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Frequently Asked Questions


Which insurance plans do you accept?

Abundance Midwifery Service is credentialed as an "in-network provider" with many prominent insurance companies including Medicaid. We work individually with families desiring a home birth to provide the best options for either self-pay or insurance coverage. We're currently in network with:

  • Texas Medicaid Health Plan (TMHP)

    • Children's Health Insurance Programe (CHIP)

    • State of Texas Access Reform (STAR),

  • Blue Cross Blue Shield (BCBS)

    • Medicaid

  • Superior Health Plan Superior provider search here

    • Ambetter Health Plan

  • Dell Children's Health Plan Medicaid

  • Seton Ascension Health Plan


We will also file claims with other insurance plans such as Tricare, Cigna, Aetna, and Humana.

Do you offer childbirth education classes?

There are many well-trained childbirth educators in Austin and we're proud to refer clients to them. However, we're excited to now offer classes of our own with Caroline Paganoni, CNM.  We do require that first-time parents take childbirth classes appropriate for them. Our experienced clients are welcome to attend the condensed natural childbirth, breastfeeding, and newborn care class that we offer. We also routinely spend an hour during each prenatal visit answering questions and reviewing our Centering Pregnancy curriculum.


Additionally, Joan Doglio Smith has a deep background in childbirth education and can devise personalized training plans for our clients' needs. Her experience includes leading the Centering Healthcare Pregnancy Program and teaching Breastfeeding Classes and Spanish Childbirth Education at the Austing Area Birthing Center. For more information about the Centering Pregnancy program go to

What are your office hours?

We're not a high-volume practice and are happy to offer appointment times that blend into your family's work/life schedule (including evenings and weekends). Appointments can be held at our office or in your home when necessary. Because we strive to involve families and labor support personnel in your care and education, we're flexible about when and where meetings occur.


We keep costs and prices down so that our services are affordable. Thus we do not maintain a dedicated office. Instead, we share office space with other midwives in north and south Austin as needed. When necessary we conduct telehealth appointments using Zoom or Google videoconferencing.

  • At our north Austin location office hours are available on Mondays, Thursdays, Fridays and Saturdays with Joan Smith, CNM and Victoria Meinhardt, CPM

  • At our south Austin location we offer office hours on Fridays with Caroline Paganoni, CNM

  • At Manor Birth Sanctuary we have hours on Tuesdays and as needed with Victoria Meinhardt, CPM

Do you speak Spanish?

Se habla Espanol. Bienvenidos a Abundancia! Since 1987 Joan Doglio Smith has been working with Spanish-speaking mothers and families in many clinical settings (hospital, community clinic, birth centers) in the San Francisco Bay Area, San Diego, Denver, El Paso, and Austin.  The first baby she ever delivered while still a student midwife was in Cali, Colombia! Joan also volunteers at the Mama Sana organization, please stop by their Facebook site or website for a visit at: or ​

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