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Would you like to talk to us about our services? Call us at 719.546.2229


Billing/Insurance 

  • What payment methods are available at Pueblo Women's Center?
    • Patients may pay by Cash, Visa, MasterCard, Discover, Debit Card, Health Savings Account Cards, and Check or Money Order paid to the order of Pueblo Women’s Center. Sorry, but we do not accept American Express at this time. Patients are expected to pay their portion of charges due at time of service. For additional payments required after insurance is processed, patients should contact Pueblo Women's Center at 719.546.2229
  • What is an EOB?
    • EOB stands for “Explanation of Benefits”. It is a statement from the insurance company that details what amounts were paid for by insurance, why, and what amount the patient is responsible to pay.
  • What is a deductible?
    • A deductible is an amount of money that the patient must pay before their insurance benefits will begin paying. Patients pay their deductible amounts directly to their medical provider’s office.
  • What do the terms “co-pay” and “co-insurance” mean?
    • These terms are often used interchangeably. A co-pay is a fixed amount of money a patient must pay to their medical office before insurance will pay. An example of common co-pay would be a $25 office visit co-pay. If the office visits costs $100, then the patient will pay the medical office $25 and the insurance will pay the remaining $75. Co-insurance is a percentage of service charges that a patient must pay a medical office before insurance will pay. For example, if a patient has a 20% coinsurance and the office visit costs $100, then the patient pays $20 and the insurance will pay the remaining $80. The amount of the patient’s co-pay is determined by their insurer.
  • What is a “non-covered service?”
    • This is a service by a medical professional for which insurance does NOT pay. Patients must pay their medical office directly for any non-covered services. The medical office does not bill these services to insurance because insurance does not count the cost of these services as part of the patient’s deductible. A common example of a non-covered service is fertility treatment. Each insurance carrier determines what services it will cover.
  • I have insurance, so why do I have to pay anything?
    • Almost every insurance plan has patient cost-sharing components, typically referred to as deductibles and co-pays. For these two items, Pueblo Women’s Center collects deductibles and co-pays at the time of service to avoid having to mail you an unexpected bill later. Pueblo Women's Center also collects non-covered service fees at the time of service. Your insurance explanation of benefits form (EOB) will confirm your portion of the amount owed to the medical office as part of the full payment for your services.
  • I had a procedure done at Pueblo Women's Center and am now getting bills from labs and other facilities. What are these bills for?
    • You may receive bills from other facilities for the following services: labs, biopsy readings, image studies, and assistant surgeons. The only labs for which Pueblo Women's Center bills the patient directly are those processed by Pueblo Women's Center’s default lab facility. If the labs are sent to any other facility, that lab will bill you directly. 

      For biopsies and image studies, you will receive a bill from the facility where you received the image study and another bill from the radiologist who interpreted the study. 

      For surgeries, it is not always clear ahead of time whether an assistant will be required. An assistant typically costs 20% of the primary surgeon’s fee. If the assistant is not from Pueblo Women's Center, you will receive an additional bill from the assistant. If the assistant is from Pueblo Women's Center, you will receive a bill from us for their services as well as the primary surgeon’s services.

  • Does Pueblo Women's Center bill insurance for massage therapy?
    • No, Pueblo Women's Center does not bill insurance for massage. Massage therapists must be paid independently for their services.
  • How can I check to see what my insurance will pay for at my visit?
    • Call the benefits phone number on the back of your insurance card. If the insurance company asks for procedure or diagnosis codes, call Pueblo Women's Center and we can give you those codes so you can call your insurance company back.
  • Can my spouse or family member talk to you about my account or services provided?
    • According to the Health Information Portability and Accountability Act (HIPAA) we cannot disclose patient information to anyone other than the patient, regardless of relationship, without her consent. If you wish your spouse or family member to be able to access information from Pueblo Women's Center, you must complete a Personal Health Information (PHI) form. This form is available on our website through the Patient Resources tab under Printable Documents.
  • What should I bring to my appointment?
    • Please bring your driver’s license and/or picture ID along with your insurance card. Medicaid and other assistance program patients must bring their current proof of insurance.

