Insurance Payment or Reimbursement for Birth and Postpartum Doula Services

There has been some talk amongst child-birth professionals as to whether or not doulas are able to apply for payment from insurance companies. Some people are supportive and some disagree. There have been some cases where doula services were reimbursed for full or partial payment by the insurance company to the client.
What I have discovered is that you can submit a letter to the insurance company requesting that these services are covered or at least reimbursed. I have secured an NPI number and know the CPT codes to help you find out if you qualify. There are over twenty insurance companies who have paid or reimbursed for services. Upon request, I can send you the information. Your Doula must be certified, have a tax ID number or a social security number, and an NPI number.
You may need to write a letter explaining the need for doula support. You can site the decrease in cesarean rates, which will lower costs to the insurance company. Doulas can help shorten labor. Parents supported by doulas have less incidence of postpartum depression. Hiring doulas and having childbirth education helps parents to opt out of the use of pain medication. The maternal and infant mortality rates are high in the United States, especially in the African American communities. These communities need and would benefit from doula support. There several real-time statistics that can support these findings. According to the “WHO” The World health organization, recommends that Doulas attend all births globally”. **March 23, 2016, International Doula Institute
ACOG The American College of Obstetrics and Gynecologists says, ” The recommendations also suggest that women benefit from continuous emotional support and the use of non-pharmacologic methods to manage pain. Support offered by trained labor coaches such as doulas has been associated with improved birth outcomes, including shortened labor and fewer operative deliveries. In addition to considering use of medications or epidural anesthesia to manage pain in labor, practitioners are encouraged to offer women coping techniques, such as massage, water immersion in the first stage of labor, or relaxation techniques. Recognizing that the complete absence and elimination of pain is not what all women value, use of a coping scale rather than pain scale is recommended to evaluate the multifactorial experience of labor.
“Techniques such as an epidural can relieve pain but may not ease anxiety or suffering,” said Tekoa L. King, CNM, MPH, ACNM liaison committee member and lead author. “Providing emotional support and coping mechanisms have proven positive outcomes, therefore, it’s recommended that providers consider instituting policies that allow for the integration of support personnel in the labor experience. This strategy may be beneficial for patients and cost-effective for hospitals due to an association with lower cesarean rates. It is important that midwives, ob-gyns, and other care providers collaborate to support women both emotionally and physically over the course of labor.” **American College of Obstetricians and Gynococlogist January 25, 2017
As a final consideration, you may attach a letter from your practitioner. You may find that your practioner can also be very supportive of doulas.
Compassionate Care Doula will help you find out if you are eligible for payment or reimbursement of payment for my services.
If you have any further questions or interest in summiting information for doula care please contact me at I can provide you with the information that I have. Happy Birthing Dawn

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