Patient Forms & Handouts

PATIENTS

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Prepare For Your First Visit With Us

Patient Forms

To make your first prenatal appointment at BBC you must sign up for Orientation, your medical records must be received if you had prior care, and verification of benefits must be completed.

For non-pregnancy related care, simply call the office for an appointment.

Acknowledgment of Parentage

Click on the button below to download the form.

BBC Postpartum Teaching Booklet

Click on the button below to download the form.

BBC Packing List

Click on the button below to download the form.

Mother / Parent Worksheet

Click on the button below to download the form.

New Jersey WIC Health Care Referral

Click on the button below to download the form.

WIC Medical Referral Form NYS

Click on the button below to download the form.

Client Handouts

Explore our client handouts to discover important tools and learn useful information about your pregnacy from your first trimester to after you deliver.

Paying For Our Services

Insurance

We accept most major insurance plans, including many Medicaid-managed care plans. We are out-of-network with a few plans but we are often able to obtain authorization for in-network benefits through a request for a gap exception or a single case agreement. We also offer discounts and payment plans for self-pay clients.

If you are eligible for Medicaid, you can apply through the New York State Marketplace. Many New Yorkers who do not normally qualify for Medicaid are eligible during pregnancy, because the income limit is higher and the unborn child counts as a dependent. You may be able to use prenatal Medicaid even if you are already enrolled in a commercial insurance plan.

We require that all clients obtain a Verification of Benefits (VOB) statement through our billing service, Scribe Align. Scribe Align will contact your insurance, review your plan benefits, determine your out-of-pocket costs and provide you with information.

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Accepted Insurances for Brooklyn Birthing Center and Brooklyn Midwifery Group

COMMERCIAL PLANS IN-NETWORK

    1199

    Aetna

    Cigna

    Emblem

    Empire Blue Cross Blue Shield

    Fidelis

    GHI

    HIP

    United Healthcare

MEDICAID MANAGED CARE ORGANIZATION (MCO) PLANS IN-NETWORK

    Aetna Better Health

    Empire BCBS Healthplus

    EmblemHealth

    Fidelis

    Healthfirst

    Metroplus

MCOs NOT ACCEPTED: AFFINITY/MOLINA, MVP and WELLCARE

Please ask the staff your options and instructions in switching your MCO to participate in one of the in-network MCOs.

PAYMENT PLANS

You can call the office to set up a payment plan.