Off the Grid is a private practice that intentionally accepts a limited number for childbirth each month. In her long experience as a midwife, Kay Jackson, CNM, ARNP, has found the individual model of midwifery care the one best suited for those seeking the intimacy, confidence, and support of a private practitioner experienced in natural pregnancy and labor.
Kay offers services at The Birthing Inn for low-risk folks seeking out-of-hospital birth and is now partnering with Cedar "Ce" Durfee, CNM, CLC, a nurse-midwife and lactation counselor skilled in birth and lactation support. We are happy to offer postpartum followup and lactation support in your own home to our Off the Grid families.
If the need arises, Kay can admit to St. Joseph's Hospital and continue midwifery support there. She has developed a reputation for safely providing hospital care to those who desire a VBAC (vaginal delivery after Cesarean), and others who need or want hospital birth, including those who may prefer medical management of labor, like epidural for pain relief.
If you're not already registered with Off the Grid and desire midwifery services, make a complimentary Meet & Greet Appointment by clicking HERE.
Not having a baby, but looking for sensitive health care? Schedule an annual exam HERE. Midwives are competent clinical care providers for more than just pregnancy care, we provide care across the lifespan.
Off the Grid Midwifery & Women's Health accepts BCBS, Regence, Premera, Aetna, Cigna, Kaiser PPO (non-Core plans), FirstChoice, United Health Plan, Provider One plans like Coordinated Care, Community Health Plan of Washington (CHPW), and Molina. Others accepted are Multicare Connected Care Network, Tricare Select (she accepts what Tricare mandates as payment, decreasing your responsibility by 15%), and Tricare for Life. Tricare Prime members must change their status to Tricare Select during open enrollment periods.
To find out if you and Kay have compatible insurance contracts, contact office manager Stacey at 360-633-9146.
Insurance Plan: A contract between you and an insurance company. Choice of plans influences how women experience health care, so when you're able to choose between plans, please read the fine print and know the details of all plans available to you.
Deductible: An amount the insured person pays before the plan pays its portion. A deductible can be tiny or huge, ranging from $300 to $10,000, depending on your plan.
Co-insurance: The percentage of an "allowed amount" insurance accepts payable after your deductible is met. This is sometimes called a co-pay. It's basically a cost-share between the insurance company and the insurance customer. Traditionally this cost-share was an 80/20% split, with you paying the 20%, but many plans now have their customers paying much higher shares.
Patient responsibility: Deductible + co-insurance + any office visit
co-pay = your responsibility.
Professional provider: A midwife, physician, or another type of practitioner. Individual plans differ regarding the inclusion of chiropractic, naturopathy, and acupuncture and massage in coverage. Look for a plan that does!
Out-of-Network: If the desired provider is not in a plan's network, check your plan for these benefits or apply for an Out of Network Exception.
Facility Fee: The amount charged by a birth center or hospital. X-ray and ultrasound services may also include a facility fee. The first choice of facility is not always part of a plan network--another matter to check on.
Open Enrollment: November to January of each year when you can change insurance plans based on preference, finances, and upcoming needs. Don't let it pass you by!
Global Maternity Care: If a single provider or provider-group handles pregnancy, birth, and post-birth care, insurance companies treat the pregnancy as one event and pay in a lump at the end of pregnancy. But if a woman changes providers or has need for ultrasound, fetal monitoring, admission to hospital, or anesthesia, these and other items are treated as "extra" events billed and reimbursed separately.
Self Pay: Individuals who opt to pay Off the Grid out of their savings account or via a medical loan. Families who have no insurance contract, insurance that doesn't participate with Off the Grid, or that has a high deductible, and co-insurance amounts may find it beneficial to use Off the Grid's prompt-pay discount for childbirth care. If you register for care with Off the Grid, you'll be able to have our billing service help you compare options.
The Birthing Inn is a 5 ½ mile drive to St. Joseph's Hospital, where Kay can admit you and continue your care as your midwife. She partners with Dr. Steven Maynard, an experienced Tacoma obstetrician who kindly serves as back-up for private practice midwives when special help is needed.
And what about two births at the same time? No worries! Rachael and other lovely Birthing Inn-based midwives you see on your way in & out of the building are available if Kay needs an extra pair of hands.
Yes, please! See the section below on continuing women's health care Off the Grid. You can continue to receive care even after your birthing years.
When she's not catching babies, Kay enjoys her role as a nurse practitioner (ARNP) skilled at providing sensitive annual exams. Yours may or may not include a Pap smear and breast/chest exam or decisions about treating problems like painful periods, pain with sex, desire to get pregnant, and the desire to prevent pregnancy.
Preconception counseling deserves its own appointment, as this is where we make sure you're taking enough folate before pregnancy, as well as look into any family history that might make genetic testing worth considering.
Kay says, "One of the aspects of my work I've become ever more interested in is helping people figure out how to manage symptoms that come with life in all its stages."
The transition from one stage in life to another is a powerful one. Needs change from preventing or planning pregnancy to learning what your always-changing body is signaling with each new set of symptoms. Your annual appointment may include:
Evaluation of symptoms
Evaluation of hormone status as it relates to age or gender identity
Evaluation of family history
Creation of your health treatment plan for the year and in years to come:
If you're an Off the Grid family who'd like to contribute pictures, please contact us.
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