Birth centers provide family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. A birth center is a home-like facility, existing within a healthcare system with a program of care designed in the wellness model of pregnancy and birth. Birth centers are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost-effectiveness.

The majority of women are good candidates for a birth center birth. Women who choose birth center care are committed to maintaining optimum health and well-being during their pregnancies and birthing naturally. These women desire shared decision-making with their provider.


Women choosing a birth center birth understand that in most cases, minimal medical intervention is safest for both mother and baby, and in fact, support and patience are often all that is needed as she births her baby. Sometimes, however, pregnancy and birth are unpredictable and intervention may be necessary to ensure the best possible healthy outcome. In such a situation, since a trusting and respectful relationship has been established between the family and the midwives, a discussion of risks, benefits, and alternatives occurs with ample time for questions. Then, even if the birth doesn’t go as expected, the family feels comfortable with the plan of care, and the midwife continues to be present and supportive during the entire process.

Yes! A five-year study called The Strong Start for Mothers and Newborns Initiative by the Center for Medicare and Medicaid Reimbursement found that women who received care in midwifery-led freestanding birth centers had SIGNIFICANTLY BETTER OUTCOMES than matched population controls who delivered in the hospital. These outcomes included cesarean section rates (17.5% vs 29%), preterm birth rate (6.3% vs 8.5%), and low birth weight rates (5.9% vs 7.4%).


Study after study shows that midwifery-led care in a freestanding birth center is one of the best ways to improve outcomes and decrease maternal mortality rates in the United States.

Midwifery care is provided by professionally trained midwives who practice a wellness and holistic approach to pregnancy, birth, and women’s health care. Midwifery care focuses on the promotion of health, development of individual responsibility in health care, and shared decision making.


When you decide to visit a midwife, you will receive a special level of care that is not always present in other health care settings. Midwives believe that childbearing is normal and that you and your family should create the birth experience that will be meaningful to you. Midwifery honors and respects the wisdom and dignity of all women and the sacredness of pregnancy and birth. Midwives often spend extra time with you during your appointment, listening to your concerns, and addressing (or treating) problems. They may provide education, suggest resources, or refer you to additional health care providers if needed. Your midwife strives to be your partner in care, not just your provider of care. Midwifery is a collaborative practice that involves women, families, midwives, nurses, obstetricians, pediatricians, and other specialists as needed.

We see women throughout the life cycle, from the onset of menstruation through and beyond menopause. We provide maternity care, preconception counseling, infertility care, contraceptive counseling, well woman care, menopause care, and more!

Absolutely! Many clients transfer care to Sacred Roots during their pregnancy. Many clients discover through the course of prenatal care that their current provider or anticipated hospital is not a good fit for their desired pregnancy and birth experience. Generally, we accept transfers until 32-34 weeks of pregnancy. We will ask you to fill out a records request so that we can receive records from your previous provider.

Sacred Roots is an in-network provider with Anthem Blue Cross Blue Shield. Clients with other commercial insurance plans are considered out-of-network. Sacred Roots does not bill out-of-network policies, but clients may choose to work with third party billing companies to seek reimbursement. Navigating insurance benefits and reimbursements can be challenging because each insurance company has its own requirements and regulations. We are happy to help you navigate the process! We will collect insurance information at the first visit, if it has not already been submitted in the client portal. We strongly recommend uploading your insurance information to the client portal prior to your first visit so we can determine your insurance eligibility and estimated financial responsibility as soon as possible.

Most self pay and out-of-network clients will be presented with a payment plan at their first visit. We understand that clients have varying needs when it comes to payment arrangements. If additional payment options are needed, a financial meeting can be arranged for the following visit. For clients with Anthem insurance, we will collect your insurance information at the initial prenatal visit and create an Explanation of Benefits based upon the anticipated coverage by your plan. This will determine your anticipated out-of-pocket expenses. Billing and payment options based upon your estimated expenses will be reviewed at your second visit. Pregnancy is billed globally – this means that rather than billing your insurance company for each office visit, your insurance company will be billed once on the date of service (the date that you give birth!). This global fee covers your prenatal care, labor, and birth care, as well as your postpartum care.

