Surrogate Support

Surrogates: Medical Support for Care Beyond Compensation

We know that being a surrogate is a life-changing act of compassion. Your health and well-being are our top priority. Unlike lawyer-run agencies that focus solely on legal contracts, we deliver comprehensive, medically supervised care throughout your surrogacy journey.

Through our affiliated practice, PatientsMedical.com, you will have access to licensed physicians, nurses, and wellness experts to support your body, mind, and recovery before, during, and after the pregnancy.

During pregnancy, surrogates, just like any pregnant person—may encounter a range of medical issues that require close monitoring and medical support. Because surrogacy is typically a high- investment process for Intended Parents, surrogate health is monitored more rigorously, often involving both standard and specialized care.

Here is a breakdown of common medical issues surrogates may need support for during pregnancy, along with associated cost estimates in the U.S.A. We strongly recommend that the surrogate has health insurance to cover the costs below

1. Pre-existing Medical Conditions

1. Examples: Thyroid disorders, anemia, high blood pressure, PCOS, or the history of gestational diabetes.
2. Support Required: Endocrinologist, regular bloodwork, medications.
3. Cost Estimate: $1,000–$5,000 for specialist visits and medication if not already well- managed.

2. Early Pregnancy Complications

1. Examples: Bleeding, threatened miscarriage, hyperemesis gravidarum (severe nausea).
2. Support Required: Emergency room visits, medications, IV fluids, monitoring ultrasounds.
3. Cost Estimate: $2,000–$10,000+ depending on severity and hospital involvement.

3. Infections or Illnesses

1. Examples: UTIs, flu, COVID-19, listeria risk, bacterial vaginosis.
2. Support Required: OB follow-up, antibiotics or antivirals, occasional hospitalization.
3. Cost Estimate: $500–$5,000 depending on treatment and hospitalization needs.

4. Gestational Diabetes

1. Support Required:Glucose tolerance test, dietitian, endocrinologist, medication/insulin if needed.
2. Cost Estimate: $1,500–$6,000+ depending on management approach.

5. High Blood Pressure / Preeclampsia

1. Support Required:Frequent OB visits, blood tests, possible hospitalization, early delivery.
2. Cost Estimate: $2,000–$20,000+, particularly if preterm birth or NICU needed.

6. Preterm Labor Risk

1. Support Required:Bed rest (sometimes unpaid), corticosteroids, tocolytics, hospitalization.
2. Cost Estimate: $5,000–$50,000+ (especially if NICU needed for baby).

7. Multiple Pregnancy (Twins/Triplets)

1. Support Required: More frequent OB and ultrasound visits, higher chance of complications.
2. Cost Estimate: $10,000–$50,000+ in added prenatal and delivery care.

8. Mental Health Support

1. Examples: Anxiety, depression, postpartum depression (even during pregnancy).
2. Support Required: Therapy, medication, psychiatric follow-up.
3. Cost Estimate: $2,000–$10,000 for therapy and medication during pregnancy.

9. Placenta Issues

1. Examples: Placenta previa, accreta, abruption.
2. Support Required: Additional ultrasounds, possible C-section, hospitalization.
3. Cost Estimate: $5,000–$30,000+ (especially with surgical intervention).

10. Labor & Delivery Complications

1. Support Required: Emergency C-section, anesthesia, blood transfusions.
2. Cost Estimate: Vaginal delivery: $10,000–$15,000; C-section: $15,000–$30,000; complications can push this higher.

Optional / Preventive Medical Support

1. Includes: Chiropractic care, acupuncture, nutritionist, doula, lactation support.
2. Cost Estimate: $2,000–$5,000 if covered by Intended Parents or insurance.

Overall Cost Range for Medical Support

1. Without complications: $15,000–$30,000 (prenatal + delivery).
2. With complications: $30,000–$100,000+ (including preterm birth, NICU, etc.).

The surrogate will by contract receive limited support from the IVF Center for the first 12 weeks of pregnancy, followed by routine support from her Gynecologist for the remaining six months through baby delivery with coordination with her Obstetrician for baby delivery, However, in practice surrogate frequently finds that this medical support is not accessible when they need it the most.

As medical practice, we fill the gap and help ensure that supplemental care through us is available 24 hours a day to address the above listed medical issues and help ensuring that Surrogate has a healthy happy pregnancy.

1. Nutrition & Meal Plan Coaching

Work with our Registered Dietitians to receive customized prenatal meal planning, supplement prescriptions, and monthly follow-ups to optimize your pregnancy health.

