
Frequently Asked
Questions
Since 1977, the Feminist Women's Health
Center has been nationally recognized for excellence, safety, and
compassion in abortion medicine. At our Cliff Valley Clinic, we
offer surgical abortion care,
first trimester and second trimester
abortion services, as well as medication
abortion care (an early non-surgical option), by appointment
performed by state licensed OB-GYN physicians.
How long does
an appointment last?
Appointment times can vary depending on
the degree of individualized attention each client needs.
Please know that it is our goal to
provide individualized attention and care for every woman's needs
to make sure you are appropriately assisted in a timely manner.
Please discuss with our phone counselor when you set up your appointment
what time may be needed for your appointment.
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How much does an
abortion cost?
The fee charged for your abortion includes
the pre-operative
medical review, personal counseling,
as well as the surgical procedure
or the medication abortion
drugs. However, your specific cost will be determined according
to following:
- The type of abortion procedure
- The length of your pregnancy
- Health indications (including costs for additional
lab work that may be needed based on your pre-operative medical
review)
- Needed medications if your blood Rh
factor is negative
- For your privacy and convenience, post-abortion
prescription medications may be purchased at our clinic
The Cliff Valley Clinic has a sliding scale
for fees that depend on your annual household income and your access
to insurance, Medicaid, your student status, or military status.
Thus, we offer discounts for women on Medicaid and for students
and the military. In Georgia, Medicaid does not pay for abortion,
so this discount is offered from our clinic for women with a current
Medicaid card. To qualify for both the student and the military
discounts, you will need to furnish a valid student or
military identification card, in addition to the other ID required.
We accept money orders; a Master Card,
VISA, or American Express credit card; or a debit card with a Master
Card, VISA or American Express logo. We cannot accept personal
checks or cash.
We can bill your insurance company, but
only if your coverage has been verified in advance by our
insurance department. Please review Does
my insurance cover the abortion? for more information about
this issue. Please remember that, based on the specifics of your
insurance policy, you may need to pay a deductible or a co-pay at
the time of your appointment.
Please be aware that this fee is based
on the information you give over the phone and that there could
be information derived from the pre-operative medical review that
could affect the actual fee charged. For example, if you did not
advise us that the length of your pregnancy was greater than first
trimester or if we determine through lab tests that there are undisclosed
or unknown medical issues, the fee could be subject to change.
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Does my insurance
cover the cost of an abortion?
Most insurance plans cover abortion; however,
in order to determine whether your policy actually covers this medical
expense, you will need to call your insurance company or plan administrator
to find out your benefits for abortion services. Please be sure
to ask your insurance provider if you have a deductible or a co-pay
so that you can be prepared for that expense. Depending on your
policy, it may be necessary to obtain a referral from a primary
care physician before setting up an abortion appointment.
Please be aware that if you choose to have
your insurance company cover this medical expense, your insurance
company may send a statement to the billing address on your insurance
policy. If you are not the primary subscriber on your insurance
plan, the primary subscriber may find out about your abortion.
We are contracted with several insurance
companies: Blue Choice and the State of Georgia health plan as well
as other insurance plans will cover an abortion at our clinic --
however, our insurance department must verify your
coverage in advance of your appointment.
So when you call for an appointment at
our Cliff Valley Clinic, our insurance department will verify your
insurance coverage in advance of your appointment. If you happen
to determine that your insurance policy covers abortion care after
you schedule your appointment but prior to your appointment, you
can still call to get your insurance verified.
When you come in for your appointment,
you will need to bring in your insurance card and a valid picture
identification card to complete the verification process. Also,
if your policy requires it, you may need a referral or payment for
the deductible or co-pay. We accept payments by money order, Master
Card, VISA, Discover or American Express. We also accept debit cards
with a Master Card, VISA or American Express logo. The cardholder
must be present to sign the receipt.
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What method
of abortion, medical or surgical, is right for me?
Each woman who plans to terminate a pregnancy
needs to choose the kind of abortion that is right for her. Both
surgical and medical options are safe, effective, and highly acceptable
to women.
Medical abortion or the Mifeprex/Misoprostol
abortion can occur as soon as the pregnancy has implanted in the
uterus up to 8 weeks gestation. Surgical abortion procedures are
typically performed beginning around 6 weeks and they can be performed
up to 24 weeks at the Cliff Valley Clinic. (If the need for an abortion
is due to life or health endangerment, a fetal anomaly, rape or
incest, the abortion can be performed up to 26 weeks at the Cliff
Valley Clinic.)