Birth Control/IUDs

  • What kinds of birth control options does your office offer?
    • At Pueblo Women's Center, we offer a wide variety of birth control options ranging from oral contraceptives and Nuva Ring to options requiring less frequent use like Depo Provera. We also offer long term contraception like Nexplanon and IUDs, as well as a tubal ligation for those wanting permanent contraception. We encourage you to make an appointment with a provider to discuss what option is best for you and your lifestyle.

Care Providers 

  • What does a Nurse Midwife do, and how do I know if I should see a Nurse Midwife or an MD? Do your midwives deliver at a birthing center? Can I only see and be delivered by a midwife?
    • At Pueblo Women's Center, all of our midwives are Certified Nurse Midwives (CNMs), meaning they are registered nurses who have successfully completed a graduate education program (usually a Master’s Degree in Nursing) and have passed a national certification exam. 

      Our CNMs will give you individualized care guided by evidence-based practices that have been tested and proven successful. 

      A Nurse Midwife is an excellent choice for uncomplicated pregnancies. Appointments with our CNMs are easy to access and fit into your busy schedule. 

      At Pueblo Women's Center our CNMs and MDs work collaboratively - MDs are always on hand for complicated or high risk pregnancies. The availability of MDs may be slightly more limited; however, with proper planning, you should be able to schedule with the MD of your choice.

  • What is an Advanced Nurse Practitioner?
    • An Advanced Nurse Practitioner (ANP) is a registered nurse who has completed graduate level education (usually a Master’s Degree in Nursing) and holds national board certification in an area of specialty, e.g. women’s health. ANPs treat both physical and mental conditions through comprehensive history taking, physical exams, and ordering and interpreting diagnostic tests. NPs can diagnose a wide range of acute and chronic diseases (within their scope of practice) and provide appropriate treatment for patients, including prescribing medications. 

      NPs see patients of all ages depending on their specialty (family, pediatrics, geriatrics, etc.). The core philosophy of the field is individualized care that focuses on patients' conditions as well as the effects of illness on the lives of the patients and their families. NPs make prevention, wellness, and patient education priorities.

  • What is the difference between a nurse and a medical assistant?
    • MA’s work directly with the providers, ensuring that your visit is timely and efficient. They will verify your basic health information, get you situated in the exam room, and help the provider conduct your exam if required. They can also draw blood, administer vaccinations and will notify patients of normal labs and test results. 

      Nurses at Pueblo Women's Center are either Registered Nurses or Licensed Practical Nurses. Both types of nurses practice in a wide diversity of areas and can answer many of our patient’s questions about health care and the patient’s care plan. Our nurses are on hand for triage of urgent matters and may be called upon to help care for high risk patients, for conducting complex procedures and for discussing abnormal pap results. 

      Neither Nurses nor MAs prescribe medications.

Exam Types

  • What should I expect from a gynecological exam?
    • This all depends on the reasons for the exam. An “Annual” exam is done yearly to discuss medications, labs and to do a basic preventative well women check. Your family and medical history will be discussed with you, and you will have a breast exam. A pelvic exam may be done at this appointment; however, a pap smear may or may not be needed - this depends on the age of the patient and history of previous pap results.
  • What is a preventative well women exam?
    • This exam focuses on prevention and generally includes questions and tests related to health maintenance issues relevant for your age. Routine gynecological care helps prevent discomfort and illness, and allows for early detection of more serious conditions.
  • I’m pregnant - when should I schedule my first visit?
    • To establish your prenatal care with our clinic, schedule your first appointment (OB Intake) 1-2 weeks after your first missed period and a positive pregnancy test. Your first appointment will be with our OB Intake Coordinator.
  • What does a typical prenatal office visit consist of Pueblo Women's Center?
    • Your first appointment will be with our Ob Intake Coordinator and will take approximately one hour. We will collect your medical history and review important information relating to the health of you and your baby. The following labs are collected at this visit:

      Available Blood Tests:      

    • Blood Type and Rh   
    • Antibody Screen
    • RPR (Syphilis Test)
    • Hepatitis B Titer
    • Urinalysis and Culture
    • Rubella Immunity Titer
    • Complete Blood Count
    • HIV
    • Diabetes Screen (HgbA1c)
    • Cystic Fibrosis Gene Carrier Testing
    • Hepatitis C Antibody Test
    • Herpes Status               
    • CMV & Parvo Virus Immunity Tests
    • Sickle Cell Screen
    • Varicella Titer
    • VAP
    • Thyroid Function Test      
    • During your first appointment, information relating to our practice will be reviewed with you, as well as an overview of what a typical care plan looks like over the course of your pregnancy.

