By Dr. Kulsoom Baloch
Learn more about Dr. Baloch
Introduction
Choosing the right surrogacy agency is one of the most important steps in your journey to parenthood or to becoming a surrogate. With so many options available, knowing what to look for in 2025 ensures you find a trusted, ethical, and supportive partner near you.
What Does a Surrogacy Agency Do?
A surrogacy agency acts as the central coordinator between intended parents, surrogates, medical professionals, and legal teams. They manage everything from screening and matching to contracts, logistics, and emotional support.
Key Qualities of a Great Surrogacy Agency in 2025
- Fully licensed and insured: Confirm that the agency is licensed in its operating states
- Experience: Look for agencies that have completed hundreds of successful journeys
- Legal partnerships: The agency should work with attorneys experienced in pre-birth orders and state laws
- Medical support: Coordination with licensed fertility clinics is essential
- Clear compensation structure: Transparent about surrogate pay, reimbursements, and intended parent costs
- Emotional and psychological support: Includes counseling, group support, and check- ins
Local vs. National Agencies
- Local agencies: Easier for in-person meetings, events, and regional matches
- National agencies: Often have wider surrogate networks and operate in multiple states, offering more options
Surrogacy4All offers both local coordination and national reach, combining the best of both worlds.
Questions to Ask When Interviewing a Surrogacy Agency
- How long have you been in business?
- Are you licensed in this state?
- How do you match surrogates and intended parents?
- What is your success rate?
- Do you handle legal, medical, and psychological support in-house?
Warning Signs to Avoid
- No public team or credentials
- Hidden or unclear pricing
- Pressure to sign quickly without proper screening
- Limited communication or delayed responses
- No mention of pre-birth orders or legal process
How Surrogacy4All Stands Out
- Fully licensed in multiple U.S. states and Canada
- Trusted by hundreds of families since 2006
- Inclusive of LGBTQ+, single, and international parents
- Transparent pricing and concierge-level support
- Ethical and medically guided surrogacy process
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.
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.
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
- Examples: Thyroid disorders, anemia, high blood pressure, PCOS, or the history of gestational diabetes.
- Support Required: Endocrinologist, regular bloodwork, medications.
- Cost Estimate: $1,000–$5,000 for specialist visits and medication if not already well- managed.
2. Early Pregnancy Complications
- Examples: Bleeding, threatened miscarriage, hyperemesis gravidarum (severe nausea).
- Support Required: Emergency room visits, medications, IV fluids, monitoring ultrasounds.
- Cost Estimate: $2,000–$10,000+ depending on severity and hospital involvement.
3. Infections or Illnesses
- Examples: UTIs, flu, COVID-19, listeria risk, bacterial vaginosis.
- Support Required: OB follow-up, antibiotics or antivirals, occasional hospitalization.
- Cost Estimate: $500–$5,000 depending on treatment and hospitalization needs.
4. Gestational Diabetes
- Support Required: Glucose tolerance test, dietitian, endocrinologist, medication/insulin if needed.
- Cost Estimate: $1,500–$6,000+ depending on management approach.
5. High Blood Pressure / Preeclampsia
- Support Required: Frequent OB visits, blood tests, possible hospitalization, early delivery.
- Cost Estimate: $2,000–$20,000+, particularly if preterm birth or NICU needed.
6. Preterm Labor Risk
- Support Required: Bed rest (sometimes unpaid), corticosteroids, tocolytics, hospitalization.
- Cost Estimate: $5,000–$50,000+ (especially if NICU needed for baby).
7. Multiple Pregnancy (Twins/Triplets)
- Support Required: More frequent OB and ultrasound visits, higher chance of complications.
- Cost Estimate: $10,000–$50,000+ in added prenatal and delivery care.
8. Mental Health Support
- Examples: Anxiety, depression, postpartum depression (even during pregnancy).
- Support Required: Therapy, medication, psychiatric follow-up.
- Cost Estimate: $2,000–$10,000 for therapy and medication during pregnancy.
