Verification of Benefits
Since insurance plans, deductibles and co-insurance vary, we need to process the form below to calculate your anticipated out-of-pocket expenses associated with maternity care.
We offer verification of benefits as a courtesy to our patients and no additional fees are charged for this service.
- Complete the information below
- Email a copy front/back of your insurance card to firstname.lastname@example.org
- Our staff will contact your insurance company for plan specific details
- The office will contact you to let you know your out-of-pocket expenses. If you haven't already chosen a birth center or healthcare provider, we can make recommendations!