providers must be received and reviewed before acceptance into care
This process allows me to safely:
- Review your medical and prenatal history
- Assess your current health and any risk factors
- Create an appropriate care plan for the remainder of your pregnancy and birth
Late transfer acceptance is limited based on space, timing, and clinical appropriateness.
Transfer of Care & Refunds
If your care moves outside the scope of midwifery and transfer to hospital-based care is required during pregnancy, a partial refund, determined at the discretion of your midwife, will be issued based on the portion of care already completed.
If transfer occurs during labor or birth, postpartum care with Lux Midwifery will resume once you are discharged home.
A Note on Value
This model of care is built on time, availability, and continuity.
You are not paying for isolated visits—you are investing in a model of care that supports you across the full course of pregnancy, birth, and postpartum.
This includes:
- Consistent, extended time at each visit to ensure your concerns are addressed and your questions are answered
- Individualized guidance on nutrition and lifestyle, supporting you in taking an active role in your health and reducing the risk of complications
- Direct access to your midwife, with ongoing communication and support throughout your care
- Continuous clinical monitoring at every visit, allowing for early identification of changes in your health or your baby’s well-being
These ongoing assessments act as clinical guardrails, helping to identify early physiological changes that may indicate developing complications.
If additional care is needed, this model allows for timely referral and coordination with specialists, including obstetricians, maternal-fetal medicine providers, or other appropriate clinicians.
The goal is to support a pregnancy that remains within safe parameters for home birth, while ensuring that any changes are recognized early and addressed appropriately.
