Reimbursement for Doula Services
The word is out...
The word is out and more and more people are recognizing the benefits of having a doula! Research has shown that hiring a labor doula decreases overall labor time. As a result, many health insurances are offering insurance reimbursement which makes doula services more accessible to ALL women. The process is long and tedious but it is more than ever possible to get reimbursed. Call your insurance company as soon as possible to let them know your plans. Some insurance companies have reimbursed in whole or in part for doula services.
Request Reimbursement for Doula Services:
1. Pay your doula (Peake Women's Wellness) in full.
2. Get an invoice from her which includes the following information:
a. The doula's name and address
b. Her social security number, taxpayer ID or NPI number
c. The date and location services were provided
d. The CPT code for the services provided (99499 for Labor Doula)
e. A diagnosis code
f. The doula's signature
3. Submit the invoice with a claim form to your insurance company.
4. Within 4 weeks, you may receive a letter telling you that either:
a. they need more information before they can process your claim.
b. this is not a covered expense.
5. Ask your doula to send you the following:
a. a copy of her certification document
b. other credentials or relevant training
c. a letter detailing her training and experience and what she did for you
6. If possible, ask your obstetrician or midwife for a letter explaining why a doula helped you, was necessary, or saved the insurance company money (i.e. Did you have a high-risk pregnancy? Did the doula's suggestions appear to prevent complications or help your labor to progress more quickly? Did the doula's presence decrease your need for expensive pain medications?).
7. Write a letter explaining why you felt the need for a doula and how you believe the doula was beneficial to your health.
8. Submit to your insurance company:
a. the doula's letter and credentials
b. the letter from the doctor
c. your cover letter
9. If they refuse it, write a letter to Health Services requesting that they review the claim, as you feel it was a cost-cutting measure and they should cover the cost.
10. Follow up by telephone if necessary. Be persistent!