July 25, 2016
Many people want to know if doula fees are covered by insurance. To date, insurance doesn't specifically cover birth, postpartum doula, or childbirth education fees, but some insurance plans may reimburse all or part of what you have paid for those services. Here are the steps you can take to see if your particular insurance will reimburse you:
It is important for you to know that doulas are not permitted to use CPT or diagnostic codes. Only your healthcare provider can use these special codes.
If your insurance provider denies your claim, or requests more information, you can request from your doula and submit to your insurance a:
You can also try requesting and submitting a:
If your insurance provider again denies your claim, you can write a letter to the attention of your insurance company's Health Services. In it you can:
You can also call your insurance company and speak with someone live, requesting to speak with a manager or head of services.
Finally, you can appeal in writing to the CEO of your insurance company.
At Tender Beginnings, we are happy to work with any of our clients in the greater Cincinnati and Dayton area to try to receive full or partial reimbursement from insurance. We would love to hear if you or someone you know has any success in getting reimbursement for any fees you have paid for doula services!