  • When will I see my OB care provider for the first time?
    • Your first appointment with your care provider will be arranged by our OB Intake Coordinator, and will usually be scheduled around your 8th week. We will frequently confirm normal intrauterine pregnancy using ultrasound.

      At your first appointment your provider will get to know you and discuss a recommended care plan based on your particular situation. She/he may also perform a pap smear (screening for cervical cancer), obtain a Gonorrhea and Chlamydia culture, evaluate the size of the uterus and ovaries, and perform an ultrasound for dating confirmation.

  • After the first OB appointment, when will I be seen and by whom?
    • For typical, uncomplicated pregnancies the schedule of appointments usually looks as follows:

    • 12 Weeks:

      • Nuchal Translucency/Ultrasound for Chromosomal Birth Defects (optional)

    • 16 Weeks:
      • Quad Test (optional)
      • Maternal Serum AFP (optional)    
    • 18-20 Weeks (appointments with Ultrasonographer and MD):
      • 2nd trimester ultrasound for fetal anatomy
    • 28 Weeks:
      • Glucose Test (for gestational diabetes)
      • CBC for Anemia
      • Antibody screen at 28 weeks if RH negative
      • Receive Rhogam injection if RH negative        
    • 36 Weeks:

      • Group B Strep recto-vaginal culture
      • Ultrasound for positioning of baby 
    •  After 36 weeks you are seen weekly until delivery

    • These appointments may be scheduled with a Certified Nurse Midwife unless otherwise noted.
  • If I have a complicated pregnancy how will that change my care plan?
    • Women who may experience a complex, high risk pregnancy are seen more often; the nature and timing of appointments will be determined by the provider.

General Questions

  • Can I come to Pueblo Women's Center for all of my health care needs?
    • Pueblo Women's Center is a specialty clinic, meaning we target a specific population of women – generally, women in their child bearing years although we see women outside of that range for specific gynecological problems (such as menopause, bladder control, etc). We want all of your needs to be addressed with proper care so when appropriate we will advise you to seek a primary or specialty care provider.
  • Can your providers help with management of pain, anxiety and sleep disorders?
    • While our patients may experience episodes of pain, anxiety and sleep disorders while in our care, Pueblo Women's Center does not provide ongoing controlled substance prescriptions for chronic or long-term conditions. We want all of your needs to be addressed with proper care so when appropriate we will advise you to seek a primary or specialty care provider. Please note that all patients requesting any controlled substance will require an office visit.
  • Does Pueblo Women's Center accept transfers of care for OB patients?
    • Proper prenatal care for all pregnancies is vital so we encourage women to see an OB provider as soon as possible when pregnancy is suspected or confirmed. We do accept transfer patients before 16 weeks. Patients who are over 16 weeks will be taken on a case by case basis only after review of their records.
  • What does collaborative care mean?
    • At Pueblo Women's Center we are proud to offer a collaborative care model between physicians and advance practice providers (ANPs and CNMs). Patients are able to see both an MD and an advanced practice provider throughout their care with us, which gives you greater flexibility while at the same time allowing you to build a relationship with your provider(s) of choice. Our goal with this model is to provide first-class women’s health care services to every woman, every time.
  • When will I get to find out the sex of my baby?
    • Between 18-20 weeks a fetal anatomy scan is medically recommended to evaluate the growth of your baby. You may find out the sex of your baby at this appointment if you wish. Please note that in rare occasions the baby may be in a position that does not provide a clear view of the genitalia which limits the ability to determine the sex. If this occurs, we will be able to provide you information on facilities that will schedule you for a self-pay ultrasound so you have another opportunity to learn the sex of your baby.
  • At what age should you take your daughter to a gynecologist for her first visit? What can I expect/prepare for at this visit, consultation, exam, labs, pap, etc?
    • The first time a girl sees a gynecologist varies in age and circumstances.  Girls should start seeing a gynecologist if:

      • she experiences excessively heavy, painful periods
      • no period has started after age 16
      • she has become sexually active and wants to discuss birth control options for contraception or is experiencing pain during sexual activity. 
    • While a pap smear will not be done at these visits, it is a safe place to talk about concerns and questions she may have about what is happening to her body and the chances of sexually transmitted infections. 