Here are reasons that we hear from
women on why they choose a surgical abortion:
- The abortion procedure is complete in a few
hours;
- The woman’s schedule does not permit
multiple visits to the clinic as would be required with a medical
abortion;
- There is less bleeding than a medical abortion;
- The woman may be more familiar with the surgical
procedure;
- The surgical procedure is less expensive
than medical abortion due to the cost of the drug from the manufacturer;
- The surgery can be completed while asleep
under anesthesia (some women do choose or need local); and
- The woman wants to know that the pregnancy
has ended after her appointment.
Here are reasons that we hear from
women on why they choose a medical abortion:
- A medical abortion may feel “more natural”
to her;
- The woman wants to have more control over
the abortion;
- The woman prefers not to have surgery;
- The woman can “have the abortion”
(the expelling of the uterine contents) in the privacy of her
own home; and
- The woman may be more familiar with a medical
abortion.
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Will the procedure
hurt?
If you are having a first trimester surgical
abortion, you can choose either a local procedure where you are
alert and your cervix is numbed or you may prefer to have the procedure
under anesthesia. If you are having a second trimester surgical
abortion, this procedure is only performed under anesthesia.
With anesthesia, you will be asleep during
the procedure and pain free.
With local, there isn't a simple answer
to this question, because everyone experiences it differently. However,
we can offer feedback from a majority of our clients on how they
feel. First, the doctor will give an injection of a medication to
numb the cervix, the opening of the uterus. During the procedure,
most clients feel lower abdominal pressure and some light to moderate
menstrual-type cramping.
If you choose a medication abortion which
is a Mifeprex & Misoprostol abortion, most women feel strong
menstrual-type cramping for about 4 to 12 hours after administration
of the Misoprostol. We will give you a prescription to help relieve
this pain.
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Is the procedure
safe?
We believe in true informed consent and
we want you to know the facts about abortion. Abortion is one of
the safest surgical procedures for women; however, every medical
procedure has certain risks and possible complications. Despite
improvements in the safety of legal abortion over the years, some
abortions carry more risk than others due to the length of the pregnancy,
the method of abortion, the type of anesthesia, the overall health
condition of the woman, and the skill and training of the provider.
Abortion risks and complication rates are so low in part because
the large majority of procedures are performed early in pregnancy.
In accordance with Centers for Disease
Control and Prevention (CDC) abortion surveillance statistics (counts
all deaths associated, not just attributed to abortion, which is
more than reported on death certificates), the risk of death associated
with abortion is low -- approximately 0.7 deaths per 100,000 abortions
-- and the risk of major complications is less than 1%. For comparison
purposes, the risk of death when a pregnancy is continued to birth
is about 10 times as great as the risk of death from induced abortion.
(Note: The calculation of mortality from childbirth omits deaths
from miscarriage and ectopic pregnancy.)
When you first call for an appointment,
you will receive some general information on the procedure and its
risks as required by Georgia law. Then, prior to the abortion during
the personal counseling session, you will have an opportunity discuss
and review the informed consent form that details all of the risks
of surgery and this particular procedure. You will be required to
place your initials at every section to indicate your understanding
as well as be given all the time you need to ask questions.
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Can I bring someone
with me?
You are welcome and encouraged to bring
a support person with you, whoever that person may be. Please know
that due to security concerns, support persons may not be allowed
in some parts of the clinic. Please ask when you make an appointment
if this is an important issue to you.
If you are a minor, under 18 years old,
there are certain requirements that may or may not involve your
parent accompanying you. Please see If I
am under 18 years old, do my parent(s) need to know about my abortion?
Also, if you choose general anesthesia
or pain medication supplementing local anesthesia, you must have
a responsible driver to drive you after your appointment.
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If I am under
18 years old, do my parent(s) need to know about my abortion?
As of December 2005, the parent of a minor
must be notified before an abortion is provided. Please call our
clinic for more details.
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Are there
any other legal requirements for an abortion?
In Georgia, the following restrictions
on abortion were in effect as of December 2005:
- The parent of a minor must be notified before
an abortion is provided.
- A woman must receive state-directed counseling
that includes information designed to discourage her from having
an abortion and then wait 24 hours before the procedure is provided.
- A woman must receive the option of viewing
the ultrasound and certain other requirements.
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How long
does it take for me to recover after the abortion?
Every woman's body is different, but typically
you can go back to your normal routine/work the next day. However
you should avoid any strenuous exercise for at least one week. Please
review our After Care Information for
more information.
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What do I wear
to my appointment?
- You will probably be most comfortable dressed in a loose-fitting,
2-piece outfit on your appointment. We also recommend that you
wear socks and bring a light sweater and a change of underwear.
- It's best to leave any valuables at home. Our clinic has no
way to secure any valuables such as jewelry or computers.
- We need for you to remove all piercings, finger nail polish,
and false nails.
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What if I have other
questions?
If you have any other questions, please
feel free to call one of our phone educators at 404-728-7900
or U.S. Toll Free at 1-800-877-6013.
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