A Certified Nurse-Midwife is a Registered Nurse who earned advanced training in midwifery with a Masters of Nursing. They provide comprehensive care for the lifespan of the woman, from menarche (first period) to even postmenopausal care.

We provide a wide range of gynecological services, including annual well-woman exams, screening tests and labs, including pap smears, family planning, STI testing, screening for chronic diseases, management of common GYN problems such as PCOS, basic fertility counseling, urinary tract infections, vaginitis, and more.

Yes, we offer home birth services for low-risk healthy pregnancies. Your CNM is experienced in providing safe and personalized care in the comfort of your own home.

Yes, we offer IV hydration services to help replenish fluids and nutrients in a convenient and efficient way.

We offer private concierge midwifery home birth, well-woman/basic gynecology, and IV hydration services in the Charlotte, Rock Hill & Ft Mill areas, Triad area, Asheboro, Pinehurst, Siler City, Sanford, Rockingham, Wadesboro, Albemarle, Shelby, Statesville, & Hickory NC Metro areas.

No, there are no NC insurance plans that pay directly for home birth services for a CNM. There are some private insurance policies that may reimburse you once you have paid for services and the 6 weeks postpartum global time period has passed. You can receive an itemized bill of services if you wish at this time. Medicaid does NOT reimburse for home birth services, unless they are an approved provider. We are not approved providers for Medicaid.

Your CNM can order all routine and any appropriate diagnostic labs and order a referral for an ultrasound for a consultation to a specialist if needed. If you have insurance, the labs and ultrasounds can be billed to insurance.

Regardless of when you enter into prenatal care, the global charge is not prorated, even if you are far into your pregnancy.

Yes! The standard payment plan requires a $1000 deposit that goes towards the $7000 total balance. After that, each prenatal visit is $250 if you are starting care prior to 16 weeks of pregnancy. If you are further, then the cost per prenatal visit is higher. The total balance is due by 36 weeks. We have 3 other payment plans ranging between 6000 and 6700 outside of that standard payment plan.

If you risk out of care at some point during your pregnancy, but before 36 weeks, then your remaining balance is no longer due. NO payments are refundable.

We are governed with the Board of Nursing and the State Midwifery Commission. Therefore we cannot accept home birth clients with the following history or current pregnancy diagnoses:

-Previous cesarean delivery (those who desire a VBAC)

-Current twin or multiples pregnancy

-Breech baby at time of labor

-Preexisting high blood pressure (hypertension) or diabetes

-Other certain high risk chronic medical conditions

If a client develops gestational diabetes (GDM), but is able to manage with nutrition and exercise alone (diet-controlled), then she can continue with a planned home birth. If she needs medications of any type of manage GDM, then she risks out of home birth care.

If a mother develops pre-eclampsia or gestational hypertension, then she needs to urgently be transferred to the care of an OBGYN practice for care.

Other complications of pregnancy are considered on a case by case scenario, depending on the complication and severity. The decision made be made that a transfer of care is needed for the remainder of the pregnancy due to unexpected complications.

The North Carolina Board of Nursing prohibits a CNM to do an out of hospital delivery for a known breech presentation at labor. That would require a transfer to an OBGYN for a planned hospital delivery by cesarean birth. There are no refunds for any reason. 

Great news! We do accept FSA and HSA cards for payments! Most accounts will not be enough to cover all of the global pregnancy charges, but it does help!

Payment is still required up front, but if you do not have or do not want to use a FSA/HSA card for these visits, then if you request an E-Bill for your reimbursement, one can be provided for you.

Generally speaking, insurance does not reimburse for IV therapy services.

We accept cash (cash in hand or Zelle), check, credit, debit, and money orders.

We actually ARE approved providers for many healthcare sharing ministries such as Christian Health Ministries, Zion HealthShare, and Samaritan Health Services. They often work through a full reimbursement model. Check with your plan for details.

At this time, Carly Waller CNM and Melanie Boling CNM are both approved out of network providers with Tricare. This means that you should be approved for reimbursement with Tricare if Carly or Melanie is your primary midwife. 

We both have our geographic areas of coverage. There are areas that overlap and we cover for each other. If you have a preference for either midwife in an overlapping area or if you are only in the radius for one and not the other, then that midwife will LIKELY be your primary planned delivery. However, in case of an emergency or periodic family time out of town, then we always cover for each other.

At a minimum it will be a CNM and a midwife assistant. We always try to plan for a registered nurse to be there as well in case of an emergency.

Details:
Whereas a doula is not required, it is always strongly recommended for all clients to hire a doula. It is even more strongly recommended if this is your first pregnancy or first planned unmedicated labor.