Frequently Asked Questions
Our FAQ section contains answers to the most common questions from our patients. If you have any other inquiries, please call or write to us.
To process your delivery with Dr. Ruiz, you must first have a valid visa or admission permit to the United States.
We do not serve individuals who enter the United States illegally. Additionally, we only provide medical services and do not offer any type of immigration advice.
It is important to confirm the date and time of your first appointment before arriving in San Antonio, Texas; otherwise, we cannot guarantee an immediate consultation. All costs must be settled in person at the time of your first appointment.
We accept patients at any stage of pregnancy, but arriving too close to your due date may limit our ability to accommodate you due to availability issues. Therefore, we recommend scheduling your appointment in advance. It’s advisable to enter the United States by 36 weeks to receive our medical care up until delivery. Additionally, if you arrive very close to your due date, there is a possibility that your baby may be born before your planned arrival date in the U.S.
It’s also important to note that some airlines have restrictions for pregnant passengers on international flights, typically limiting travel to 36 weeks of pregnancy. It is crucial to contact the airline to understand their policies regarding pregnant travelers if you plan to fly.
The date of your arrival is a personal decision. Obviously, we try to limit the time you need to be present in the city. However, each case is different, and preferences vary based on individual circumstances. Historically, the vast majority of patients arrive in San Antonio, Texas, approximately three weeks before their delivery. We recommend arriving once you have completed 37-38 weeks of pregnancy or later.
Unfortunately, we do not accept patients without a prior appointment. Due to the number of patients we attend to, Dr. Ruiz does not always have availability in his schedule. For this reason, it is necessary to have an appointment before arriving at our office, as we cannot take responsibility for patients who arrive in the city at the end of their pregnancy and, due to lack of space, are not admitted. No exceptions will be made.
If you want an appointment solely for a check-up, the cost is $398. Our maternity package includes all appointments from the moment you arrive, so if you decide to continue with medical care until delivery, the $398 will be credited toward the total amount.
Yes, the episiotomy is included in the package.
Yes, we will provide instructions and assist you with any questions regarding the process for both documents. This will be done after the delivery, before you leave the hospital.
Yes. You only need to contact VitalChek, and they can send you your baby’s birth certificate.
No, as long as you do not seek government assistance or leave your medical services unpaid. If you fail to pay for your medical services, the hospital may report your debt, which could lead to issues when renewing your visa or returning to the United States. This is because your debt would indicate a lack of financial solvency, which you were required to demonstrate when applying for your visa. Therefore, it could contradict your initial declaration.
This is false. It is important to identify that there is a difference between an undocumented foreigner (without documentation and who remains in the United States) and a legal foreigner (a person with entry documentation—permit or visa—to the United States). While there are immigration reforms focused on limiting the rights of undocumented or "illegal" foreigners, birthright citizenship (jus soli) is a constitutional right.
Birthright citizenship is a legal concept that automatically grants citizenship to individuals born within the territorial confines of a particular country. The United States is one of those nations that practices birthright citizenship, meaning that anyone born on U.S. soil has the right to U.S. citizenship, regardless of the citizenship or legal status of their parents.
Yes, it is still possible to give birth in the United States. Previously, in countries that grant short-term tourist visas, applicants would process their visa while already pregnant and with the explicit purpose of giving birth in the United States. Having your baby in the U.S. remains legal and permitted, as long as you did not apply for your visa with the explicit intent of maternity tourism. Additionally, birthright citizenship is a constitutional right for any individual, regardless of nationality.
It is essential not to lie or conceal your intention to give birth in the United States when questioned by the immigration officer upon entering the country.
Of course! If you have any questions after reading our "Frequently Asked Questions” you can send us a message via WhatsApp at +1 210-440-4149.
No, your pregnancy itself is not a reason to be denied entry into the United States. However, it is crucial to maintain honesty when interacting with immigration officials. If asked about your pregnancy or other matters, always provide truthful answers. Additionally, keep in mind that a lack of financial means may potentially affect your entry. To address this concern, ensure you are prepared to provide supporting evidence, such as having enough cash to cover your delivery expenses or prepaying your medical bills and providing the corresponding receipts.
Yes, once you have made your appointment, you can request a confirmation letter from us. This document serves as confirmation of your appointment and helps avoid any issues when entering the United States. In addition to the letter, it's important to demonstrate financial solvency to cover the specified amount in the letter. You can show this by having cash on hand, prepaying a portion of the medical service, and/or presenting a recent bank statement.
Never lie about your purpose for giving birth in the United States. The officer grants your stay based on the time required to carry out the activity you mention. It is very important to always tell the truth and have your documentation and proof of financial solvency (payment receipt or cash if you haven’t paid your medical bill) to settle your medical service.
Yes. However, if you plan to travel to the United States due to your “high-risk” pregnancy and desire superior medical care, it is important to arrive with enough time for us to address your medical situation. Please note that the prices listed on our website are for uncomplicated normal deliveries. High-risk pregnancies and deliveries with complications may require additional fees.
We recommend obtaining a medical certificate from your primary doctor to ensure you are in good health and fit to travel. If you are entering the United States by air, it is important to contact your airline to inquire about policies for pregnant passengers, as these vary regarding deadlines for boarding international flights.
Yes, even in the case of a cesarean section, they can be present. Additionally, one person is allowed to stay in your room 24 hours a day.
Dr. Ruiz is only medically responsible once your prenatal care begins, as it is illegal to provide any type of diagnosis or medical recommendation without first seeing the patient in person.
If you have any questions (non-medical), you can contact him via email at jruiz@premierobgyntx.com or through WhatsApp at +1 210-440-4149.
We accept credit cards, cash, and bank transfers. However, upon arriving at our office, we only accept cash payments. Additionally, your balance must be settled during your first medical consultation.
The total cost of our medical services is $10,175 for vaginal delivery and $11,105 for cesarean delivery. This includes medical fees (gynecologist, pediatrician, anesthesiologist), hospitalization, and anesthesia (epidural).
If you have health insurance, it’s important to know that all international insurance operates on a reimbursement basis. We can complete the medical report and provide the payment receipt that your insurance company will require for you to obtain your reimbursement. For more information on this, you will need to contact your insurance company directly.
We do not offer our gynecological and obstetric services on credit. Your medical service must be paid in full at the time of your first consultation. This is done to avoid the use of government programs such as Medicaid, CHIP, etc., which are not designed for international patients, as using these can jeopardize your immigration status.
After your delivery and upon confirming that all payments have been made, we can provide a letter of no outstanding debt. This letter is recommended as it states that your account has been settled in full and that you did not use any government programs or Medicaid to cover your medical bills. It is advisable to have this letter when you go to renew your visa.
The services provided by the United States government are exclusively for its citizens. It’s important not to request any type of public assistance, as this could be a reason for denying your visa renewal if you are thoroughly investigated.
Pediatricians generally recommend that babies be at least one week old before traveling by airplane. At the same time, allowing a week for the patient’s recovery is advisable.