Wednesday Wow: Paying Your Doula

 

Would you love to hire a Doula but you honestly can’t afford one? Fear not! Your Health Insurance may cover it!

Whether your pregnancy was meticulously planned, medically coaxed, or happened by surprise, one thing is certain – your life will never be the same.
– Catherine Jones

So you’re having a baby huh? Congrats! Things are about to be change in a beautiful way! 

Grab a bowl of oatmeal and relax. I did it 9 times, you’ll be okay.

 

I love being a Charlotte doula. I not only help couples before conception, but I also get to help them  during and after delivery. (Check out my Facebook page)

Doulancharlotte

I love attending births.  I love how it makes me feel.  I love how it makes the mom feel.  I love making a difference in other peoples’ lives.

Charlotte has a great selection of professional doulas, and I am proud to be among some of the best in the business. IF I COULD DO IT FOR FREE I WOULD. But I can’t. Aside from the cost of education, books, workshops, continued education, and advertising (website, cards, brochures), we also take into consideration the time that it takes for all of these as well as out of pocket expenses.

In the grand scheme of things, you’re paying for an invaluable service during your pregnancy, labor, and birth. The difference a doula can make during this time is often priceless. The least that can be done is pay her asking fee.  If you need help with that, look no further than your maternity Insurance. (See My Webpage)

www.http://thepinkgrasshopperbirth.webs.com/

As a doula, one of the first questions I’m asked is, will my HMA pay for your services?  Here’s the short answer:

Expenses paid for a doula who’s primary purpose is for delivery of the infant are reimbursable. Charges where the primary purpose is child care after delivery are not covered. An explanation of the primary purpose should accompany the claim.

The following is a partial list of insurance companies have reimbursed in whole or in part for doula services:
Aetna Healthcare

AltPro

Baylor Health Care System/WEB TPA

Blue Cross/Blue Shield

Blue Cross/ Blue Shield PPO

Cigna

Degussa, a German Chemical Company

Elmcare, LLC, C/O North American Medical Management

Foundation for Medical Care

Fortis Insurance

Glencare Managed Health Inc.

Great-West Life & Annuity Ins. Co.

HNTB (Peoria, IL)

Houston New England Financial, Employee Benefits (Fort Scott, KS)

Humana Employers Health

Lutheran General Physician’s Organization

Maritime Life

Medical Mutual

Oschner HMO, Louisiana

Professional Benefits Administrators

Prudential Healthcare

Qualchoice

Summit Management Services, Inc

Travelers

United HealthCare of Georgia (San Antonio, TX)

United Health POS

Wausau Benefits, Inc

 

Note: I would ask the doula for her NPI (National Provider Number It may or may not be an issue. Find out before hiring her. or it may be coming completely out of your pockets.

~~~~ON NEXT Monday, I’ll tell you the procedure to filing your doula fees~~~~

HSA qualifications vary; including Medicad. For some insurance companies may want you to identify as an out of network licensed healthcare provider and may make it easier to get reimbursement to your clients.  Depends on the insurance company and the state insurance laws.

I tell my clients to get their OBGYN to write them a prescription for me (a doula) One day Blue Cross Blue Shield called me directly just to ask if I was a doula in their network  and I was so proud to say, “Not yet but I am a certified doula .”  (Via my  numerous clients birth records and doula registration receipts) But they didn’t ask for them . So far, getting paid has never been an issue for me. My clients are instructed to submit receipts through their health insurance coverage, not a flex spending.

Feel free to check out my Pintrest board on ‘Pregnancy’. It’s the rated board for doulas! I’m sure you’ll find great information there.

If this hasn’t helped, just go to your HSA . They should have a third party administrator who can answer this for you.

Here are some beautiful quotes on pregnancy. Click here!

A letter to my mamas, from your doula

Dear Mama –

Thank for allowing me to server you and your family. I was your doula and I’ve always thought that, if I did my job well, then you would only remember how amazing YOU were when it was time to birth your baby.

Birth is hard work and I hate how our culture presents it as a nice, tidy little inconvenience.

But you went against that cultural norm and chose to birth your baby with the help of a midwife, with all of the pain, bodily fluids, doubt, and triumph that come along with choosing that path.

You were beautiful. I know, I know … you hadn’t showered for two days and you threw up six times … but when you got to 8cm, there was a beautiful glow in your cheeks. … and beads of sweat on your lip.  I put a cool washcloth on your forehead, knowing that you were near holding your baby, knowing that there might still be a ton of work to do, and knowing that every moment would be worth it for you.

You frantically looked around and gasped “I can’t do this anymore.”

And I looked you in the eye and said, “You can do this. You are doing this. Don’t be afraid!”

And you believed me, as well you should have, because I was telling you the truth.

I knew the baby would be moving down with these powerful contractions as your cervix melted away.  And I told you “You’ll feel a lot of pressure, like you have to poop a bowling ball.”  And then, when that happened (the pressure, not the bowling ball!), you had a brief moment when the recognition of “Oh! This is what she was talking about!” passed over your face as the contraction faded away.

I didn’t tell you to push because your body knew damn good and well when it was time to move your baby from your womb to the outside world. And a few contractions (or maybe a few hours) after you’d been pushing, you said, “I think I’m pushing.”  “I know,” I said, “Just keep doing what you’re doing. It’s perfect.” If you were a mama who I did actually tell to push, know that there was a good reason for that.

You may have been in the water, or you may have been on the toilet, you may have been on your hands and knees, or the birth stool, or on your side, or standing up, or flat on your back.  If I look in my birth log at the day of your birth, I’ll remember which of these positions you were in and I’ll remember if it was because I asked you to get in that position or because that is where you instinctively went.

It matters to me where you were when your baby was born.

I remember that moment when we could clearly see the head. I love that your baby’s daddy thought that the top of the baby’s head, when we could see about three inches of it in diameter, was the whole head … and that as the rest of the head emerged his eyes were filled with tears and big as saucers. I remember after your baby’s head was born whether or not your baby turned to the left or to the right. I remember if your baby didn’t turn and I helped straighten the shoulders. I remember your baby coming fully into the world and the look on your face … I remember that in that moment, you became a mama – whether it was for the first time or the ninth time – relief and joy and sweat and sometimes tears intermingled.

I remember if I missed your birth, I remember if I was there three minutes or three days. I remember if we went to the hospital. Believe me when I tell you that I remember all of it.

I handed your baby up to you and just stepped back, always keeping an eye on the two of you. I tried to keep my mouth shut and let you discover your new little person on your own. I’m sorry if I chatted too much.  I sometimes am just so proud of mamas that I can’t contain myself. But I try hard to honor your space and the sacred-ness of new life.

I remember what your immediate postpartum was like, too. Really, I do. I talked to you about how babies process things about six times slower than we do and urged you to keep that in mind as you loved on your baby. And after a few hours, I tucked you into bed and went on my way.

You were beautiful and strong and tired and, I hope, proud.

I got to see you many times over the next six weeks. And after that last appointment, I got in my car and cried. I was so proud of you and so honored to have gotten to be a part of your life that I cried tears of joy, knowing that I may never see you or your precious baby again … but, for these brief months, I hope that I was all that you needed and dreamed of because YOU were all that I dreamed.

And my prayer for you as I drove away that day, “Oh Lord, please help her to remember that she CAN do it, that she IS doing it. Please help her to always remember that her doula said, “I was made for this”

Because I’m a doula, I revised it from the original version from Carrie Blake, CPM, LM