WARNING: This post is going to be very wordy with a lot of insurance speak, but we'll get through it...
**Also, this post is a compilation of a few websites to get you the most comprehensive information to get you started on your way to getting your services covered. I did not write down sites, but much credit is due.**
How to Obtain Reimbursement for Doula Services
Insurance coverage of Doula services is becoming a more common occurrence in the birthing world. Virtuously B’Earthed Doula Services encourages you to take the following steps to attempt reimbursement of your Doula services through our programs. We are happy to provide you with the necessary documentation to move forward with an insurance reimbursement.
Over twenty insurance companies have begun paying for Doula services and, now that there is a CPT code covering Doula services, this is more of a possibility than ever before. (CPT stands for Current Procedural Terminology, and is a copyright of the American Medical Association.) The CPT code used to claim birth Doula services is 99499 for Labor Support and to claim postpartum Doula services, it is 99501 and/or 99502 for Postpartum Care.
The following is a partial list of insurance companies who have reimbursed in whole or in part for Doula services:
Insurance and Flexible Spending Account Coverage:
Some insurance companies will pay for Doula services by reimbursing you. You may also submit to your medical flexible spending account (cafeteria plan) to help reduce your costs.
How to Request Insurance Reimbursement for Doula Services:
Whether you are reimbursed or not, please let Virtuously B’Earthed Doula Services know what kind of response you get from the insurance company. Each time someone requests reimbursement, it tells the insurance companies that this is an important service. They may consider it more carefully next time. If you are reimbursed, this is great news for doulas and we always want to know!
Let's Talk About It!!!
Back in November of last year, I posted a "Myth Buster" style post centered around Doulas that seemed to resonate with a lot of people who visit my Facebook Page, so I thought I'd share it here. Afterwards, I will come back and let you know what you can do to get reimbursement for Doula services through your insurance company.
These are a few of the quotes I have heard over the years with regard to Doulas that really stood out to me. They are not meant to be offensive, only to provide a glimpse into the thoughts of the communities in which some of us serve. And no, not all people in under-served communities have these thoughts. Unfortunately, many have not been privileged to have access to the same type of knowledge. As a Doula, it is my duty to strive to tip the scales.
Myth #1: "Doulas are too expensive."
Don't get me wrong, some Doulas charge a lot for their services. I've seen Doulas who charge $2500 or more for their services. That's why it's important to shop around when choosing your Doula. Not all of us are here to take your life savings. Some of us provide free, low cost, payment plans, or sliding scales so that all women, regardless of socioeconomic status can afford to have a Doula. If you are in the St. Louis Area, Virtuously B'Earthed Doula Services, Jamaa Birth Village, and others do this. There may be some in your area that does the same.
Myth #2: "Doulas are for white women."
Ok. Look. Doula work was made mainstream by white women in recent years, but indigenous cultures have been doing this since the beginning of time. All women, especially black women and women of color, NEED to feel empowered and informed of their choices when it comes to bearing life and borning it into the world. Have you heard the statistics for Black Maternal Mortality in America?! Black women are 4 times more likely to die in childbirth than white women, and its 2018. There are plenty Original women being trained as Doulas to help close this gap.
Myth #3: "I don't need no Doula."
Guess what? Doulas are trained professionals, educated in many areas...but if your mother, grandparent, husband, cousin, etc., helped you in labor, you had a support person. And that's great! You need to be supported in labor, regardless as to whether or not you hire a Doula! Doulas help to educate you on your choices in the hospital or wherever you go to birth baby, help with comfort measures if you'd like to progress naturally, coach you in labor should you be going at this alone, coach partner in assisting you should you have a partner, helps to keep the space sacred (because birth is a transformative experience)...among other things.
Just something to consider. If I weren't a Doula myself, I'd still advocate for Doulas because my experience with my own children led me to being a Doula.
To learn how to get your insurance company to cover Doula services, click here.
I'd like to share one of my birth stories with you...
In late 2008, I found out I was pregnant with a little bean. My first baby. I was in graduate school in Arkansas with absolutely no family. No guidance. No support. Just me and the father of my unborn child. I have always been fascinated with science and research so I did just that...researched. The first book I'd ever picked up centered around birth and pregnancy is going to sound so cliche...are you ready for this?? The first book I'd ever read was "What to Expect When You're Expecting". I needed to have some kind of basis for this whole pregnancy thing because I knew absolutely nothing. I remember getting to a little box that was titled: "To Doula, or Not to Doula" and I read about how Doulas help women through labor and the birth of the baby. So, I got on my computer and started looking for Doulas in my area. I found an organization called BirthWorks, who at the time, had a program where they provided volunteer opportunities for student Doulas to attend births for low income clients.
SIGN ME UP!!! NOW!!!
My Doulas were amazing! They came to my house and met me and my husband at the time and went over what our goals were for my birth and took the time to educate me where she could. (She was a student Doula...btw...) She signed us up for an eight week childbirth education class (FOR FREE!!). We learned so much!! We learned about pain management techniques, visualization, what happens to the body while growing your little human, what to expect at the hospital, options for where to give birth, and so much more.
I think I panicked about 10 times before actually going into labor. I did a lot of mistaking Braxton-Hicks contractions for labor contractions. My Mom even came all the way to Little Rock from St. Louis to try to be present for the birth of her first grandchild. She was with me for a week.......baby never came....*sigh*. A few days after she left, I noticed a shift in my contractions. IT WAS TIME!! My Doula was at my house, ready to assist me. When she saw I was in early labor, she told me to rest and try to get a meal in. I rested. Cleaned up a little. Ate. Made sure everything was in my bag. Rested some more...
When the contractions became too much, I called her and let her know that I was ready to go to the hospital. She met us there. I had 4 Doulas there with me that day. The "Natural Nurse" was a Doula, I had my 2 student Doulas, and another Doula helping another client popped in and out from time to time. It was great!!! I had the lights dimmed like I wanted, essential oils permeating the air, and Johnathan Nelson's "My Name is Victory" playing in the background. I was able to get up and walk around as I pleased. Labored in the tub for a while. I did everything I could to bring this baby down the canal and to Earth plain. My doctor was very patient with the entire process, and once she saw I wasn't progressing (I was at 8.5 cm for 4 hours...) she decided to take the baby via C-Section. *sigh* But I understood. I reassured myself that I did all that I could to get baby here and this was what was needed to get baby here. I got the epidural and prepped for the OR. My Doulas were with me every step of the way. And even though I was in another state, with my husband, I felt very well supported. My first born son, Dylan, was born via c-section at 10:12 pm on September 16, 2009 weighing in at 8lbs and 20in long.
I enjoyed my experience so much with my Doulas that I decided that I would train to become one myself and offer this level of support to other women who needed it.
A Doula is a woman (or man...I've seen men be trained to assist women in childbirth...) who provides emotional, physical, and spiritual support to women and their families. They provide education centered around your choices in childbirth and assist you and your partner with coming up with a plan to bring your baby Earthside. The do not, by any means, replace your birth partner and they hold space for you and your partner during your most vulnerable moments. Doula is Greek for "woman servant".
Even with the support of Doulas, things don't go as planned. I definitely wanted a vaginal birth. That's not what happened, though. And that's okay. Maybe I'll get the chance to do it next time...
There's always next time, right?
One day, I will share with you the birth of my second son. You will get to know and understand how his birth changed my life forever...
Be on the lookout...Until next time...
Peace and blessings!
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Peace and Blessings all!!