1. Price (Billable or Reimbursed): $250/month

2. Chiropractic & Prenatal Massage

Reduce back pain, improve sleep, and boost circulation with our curated network of certified prenatal massage therapists and chiropractors.

1. Cost/Session: $150 to $250

3. Surrogate Therapy Support

Our licensed therapists provide 1:1 and group therapy options to ensure emotional well-being throughout the surrogacy journey.

1. Price: $200 - $500 per one hour session

4. Maternity Clothing Kit

We provide stylish, functional, pre-packed maternity wear delivered directly to your home.

1. Cost: $400

5. Postpartum Recovery Plan

Recover holistically with hormonal support, emotional wellness, and personalized health coaching for six weeks after delivery.

1. Price: $500

6. Telehealth Medical Management

Direct access to PatientsMedical.com for pregnancy-related concerns and prescriptions. You will have access by iPhone 24 hours a day throughout your pregnancy with one of the Physicians or Medical Assistants.

If the surrogate has discomfort or pain during your pregnancy, we are just a phone call away to help you! We follow up to ensure the surrogate goes for her testing, monitor her blood and urine results to ensure she is taking her medications, and is not taking alcohol or drugs. Receive lab work orders, supplements, and support remotely or in-person.

1. Price: $200- $350 for 30 minutes

Surrogacy agencies and sign up through our partnership with PatientsMedical.com. As a surrogate you will be cared for 24/7 by:

1. Dr. Rashmi Gulati, MD, Board-Certified in Internal Medicine
2. Six Medical Assistants and physicians
3. Nurse Practitioners and Registered Nurses
4. Licensed Therapists & Wellness Coaches

We provide among other services:

1. Telemedicine: $250 per 30-minute session
2. At-home injection support in NYC Metro: $150 plus travel
3. IV Vitamin drips in our office or at home in NYC Metro.
4. Supplements by prescription
5. Lab tests are often covered by insurance

Special Offer:

We provide a comprehensive package of support for the above six services for $2,500 per month for 10.5 months. This includes 9 months of pregnancy and 1.5 months of after pregnancy support. Some or all of these costs may be covered by health insurance.

We accept out-of-network PPO insurance. Mention “Reproductive Medicine Surrogacy Support” when calling 212-794-8800 to schedule your intake.

A new report from the Centers for Disease Control (CDC) has once again brought the need for better maternal healthcare to the attention of Americans everywhere. While the United States currently has the highest maternal mortality rate of any developed country, the CDC’s report reminds us that it doesn’t have to be this way. In fact, the new data shows that 4 out of 5 pregnancy-related deaths can be prevented.

From 2017-2019 diverse groups of people from clinical and non-clinical backgrounds have assembled Maternal Mortality Review Committees (MMRCs) in 36 US states to review the circumstances around pregnancy-related deaths and identify recommendations to prevent future deaths. The committees’ findings were recently published by the CDC alongside a press release stressing the need for change.

“The report paints a much clearer picture of pregnancy-related deaths in this country,” said Wanda Barfield, MD, MPH, and the director of CDC’s Division of Reproductive Health in the release. “The majority of pregnancy-related deaths were preventable, highlighting the need for quality improvement initiatives in states, hospitals, and communities that ensure all people who are pregnant or postpartum get the right care at the right time.”

The data shows that 22 percent of pregnancy-related deaths occurred during pregnancy, 25 percent on the day of delivery or within seven days after, and 53 percent occurred between seven days to one year after pregnancy.

While the underlying causes of pregnancy-related death varied depending on race, the leading causes included:

1. Mental health conditions (23%) The leading cause among Hispanic and non-Hispanic white people.
2. Excessive bleeding (14%) The leading cause among non-Hispanic Asian people.
3. Cardiac and coronary conditions (13%) The leading cause among non-Hispanic Black people.
4. Infection (9%)
5. Thrombotic embolism (a type of blood clot) (9%)
6. Cardiomyopathy (a disease of the heart muscle) (9%)
7. Hypertensive disorders of pregnancy (relating to high blood pressure) (7%)

These statistics point to a clear and major need for more postpartum and mental health care beyond the US standard. The traditional six-week postpartum checkup with a doctor or midwife isn’t cutting it. Mothers today need more support from day one and beyond. Postpartum care of your body and mind can be one of the most taxing parts of pregnancy—one that not just the healthcare system but friends, family and community members often overlook.

It is important that the surrogates receive adequate medical support during their pregnancy and beyond.