Currently, approximately 30 health insurance carriers provide for partial or complete third-party reimbursement for doula services as an out-of network care provider. In October of 2009, the insurance industry issued the appropriate codes and care provider identification numbers to facilitate the processing and approval of a doula client’s claims for reimbursement for doula services.
Birthing Hands is willing to help its clients receive reimbursement for the costs paid for doula services. We have developed the appropriate invoice, health care provider insurance claim form, and accompanying cover letter which will be sent to you within 10 working days following receipt of final payment and the completion of our services.
Please be advised that as with all out-of-network care providers, it is the responsibility of the client to pay for doula services and then seek reimbursement from her health insurance carrier.
If you intend to pursue reimbursement for Birthing Hands doula services, you must:
Pay for your doula services in full;
Complete your health insurance carrier's insurance reimbursement form; and
Submit the following to your insurance carrier:
Insurance reimbursement form;
Letter from Birthing Hands; and
Birthing Hands receipt, detailing the services provided
If you receive a letter denying the claim, resubmit the same information for a secondary review by your health insurance provider and copy the information to the insurance company's chief executive officer (CEO) explaining why you feel this service should be covered.
Reimbursement with a Flexible Spending Account (FSA)
The Federal Flexible Spending Account (FSA) is designed to reimburse you for medical and pharmaceutical costs not covered by traditional health insurance carriers. Recently, the Federal Flexible Spending Plan has disallowed reimbursement for birth doula fees, breastfeeding class fees and rental fees for breast pumps. However, it is still possible to receive reimbursement for midwife birth assistant and childbirth education fees.
Birthing Hands is willing to help its clients receive reimbursement for the costs paid for midwife birth assistant services and childbirth education services. We have developed the appropriate invoice and description of services which can be sent to you within 10 working days following receipt of final payment and the completion of our services. You may file a FSA reimbursement request for the cost of midwife birth assistant services and childbirth education services. Please include with your request a copy of your Birthing Hands invoice which includes a scope of services description.
