My package included a second midwife. Ours was about four and a half thousand, which included all prenatal and antenatal care. The second midwife came to the birth plan meeting and the birth and did a lot of the after care because she lived so close to me (she was also an lc so was super useful!). There was no talk of paying the second midwife separately. IMO i like two midwives at the birth because then there's one for you and one for the bub if needed.