Most of our services are paid for out of pocket. To respect that families have different incomes and resources, we offer four different payment tiers. You can read more below. General pricing is noted below in Chart A, tier 4.

Doula Care is now covered by all medicaid and many private insurance plans in Rhode Island. To learn if your insurance covers the doula benefit, read more here.

Many HSA’s and FSA’s cover childbirth education, breastfeeding education and doula care. Coverage for doulas requires a letter of medical necessity from your provider. Reach out to us for more information.

To apply for our income and resource based pricing, please read the text below. If you do not plan to apply, you can scroll down to Chart A, below, and view Tier 4 pricing.

With income and resource based pricing, how much you pay depends on your family’s income and resources (savings, investments, retirement plans and home equity), as well as your specific circumstances. You must include income and resources for anyone contributing to household living expenses.

To apply, please follow instructions in the expandable boxes to the right of this section. You can also call or email us for a 15 minute phone session to apply if that would help. 

Chart A (below) will help you understand the costs for services in each tier. Chart B will help you explore out which tier your family’s income may qualify you for (after a review of income and resources by our team).

Learn more about why we offer Income-Based Pricing.

Finding a place that I could comfortably afford was wonderful! Being pregnant comes with many adjustments both physically and emotionally. I’ve utilized the prenatal massage a couple of times and it’s absolutely amazing. The time and dedication does not lessen because you’re utilizing the tiered payment. I’ve always felt comfortable and treated with the utmost respect!

KG, Providence

1. Income + Resource Based Pricing Application Process

The process to apply is quite simple.

If you need help, please call and we will be happy to help you over the phone. The application usually takes 15 minutes. You may also mail or email your documentation in and we will get back to you within one week.

  • For families applying for tiers 1-3: Complete our Reduced Rate Application. Before beginning to use our services, we will also ask to see a copy of your last year’s income tax return or 4 consecutive pay stubs (for all people contributing to household costs) to verify your income and resources.
  • For tier 4, no documentation is required.
2. Please Read Before Submitting Application
Income + Resource Based Pricing
The addition of a child to a family is a major life transition – its significance is huge for every family member, now and into the family’s future. For this reason, we believe that support during this time should be given high priority in a family’s budget planning.
We ask families to carefully consider the level of financial support they may need. Please ask only for what is truly inaccessible after prioritizing the services being provided. Our ability to provide these services to families of varied financial means depends on each family paying for as much as they are able.
We are not currently funded by grants or philanthropic donations. Our reduced rate pricing comes directly out of our practitioner’s commitment to acknowledging and addressing unequal access to care for many Americans.
When reviewing your application, we consider the household’s income (this includes the income of anyone working in the home and/or partnering in the care of the baby and mother) and resources (these include: home ownership, savings, retirement funds, trust funds, etc).
For families who do not qualify for our Income + Resource Based Pricing, we recognize that specific life circumstances (university study, moves, job transitions, fertility treatments and unforeseen expenses) can impact the ability to pay. These circumstances will be considered in your application and we may be able to offer reductions. When we are not able to offer you reduced rate pricing, we are often able to provide payment plans over a 3, 6 or 12 month period to support access to our services. Over the years, we have also heard many creative ways that families have raised money for birth and postpartum services, and we include some of those solutions below, under the Creative Funding tab.
Open Circle is committed to acknowledging and addressing inequalities in American culture that impact infant, parent, and family health. These disparities encompass access to wealth, medical care, community resources, and non-biased treatment. The founding of this country through colonialism, hundreds of years of structural racism, and the effects of corporate interests / financial focus on government policy and cultural values, created and continue to stand at the root of these modern day inequalities.
If you would like to learn more about any of these topics and their direct impact on parent, baby and family health, we welcome you into the discussion. We are happy to provide resources to learn more and become active within our local community.
Please don’t hesitate to contact us with any questions, and we hope you will join us on the path of creating greater equality and justice in our communities and country.
3. Don’t qualify? Look at these creative funding ideas!

For Funding Prenatal and Postpartum Education, Wellness Services and Medical Supports Not Covered by Insurance

1. Baby Shower and Registry Requests
In spite of all the gifts we often receive for a baby shower, babies have very few material needs. More than anything else, they need healthy parents to care for them. Ask your friends to support your healthy transition into parenthood by adding items such as wellness services (acupuncture, massage, chiropractic, physical therapy), doula support, educational classes, home-birth midwifery, healthy postpartum meals, etc. to your registry.

2. Goods to Barter?
Perhaps you, your family or friends produce goods that could be bartered for services.

3. Silent Auctions | Fundraising
Individual or business donations of goods to sell online or at events are often effective fundraisers.

4. Baby Support Dinner Parties
Host (or have a friend host) a small dinner for friends. Invite each friend to bring one service or product to sell. Ask each friend to purchase one service/product, and donate the money “to the health of the new family.”

5. Direct Asks
Ask friends and family directly for donations to support your growing family.

6. Other ideas that have worked for you?
Please email and let us know so we can share with other families!


Beginning in July 2023; more information coming soon! 

Terms of Service:
6-month minimum membership.
No Cancelation Fee after 6 months
Monthly Automatic Payment – Credit Card required for purchase.
Memberships are non-transferable. 


ServiceTier 1Tier 2Tier 3Tier 4
Educational Classes
7-week Birthing Series$100$150$225$325
9-week Birthing Series$150$200$300$395
3 hour Childbirth Education Workshop$25$35$50$75
2.5hr Private Birth or Parenting Educationn/an/an/a$200
Yoga + Parent Baby Classes
5-Class Pass$20$45$90$110
10-Class Pass$50$90$175$200
Weekly Class Drop-ins$3$8$18$25
Doula, Infant Development + Parenting Consultations
Private Consultations (60-90min)$35$45$80$100
5-week Infant Massage Series$25$55$100$150
Private Infant Massage Class$20$40$60$100
Breast Health Workshop$10$20$45$65

Income Guidelines (Chart B)

(To determine your tier, Open Circle staff will evaluate both income and resources. When applying, include income information and documentation from anyone contributing money to living expenses.)

Number of Family Members
(including baby in womb)
≤100% FPL
(Tier 1)
≤138% FPL
(Tier 2)
≤200% FPL
(Tier 3)
>250% FPL
(Tier 4)
By Annual Income
By Monthly Income