top of page

Getting The Best Coverage

If you reviewed the "breakdown", you know the visits are 8-1 or 12-1. Most families do not need 3 or 4 visits during the prenatal stage. However, the visits can be altered to accommodate a families need.


How do I breakdown the visits? To make it easier I package Medicaid visits a certain way and explain to families why. I use more visits in the postpartum stage as I often get families who need more help after baby than before baby is born. Here is my breakdown:


Standard Care

  • Consultation (45 minutes) - this is billed once a family books me.

  • 1st prenatal (1 hour 30 minutes) - review birth plan, postpartum plan and other important information.

  • 2nd prenatal (1 hour) - verbal childbirth education; other half sent via email prior to visit to review and discuss.

  • 3rd prenatal (30 minutes - not billed) - in home visit for assessment and or to meet other family members.

  • Labor/Delivery attendance

  • 1st postpartum (within 24 - 48 hours after discharge, or in-home birth)

  • 2nd, 3rd and 4th are scheduled depending on the family needs.


Enhanced Care (aged 19 or younger)

  • Consultation (45 minutes) - this is billed once a family books me.

  • 1st prenatal (1 hour 30 minutes) - review birth plan, postpartum plan and other important information.

  • 2nd prenatal (1 hour) - verbal childbirth education; other half sent via email prior to visit to review and discuss.

  • 3rd prenatal (30 minutes - not billed) - in home visit for assessment and or to meet other family members.

  • Labor/Delivery attendance

  • 1st postpartum (within 24 - 48 hours after discharge, or in-home birth)

  • 2nd, 3rd, 4th, 5th and 6th are scheduled depending on the family needs.


If a birthing person is high-risk, I will try to advocate and bill for enhanced care to allow for an additional postpartum visit. If the birthing person is high-risk this must be medically documented by a licensed professional in order to support the reason for enhanced care.

Recent Posts

See All

Other Payment Options

If you do not have Medicaid, general health insurance or can't be reimbursed under an insurance benefit for doula care - $cash is always an option. Cash payments can be done in full or under a payment

Insurance Coverage (Non-Medicaid)

As of now and to my knowledge the only health insurance company also known as MCO's (managed care organization) that has doula coverage is Horizon Blue Cross Blue Sheild. Please do not get this confus

Medicaid Breakdown (Visits & Payments)

For the most part, the details below are how states list the coverage for Medicaid recipients: Two levels of doula care have been approved for Medicaid reimbursement, (1) standard care, and (2) enhanc

Comments

Rated 0 out of 5 stars.
No ratings yet

Add a rating
bottom of page