Of course! Nurse-midwives are integrated providers in the health care system. We can order labs (including prenatal genetic testing/screening), ultrasounds, and medications, and provide for any needs that you may have during your pregnancy. We are able to send referrals to Maternal Fetal Medicine, neurology, cardiology, obstetricians, or any other discipline that you may require during your pregnancy.

There are no restrictions on how many people you invite to your birth. This is your story. Family and friends are welcome to use our inviting family room and kitchenette while they wait. Siblings, of course, are always welcome with a supervising adult. A nurse-midwife will be present throughout your labor, birth, and early postpartum period. A registered nurse birth assistant will be present for your birth and until your discharge from the birth center.

Of course! Labor and birth require much energy! We will encourage you to maintain hydration during your labor and eat as you are able. We also ask that you bring a meal to eat during the postpartum period. You will be hungry!

Absolutely! Each of our three birthing suites offers a jetted, whirlpool tub for labor hydrotherapy and waterbirth. Our nurse-midwives are well-trained and experienced in offering waterbirth for our clients.

We are huge supporters of VBAC. Unfortunately, Indiana state regulations do not allow licensed birth centers to attend VBAC births.

Certified Nurse-Midwives are board-certified by the American Midwifery Certification Board and licensed by their state of practice. Our nurse-midwives hold Indiana Registered Nurse licenses, Nurse-Midwife licenses, prescriptive authority licensing, as well as controlled substance licensing. Sacred Roots Midwifery Birth Center, Inc is licensed to operate by the Indiana State Department of Health.

Yes! Our birth center is nationally accredited by the Commission for the Accreditation of Birth Centers. Accreditation ensures that we maintain a high level of quality assurance throughout our organization. Learn more here: https://birthcenteraccreditation.org/

The following are frequently asked questions about how billing and insurance work at Sacred Roots Midwifery and Birth Center (SRMBC)

SRMBC is only in-network with Commercial Anthem BCBS. All other commercial insurance can be submitted by the client or with the help of a third party biller at their out-of-network rates.

Commercial payers are insurance plans that are typically offered by an employer. For self-employed individuals; it is an insurance policy that you pay a premium for. The most common commercial payers are United Healthcare, Aetna, Cigna, and Anthem.

Medicaid, Medicare, and Tricare are all government payers. We do not have any contracts with any government payers. This means our services are not covered by these insurance agencies. We still collect your insurance information to send it with orders for services you will receive outside of our office (i.e. labs and ultrasounds) as they will likely take your insurance. All clients sign a waiver with the understanding that government payers do not pay and allow us to collect for those services.

Excluded services from the Global Maternity Care fee include labs, ultrasounds, Rhophylac, non-stress tests (NSTs), labor checks outside of normal clinic hours, and problem visits unrelated to pregnancy. Excluded services from the Birth Center Facility fee include non-routine medications, such as antibiotics for GBS+ clients or IV fluids for dehydration.

You may call your insurance company to discuss your benefits. We will collect insurance information at the first visit, if it has not already been submitted in the client portal. Self-pay and out-of-network clients will be given a payment plan at the initial visit. For Anthem clients, SRMBC will determine your benefits and will discuss all findings at your second prenatal visit. When creating payment plans for a client’s portion of costs, relevant considerations include individual deductible, coinsurance, exclusions, and prior authorization requirements.

SRMBC will bill only for services that were performed.

SRMBC collects in advance for two services–Global Maternity Care and Birth Center Facility. These services are billed to your insurance company after birth. Therefore, those claims contribute to the deductible for the year of birth ONLY. Any services rendered outside of the global fees are subject to billing under a different year’s deductible.

Yes, we need to keep your insurance on file for multiple reasons. For example, our providers are required to include your insurance information with orders for lab testing, ultrasounds, and referrals to other medical professionals.