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Frequently Asked Questions

What insurance do you take?

Joan is credentialed with many prominent insurance companies including medicaid as an "in-network" provider. She  works individually with those families desiring a home birth in order to offer the best options for either self pay or insurance coverage. She is 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)

    • Preferred Provider Organization (PPO)

    • Health Maintenance Organization (HMO)

    • Medicaid

  • Superior Health Plan Superior provider search here

    • Ambetter Health Plan

  • Dell Children's Health Plan Medicaid, and

  • Seton Ascension Health plan


We will file claims with other insurance plans not listed above such as Tricare, Cigna, Aetna, and Humana.

Do you offer childbirth education classes?

There are many well-trained childbirth educators in Austin and we are proud to refer our clients to their courses. However, we are excited that we can now offer classes with Caroline Paganoni, CNM.  We do require that first-time parents  take childbirth classes geared for them. We will offer experienced clients a condensed natural childbirth, breastfeeding, and newborn care class. We also routinely spend an hour at each prenatal visit to answer any questions clients have, as well as cover our CenteringPregnancy curriculum. As Joan was the Director of the Centering Healthcare Pregnancy Program at Austin Area Birthing Center, and taught the first Breastfeeding Classes at AABC, as well as Spanish Childbirth Education, she can readily devise an educational plan for clients with their specific needs in mind. For more information about the CenteringPregnancy program go to

What are your hours?

Because we aren't a high-volume practice, we can offer appointments that work in your family's work and life schedule (including evenings and weekends), in your home when needed or in our office. We hope to involve your families and labor support persons in your care and education, and will be flexible with when and where that happens. We are aiming to keep our costs down so that we will have affordable pricing for clients, and so do not maintain an office of our own, but share office space with midwives in north and south Austin on an as needed basis. When necessary we can do telehealth over Zoom.

  • At our North Location we have office hours Mondays, Thursdays, Fridays and Saturdays with Joan Smith, CNM and Victoria Meinhardt, CPM

  • At our South Location we have 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 has been working with Spanish-speaking mothers and families in many clinical settings (hospital, community clinic, birth centers) in the Bay Area, San Diego, El Paso, Denver, and Austin.  The first baby Joan ever delivered as a student midwife was in Cali, Colombia! Joan also volunteers at the Mama Sana organization, so stop by their Facebook site or website at: or

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