Your doula must have a NPI (National Provider Identification) number in order for you to apply for a reimbursement. And some doulas offer a sliding fee scale, based on what a woman can afford. Here is the special CPT code: Birth doula (99499) for Evaluation and Management Services/Labor Support. Second, there are differing opinions among doulas as to whether advocacy is part of their role. These methods include: Doulas help manage pain during childbirth by providing emotional assistance as well. That’s where doulas come in. -- Susan Schubert LPN (firstname.lastname@example.org), April 14, 1999 Answers Hey susan, good question!! Now, two organizations that advocate for safer maternity practices are pushing for change. A copy of her certification (if she is certified), b. A: You can call our office at (786) 953-6534and we will be happy to schedule your appointment over the phone. It would benefit women, babies, hospitals and the insurance industry. Did the doula's presence decrease your need for expensive pain medications?). At best, you can anticipate submitting a receipt of services rendered and acquiring a claim of reimbursement in a percentage of services. A: If a procedure such as a Caesarean Section or Epidural is necessary, your doula should be able to provide the same quality of support and comfort with their presence. I’ll also keep you up to date on any and all new studies and info that you should know about. This support has been shown to result in: A: Doulas cover much of the ground that a doctor doesn’t. Washington doulas should be required to complete these trainings in order to receive Medicaid reimbursement. Some doulas charge a flat fee, others charge by the hour. A midwife can do much of what a doula does, except they'll have your medical needs as their main priority. If you want care from a specific provider to support you through pregnancy, such as a preferred doctor, midwife or doula, it’s important to consider which plans cover them in network. If this service were a new technology or a tool, most hospitals would purchase this tool, and insurance companies would encourage hospitals to employ this technology because it is affordable and offers multiple benefits. Make sure all fees and expenses are laid out and agreed upon by both you and the doula. 3.) People are often surprised to hear that you can pay for birth doula care using your Health Savings Account (HSA) or your Flexible Spending Account (FSA). A: A doula's main roles are education regarding childbirth, physical and emotional support, and advocacy. Jan 15, 2016. The common code used for prenatal and labor support is V22.2 “Pregnant State Incidental.” The code used for postpartum support is V24.2 “Routine Postpartum Follow Up.”. The NPI is used in conjunction with the taxonomy code to submit claims forms for reimbursement through third party providers such as Medicaid and other insurance companies. Make sure your HSA or FSA plan covers doulas. I have been approved for an NPI # under the new taxonomy code 374J00000X and is called “Doula” under the heading of “Nursing Service Related Providers Type. One woman wrote that, months after giving birth in a hospital, she would “wake up remembering that lonely labor room and just feeling no one cared what happened to me, no one kind reassuring word was spoken by nurse or doctor. Doula services are usually not covered under insurance benefit plans. Depending on the state you live in, premiums range from $100-200 for one year of coverage. At this time, End of Life Doulas are not covered under medical or private insurance. July 2003. They with each individual family to find what their needs are. While these services are not currently covered by Medicare, it’s worth keeping an eye on potential payer offerings in the future. This is twice as much as just six years before, where a 2006 national survey found only three percent of people used a doula during childbirth. Since doulas are not covered by insurance, these costs are usually paid for out of pocket. A: A doula helps the mother feel a greater sense of personal well-being, confidence, and control before, during, and after labor and delivery.
2020 are doulas covered by insurance