When using a sliding scale, an agency sets a fee for its services based on the family's income or ability to pay. If you are exploring working with a private agency, ask if this is an option, even if it is not mentioned in the agency's literature. A sliding scale can make the cost of a homestudy, parent preparation classes, or post placement supervision much more affordable for low or middle income families, allowing them to focus their financial plans on raising their children rather than only on adopting them.


Pre-natal care and hospital costs will be paid for by the adopting family if the birth parent has no medical coverage and does not have Medicaid. While the baby’s hospital bill may be covered under the adoptive parent’s medical insurance, the birth mother’s expenses are not. Any recommended specialist appointments or testing is the responsibility of the adoptive parent(s).
You may be ready, but is everyone else on board? Just because you are mentally and emotionally prepared to adopt doesn’t mean your spouse feels the same way. If you’re married, now would be a great time to sit down and have a little chat about your relationship, adoption, kids, and your shared willingness to throw everything as you know it into the big blender known as parenthood. If you’re already a parent, consider how adoption will impact your biological child(ren). Ultimately, this decision will be yours and not theirs, but that doesn’t mean they won’t have feelings on the matter.
Most adoptions through foster care are done without a charge to the adopting family. In some instances, an out-of-state family may need to pay for the cost of the Adoption Home Study and Post Placement Supervisory Visits . In some states, the adopting parent(s) need to pay for the finalization of the adoption. There will also be a series of trips to the other state to meet and bond with the child before placement into your home. The adopting family covers those costs. A local foster care adoption can cost up to $2,000, not including travel expenses. 
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