Doula Reimbursement

I was about 32 weeks pregnant with Hope when I thought about hiring a doula. Knowing friends who had used them, I thought it might be something I would benefit from, especially because I wanted to have a med-free birth. I emailed Charlie Rae Young, a doula that Jenny had used during her pregnancy with Noah. We met a few times before my due date and she was always available via phone or text if I had any questions. When I called my insurance company to inquire about coverage, their answer was short and to the point - "Sorry, but your insurance doesn't cover doulas. Even though I was going to pay $800 out of pocket, it was an experience I definitely didn't want to pass up. (for anyone wondering, that money covered two pre-natal home visits, the entire birth, a post partum home visit, lactation support and constant availability via text/email/phone).

I briefly wrote about how amazing it was to have a Charlie present at the birth of Hope. If anyone is on the fence or questioning having a doula for their birth experience, I say do it! You can never have too much support while you're in labor.

In January, I decided to write a letter to my insurance company, requesting reimbursement for my doula, or "labor support services." Even though I had been turned down over the phone, Charlie said it wouldn't hurt to send a letter. I mean, really, the worst they could say was no - and I'd already heard that.

Below is the letter I sent (certain areas blocked out for privacy):

(Name/Address/Phone)
DOB: x/xx/xx
(Insurance ID & Account Number)
Date of Delivery: November 15, 2012

January 8, 2013

With the labor support of Charlie Rae Young, DOULA, CLC, SM, I was able to forgo medical pain management and avoid other interventions that are costly to (insurance company), including a cesarean birth, during my recent vaginal birth at Florida Hospital.

The following were charged to (insurance company) during the birth of my first daughter on 11/15/10:

Vacuum Extract/Forceps: $197.00
Vacuum Mityvac: $126.83
Hi Risk Care per hour: $552.00 (8 hours)
Urinary Cath Ins-Foley: $202.00 (2)
OB Epidural Service: $506.00
Urinary Cath Ins-ST CA: $101.00
Daily Bed Service: $1508.00 (quicker recovery, so stayed one less night this time)

This is a savings total to (insurance company) of at least $3192.83, plus the cost of pain medication, as I used much less during the recovery period this time around. The cost of my labor support was $800.00, in which I am requesting reimbursement.

Please feel free to call with any questions.

Sincerely,
Sarah

I mailed it off, crossed my fingers, and waited to hear back. Four weeks later, I opened up my mailbox to see this:

 

I went screaming into the house, I was so excited. Progress! And my total out of pocket expenses? $230. Not bad. 

Feel free to use the above letter to start drafting a letter to YOUR insurance company. If more companies were willing to cover labor support, I'd like to think we'd be on our way to less inductions, c-sections and an all around happier birthing experience for all women. Good luck!

(*Update - I also included an itemized invoice from Charlie along with my letter - something most doulas should provide.)