9. Placenta Issues
- Examples: Placenta previa, accreta, abruption.
- Support Required: Additional ultrasounds, possible C-section, hospitalization.\
- Cost Estimate: $5,000–$30,000+ (especially with surgical intervention).
10. Labor & Delivery Complications
- Support Required: Emergency C-section, anesthesia, blood transfusions.
- Cost Estimate: Vaginal delivery: $10,000–$15,000; C-section: $15,000–$30,000; complications can push this higher.
Optional / Preventive Medical Support
- Includes: Chiropractic care, acupuncture, nutritionist, doula, lactation support.
- Cost Estimate: $2,000–$5,000 if covered by Intended Parents or insurance.
Overall Cost Range for Medical Support
- Without complications: $15,000–$30,000 (prenatal + delivery).
- With complications: $30,000–$100,000+ (including preterm birth, NICU, etc.).
Why Supplemental Medical Support:
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.
Our Medical Support Services for Surrogates Includes:
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.
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.
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.
Maternity Clothing Kit
We provide stylish, functional, pre-packed maternity wear delivered directly to your home.
5. Postpartum Recovery Plan
Recover holistically with hormonal support, emotional wellness, and personalized health coaching for six weeks after delivery.
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.
Who Will Support You as a Surrogate?
Surrogacy agencies and sign up through our partnership with PatientsMedical.com. As a surrogate you will be cared for 24/7 by:
- Dr. Rashmi Gulati, MD, Board-Certified in Internal Medicine
- Six Medical Assistants and physicians
- Nurse Practitioners and Registered Nurses
- Licensed Therapists & Wellness Coaches
We provide among other services:
- Telemedicine:
- At-home injection support in NYC Metro:
- IV Vitamin drips in our office or at home in NYC Metro.
- Supplements by prescription
- Lab tests are often covered by insurance
Cost and Insurance Coverage:
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.
Testimonials
Alicia G., NJ
“Surrogacy4All treated me like a queen. The telehealth and at-home support made my pregnancy so much easier.”
Jasmin H., Houston
“The postpartum hormone care helped me feel like myself again. It is amazing what medical support can do!”
Shanice R., NYC
“I felt seen and heard every step of the way, not just like a number.”
Begin Your Journey with Patients Medical
Our job at Patients Medical is to connect the dots between a patient’s medical history, symptoms, and their underlying causes. Patients Medical is a superb place for people to secure integrative and holistic health care from providers who give personalized care, partner with the patient to focus on the root cause of their illness, support their recovery, and help them maintain good health.
Request your consultation today!
Fill out the form at the top of this page,
or call us today at 1-212-794-8800. We are here to listen and to help.
Our medical center in New York City.
Patients Medical PC
1148 Fifth Avenue, Suite 1B
New York, NY 10128
Note->
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.”
Key stats from the report
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:
- Mental health conditions (23%) The leading cause among Hispanic and non- Hispanic white people.
- Excessive bleeding (14%) The leading cause among non-Hispanic Asian people.
- Cardiac and coronary conditions (13%) The leading cause among non-Hispanic Black people.
- Infection (9%)
- Thrombotic embolism (a type of blood clot) (9%)
- Cardiomyopathy (a disease of the heart muscle) (9%)
- Hypertensive disorders of pregnancy (relating to high blood pressure) (7%)
What the numbers mean
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.
Conclusion
Finding the right surrogacy agency near you in 2025 means choosing a partner who values ethics, transparency, and support. Surrogacy4All brings experience, compassion, and professionalism to every journey.
Dr. Kulsoom Baloch
Dr. Kulsoom Baloch is a dedicated donor coordinator at Egg Donors, leveraging her extensive background in medicine and public health. She holds an MBBS from Ziauddin University, Pakistan, and an MPH from Hofstra University, New York. With three years of clinical experience at prominent hospitals in Karachi, Pakistan, Dr. Baloch has honed her skills in patient care and medical research.