  • Do I need to come in for an annual exam and/or pap smear? When should I start coming in for those appointments?
    • ACOG guidelines state that women should continue to have an annual well woman exam even though annual pap smears may not be needed. Annual exams cover important screenings aimed at prevention and detection of health concerns. Our providers see young women from the age of 16 years, although generally women who are not sexually active and who have no health issues or concerns can wait until they are 20-21 years old to have their first annual exam. 

      Recently, the American College of Obstetricians and Gynecologists updated their guidelines regarding the commencement and frequency of Pap smears. It suggests that women should have their first Pap at age 21 or three years after becoming sexually active – whichever comes first – and then once every three years for women older than 21 or every five years if done in combination with the HPV test for women older than 30.

  • At what age do I start getting mammograms?
    • We recommend screening mammograms every one to two years for women aged 40-49. For women 50 years of age and older, yearly screening is recommended. Earlier or additional testing may be indicated based on family history or abnormal screening results.

  • Should I reschedule my Annual Exam or pap smear if I’ve started my menses (period)?
    • If you’re spotting or lightly bleeding, a pelvic exam and pap smear can still be performed and there is no need to reschedule unless you feel uncomfortable having the exam performed.
  • I have some questions and concerns about menopause – what should I do?
    • Please contact us and schedule an appointment with one of our Advanced Nurse Practitioners if you have questions/concerns about menopause.
  • What happens if I am late for my appointment?
    • If you are running late, you may need to be rescheduled for another day or another provider that has availability. We strive to keep our patients happy and give them the best care possible. If one person is late, it sets the provider, clinical staff and waiting patients back for all up-coming appointments.
  • Can I bring people with me to my appointments?
    • Yes. Please be aware that many times there is personal information discussed in your visit. Make sure that whoever is with you has your authorization to hear your personal information.
  • Do I need an appointment or can I walk in?
    • We currently do not have a ‘walk-in’ policy to see a provider. Certain labs can be done on a walk-in basis. If you know your provider has ordered labs to be done at a later date, you may walk-in to have these drawn.
  • When I leave a message for a nurse on the Pueblo Women's Center voicemail system, when will I get a return call?
    • If you are calling during normal business hours, our nurses will make every effort to address your call the same day. The nursing staff continues to return phone calls until 5:30pm. Please be aware that the “Nurse/Triage” line is for non-emergent but urgent concerns. 

      If you call to request a prescription refill, the nursing staff will address the request within 72 hours.

  • Where do I go if I need emergency care outside of normal business hours? When should I go to the hospital (versus calling the clinic)? 
    • If you are ever in need of emergency care, please proceed to the Emergency Department of a hospital or Labor and Delivery department of a hospital immediately. 

       If you have a question about symptoms that you are currently experiencing and it is within our normal business hours, feel free to contact our triage nurse who will try to assist you. If it is after hours, please go to the Emergency Department. OB patients with pregnancy related, urgent issues can go to OB Triage if more than 18 weeks along in their pregnancy.

  • Do you prescribe controlled substances?
    • While our patients may experience episodes of pain, anxiety and sleep disorders while in our care, Pueblo Women's Center does not provide ongoing controlled substance prescriptions for chronic or long-term conditions. We want all of your needs to be addressed with proper care so when appropriate we will advise you to seek a primary or specialty care provider. Please note that all patients requesting any controlled substance will require an office visit.

