"Meet & Greet"-- REQUIRED complimentary visit to decide if we're right for each other-waived if you're already an established OTG patient.

30 minutes

This appointment is where you tell us what you're hoping for, and we (gently) discuss the things we can't skip--like some tests required during pregnancy. But we always try to give you options. Please know we can't accept transfers later than 32 weeks and VBAC ladies who've had more than one C/S. At the moment we are not offering home birth.

Let's talk about getting pregnant...My insurance works with yours.

45 minutes

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible & co-insurance isn't covered by your plan. Other costs incurred can be from lab and ultrasound.

Let's talk about getting pregnant..I need cash pay: $200. If I need a full physical, that will be a separate appointment.

45 minutes @ $200.00

If you're not sure about your insurance fitting with OTG's contracts, have a look at our FAQ page for a list.

Establish pregnancy care--you MUST have completed a 30 min Meet & Greet appointment, otherwise establishing your care will be cancelled. This appointment may include ultrasound referral, lab work, lots of info.

45 minutes

We can't order labs, medications, or an ultrasound until you are established with our practice. If you've been part of our practice in the past, we still need to do this Establisment of Care visit, but can waive the Meet & Greet.

Physical exam and listen to baby

45 minutes

Maternity Visit--Monthly to 28 weeks, every 2 wks to 36 weeks, then weekly

45 minutes

Maternity visit--I'm established with you, am not having any problems and can use a shorter appointment.

30 minutes

2 to 3 weeks after the baby

45 minutes

6-8 weeks after the baby

45 minutes

Postpartum referral from another midwife (my insurance may/may not be compatible with OTG)

45 minutes @ $75.00

You may have to pay cash ($75.00) for the appointment if your insurance doesn't jive with OTG. Other fees may apply if you need a procedure or medications/supplies are used from OTG stock.

URGENT NEED to deliver/pick up, arrange FMLA/DISABILITY/HEALTH RECORD paperwork

15 minutes @ $50.00

Another midwife referred me & you take my insurance

1 hour 30 minutes

My midwife wants me to have some kind of evaluation that might include an exam or a prescription.
If you take my insurance, I will pay any necessary co-pay and be billed as a client new to Off the Grid.

My midwife has referred me to you for a prescription

30 minutes

Kay (Kathryn) Jackson, CNM, ARNP, is a midwife and nurse practitioner with over 25 years' experience in women's health. She is able to write the prescription you've discussed with your own midwife, but in order to do so needs basic information for safety reasons. Sometimes this is a simple matter of authorizing your midwife to call in a prescription, but sometimes Kay will need to talk to you directly. If so, please accept a call from 253-509-2960 or 36-633-9146.

Other--problems/questions

45 minutes

Other--Established with OTG and I need another cash pay appointment. Supplies needed may generate a greater cost.

45 minutes @ $200.00

Annual general breast/pelvic exam. My insurance is compatible with OTG--I don't need cash pay, but may need to make co-pay for office visit.

45 minutes

Annual general breast/pelvic exam: Cash pay. Varies from $200.00 to higher if procedures, supplies, referrals, prescriptions, request for records are needed.

45 minutes @ $200.00

Discuss a women's health problem. Exam? Maybe. My insurance jives with OTG.

45 minutes

Discuss a women's health problem (no exam). Cash pay.

45 minutes @ $200.00

Family planning. Talk about types of contraception. (My insurance jives with OTG)

45 minutes

Family planning. Talk about types of contraception. Cash pay, not a full physical exam.

45 minutes @ $200.00

Re-check a not-quite-right Pap smear.

30 minutes

Procedure (something you & Kay have discussed needs doing). Cost and time can be variable, even with insurance.

45 minutes

Non-pregnant follow-up visit

30 minutes

Non-pregnant follow-up visit with cash pay option (varies from $100.00)

30 minutes @ $100.00

Menopause. Our insurance jives.

45 minutes

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible co-insurance isn't covered by your plan.

Menopause. I need a cash pay appointment.

45 minutes @ $200.00

Oh those hormones! Our insurance jives.

45 minutes

If your insurance jives with OTG's contracts, you'll only have to pay your co-pay and whatever deductible/co-insurance isn't covered by your plan.

Oh, those hormones! I need a cash pay appointment.

45 minutes @ $200.00

If a procedure other than an exam is required, other costs may be incurred due to use of the office's supplies and medications.