Do you accept health insurance?

Yes! Fika Midwifery can bill any insurance company and is in network with Blue Cross Blue Shield of WNY (and all other Blue Cross Blue Shield commercial plans). We are not in network with any Medicaid or Medicaid-managed care plan but may be able to obtain authorization for home birth, particularly if you are able to choose BCBS as your Medicaid managed care plan. While we are not in network with Independent Health, we can usually obtain a prior authorization for in-network benefits for out-of-hospital birth with Fika Midwifery. If you have insurance such as Cigna, Aetna, NYSHIP, or many other plans, you can likely utilize your out-of-network benefits for your care at Fika Midwifery. We also accept HSA and FSA cards and have had success with clients seeking reimbursement from a Christian health-sharing plan.

Fika Midwifery also has affordable self pay rates--a flat rate for all of the prenatal care, delivery, and postpartum care and a set fee schedule for well-woman care--for those clients with no insurance, out of network insurance, or a high deductible plan.

All lab work, hospital fees, and ultrasounds will be billed to your insurance independently of Fika Midwifery.

What  is the difference between a midwife, doula, & doctor?

Midwives are trained to provide highly individualized, evidence-based care to low-risk women across the lifespan. The midwifery model of care is grounded in the normalcy of life events such as pregnancy, birth, and menopause. While many think of out of hospital birth when they hear about midwives, the truth is that many midwives don't provide prenatal care or delivery services at all, and those that do primarily practice in the hospital.

Doulas provided non-medical support for pregnancy, labor, and postpartum. Here at Fika we work closely with doulas and highly recommend you consider one to support you.

Doctors are trained to provide highly specialized care to women who may have risk factors. While many doctors in the US care for low risk women, in most other countries, only high risk women use the services doctors provide. Collaboration between doctors and midwives is an important part of providing safe care, and Fika has a close working relationship with several area physicians.

When doctors, midwives, and doulas work together, women and families can have the best outcomes!


What options and choices are available to me for the birth of my baby?

The midwives attend birth at the Coit House or home birth within 30 minutes of the city of Buffalo.


Is Fika midwifery the right fit for me?

Midwives care for low risk women, so not all women are candidates for midwifery care. Some common examples of conditions that might risk women out of the care of a midwife include:

  • Diabetes

  • Twins (or more)

  • Preterm delivery

  • High blood pressure

Although we use the term "woman" throughout our website as a way to simplify language, we welcome any individual in need of gynecology care regardless of their sexual orientation or gender identity. Our individualized approach means that we will get to know you to find what pronouns you prefer, what terms you would like utilized for your anatomy, and other important aspects of feminist healthcare. We welcome all members of the LGBTQ community.

Our approach to inclusivity also means we welcome all races & ethnicities into our judgment free zone. We will get to know your culture so that we can provide care that leaves you feeling empowered. We will allow you the time and place to share and speak so that we can work together to achieve the support you need.