Oregon is the only state in the nation that reimburses doula services through the state Medicaid system/Oregon Health Plan. At this time, doula services have to be provided through a Coordinated Care Organization in order to qualify.
While doulas are non-medical providers without specific insurance billing codes, some private pay insurance companies also reimburse for all or part of doulas services depending on the insurance provider and individual plan.
We hope that private pay insurance coverage becomes standard for doula services in the future, but in the meantime families can use their Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to pay for a Birth First Doula.