Health and Safety During Pregnancy

  • What can I do for nausea or morning sickness in pregnancy?
    • Many things can contribute to nausea during pregnancy. We recommend avoiding the following:

      • spicy, greasy, or fried foods
      • excessive use of black pepper, chili or garlic
      • beverages containing caffeine or those that are carbonated
      • large meals (instead, eat smaller meals more frequently).
    • Taking 100mg of vitamin B6 once a day in the daytime, or Ginger tablets 4 times a day may improve symptoms. If you feel you are becoming dehydrated, contact a medical care pr  

  • What can I take for colds or allergies while pregnant?
    • There are some safe over the counter medications that you may take for colds or allergies. Please see document below for detailed information relating to safe over-the-counter and home remedies during pregnancy.
  • Is it safe to travel while pregnant?
    • Airplane travel during pregnancy should be fine up to 36 weeks with uncomplicated pregnancies as long as you are able to get up and move around during the flight. Airplane travel can be dehydrating so remember to drink plenty of water. We recommend you have an appointment with a provider before traveling and encourage you to take a copy of your prenatal records with you. 

      If traveling by car, you should stop and get out to stretch your legs every hour. 

      After 36 weeks, patients are not to drive more than an hour away from Pueblo. 

      If you are considering international travel anytime during your pregnancy you should discuss this with your provider before planning your trip.

  • Is it safe to paint or be around paint fumes?
    • According to the FDA, today’s paint does not contain lead. Currently there are no studies that document the effects of inhaling household paint fumes during pregnancy and the effect on baby development. It would be ideal if you can get someone else to do the job for you. However if you’re excited about painting the nursery or other areas in the house, it is recommended to avoid exposure to oil-based paints, lead and mercury and minimize exposure to latex paints containing ethylene glycol ethers and biocides. Be certain that there is good ventilation in the house or room being painted; open the windows & turn on fans. Protect your skin by keeping it covered in clothing and use gloves. Take frequent breaks and divide the project up into sections to avoid extended periods of time in the room being painted.
  • Is it safe to get a Flu Vaccine during pregnancy?
    • The CDC recommends pregnant women receive the inactivated flu vaccine. Women who contract the flu during pregnancy are at risk for complications and have a greater chance for serious problems for their unborn baby. Please visit the following link for additional information: http://www.cdc.gov/flu/protect/vaccine/qa_vacpregnant.htm
  • Is it safe to have my hair colored or highlighted?
    • The general consensus is that hair dye does not pose a threat to your unborn child. The dye itself does not absorb into your system through your hair shaft, but does have minimal potential of crossing the skin barrier. Make sure you are in a well ventilated area to avoid noxious fumes. If you are concerned about safety, consider either waiting until the second trimester, when the baby’s organs are developed, or after giving birth.
  • Is it safe to go to the dentist while pregnant?
    • Yes, routine dental care is generally considered safe during pregnancy; however, we recommend that routine x-rays are postponed while pregnant. If x-rays are needed to treat or assess a problem, the abdominal area should be covered. Local anesthetic may be used for treatments. Nitrous oxide may NOT be used. If antibiotics are needed for treatment, we recommend that you contact us to review the medication your dentist has recommended.
  • My prenatal vitamins are making me sick, what should I do?
    • Prenatal vitamins are very important for the health of you and your baby so we want to ensure that we find a suitable vitamin source for you. If you’ve tried taking them before you go to bed and find that they are still upsetting your stomach, chewable prenatal vitamins may be a better alternative. Please share this with your provider at your next appointment or call our office during normal business hours so that we can provide you with alternatives.

Labs/Tests/Results 

  • How will I be notified of test results from Pueblo Women's Center?
    • Notification of test results varies by test, the reason for the test and the result. Below are some standards:

      • Results for normal screening tests such as pap smears and annual labs should be received within 10 business days by mail.
      • Results for routine screening tests during pregnancy are often reviewed at your next follow up appointment.
      • You will receive a phone call if we are concerned about your results or feel that additional explanation or treatment plans need to be discussed.
      • Pathology results from any form of biopsy procedure should be communicated to you by phone within 3 business days of the procedure.
      • Results relating to infertility treatment vary depending on the test.  Please be sure to ask your doctor or her nurse when you can expect to hear about results.
    • If you do not hear back about your results within 10 days, we encourage you to contact our office.

Postpartum Care

  • What can I expect in terms of services and support after I give birth?
    • Many mothers describe their experience of giving birth as ‘the best day of my life’, but that doesn’t mean you won’t need support – physically and emotionally – after delivery. As a Pueblo Women's Center patient you can expect compassionate, ongoing care starting with a postpartum follow-up phone call from us within about 1 week of leaving the hospital. Find out more about our postpartum services and access resources you may find useful over the weeks and months following delivery.

Prescriptions/Medications/Vaccinations

  • How do I get my prescription(s) refilled?
    • Please contact your pharmacy if you need refills. Your pharmacy will determine whether you are out of refills and send us a detailed request with the appropriate information. Refill requests may take up to 72 hours to complete.

       If your provider advised you that a follow up appointment would be needed before refilling your medication, please remember to call and schedule your appointment sufficiently in advance.

Ultrasounds 

  • What are ultrasounds/scans used for?
    • Pregnancy confirmation or ‘dating’ scans are often performed between 5 and 10 weeks of gestation.
      • Nuchal translucency scans can help indicate the likelihood of your baby having Down’s Syndrome, Trisomy-18 or Trisomy-13. This screening is optional, and is usually performed between 12 and 14 weeks of gestation.
      • Anatomy scans done between approximately 18 and 20 weeks of gestation provide a detailed evaluation of your baby’s development (structural assessments, estimated fetal weight and potentially fetal gender).
      • Pelvic sonograms are performed to assess potential issues when indicators such as abnormal/heavy periods or pelvic pain are present.
    • If the scan is performed by our ultrasonographer, the results will be given to your care provider who will talk with you about those results at your next visit.

  • What do I need to do to prepare for an ultrasound?
    • We recommend that you drink 16-24 ounces of water beginning one hour before your appointment and finishing within 30 minutes. Your bladder should feel full, but not uncomfortable. Do not substitute carbonated beverages for the water. If other instructions are necessary for the specific type of ultrasound you are scheduled for, they will be provided by your care team.
  • What is the difference between 2D, 3D and 4D technology?Will abnormalities be visible in the sonogram?
    • A traditional 2D Ultrasound is similar to a regular black & white photograph. It is used for the majority of your baby’s scans. 3D ultrasound technology allows all of the structural features of the baby's body to be seen by providing a 3-dimensional view.
  • Will the ultrasonographer discuss the results of the scans with me?
    • Not always, and it depends on a number of factors including the quality of the ultrasound image, which can be impacted by:

      • The baby’s position and activity (excessive or lack of activity)
      • Thickness of the maternal abdominal wall
      • Too early or late gestational age
      • Decreased amniotic fluid
  • Can I bring family members or friends with me in the ultrasound room?
    • Absolutely! We encourage you to bring someone with you to your appointment as we recognize that this is a significant experience for you. However, the exam room used for your nuchal and/or anatomy scan accommodates a maximum of 2 people in addition to yourself and the ultrasonographer, so please plan accordingly. Also, most children find it very difficult to avoid disrupting the ultrasound process during this relatively long appointment. If you don’t have the option of leaving your children in someone else’s care during your appointment, please have an adult with you to help supervise them.
  • Are ultrasounds harmful to me or my baby?
    • The American Institute of Ultrasound in Medicine has issued the following statement:
       “Based on the epidemiologic data available and on current knowledge of interactive mechanisms, there is insufficient justification to warrant conclusion of a causal relationship between diagnostic ultrasound and recognized adverse effects in humans. Some studies have reported effects of exposure to diagnostic ultrasound during pregnancy, such as low birth weight, delayed speech, dyslexia and non-right-handedness. Other studies have not demonstrated such effects. The epidemiologic evidence is based primarily on exposure conditions prior to 1992, the year in which acoustic limits of ultrasound machines were substantially increased for fetal/obstetric applications.”

Wellness Services

  • I have heard you offer massage therapy; is that for pregnant patients only?
    • No, our licensed massage therapist offers massage to all women, for relief of many types of issues - both medical and non-medical.
  • Does your counselor see women for non-pregnancy related issues?
    • Yes, she is trained and licensed to treat women in all stages of life coping with transitional adjustment issues, depression, anxiety, trauma and grief. See more information on our counseling services.
  • I want my husband to understand why I’m acting differently; can I bring him to my counseling session?
    • Yes, it is helpful to have your partner’s support and understanding when coping with pregnancy related mood disorders.