Birth doula benefit
If you’re considering working with a birth doula, your Moda Health medical plan covers birth doula services for eligible OEBB members.
What's covered
If you’re considering working with a birth doula, your Moda Health medical plan covers birth doula services for eligible OEBB members.
OEBB members can have prenatal, labor, and postpartum support services provided by a Doula that is certified and registered with the Oregon Health Authority (OHA) covered at no cost up to a maximum dollar amount of $3,760 per plan year. Members may be responsible for any charges above that amount.
Birth and Delivery support are reimbursed at $645. Maternity services are usually billed as a global charge. This is a lump sum charge for maternity care that includes prenatal care, labor and delivery, and post-delivery care. It is suggested that you discuss pricing with your Doula.
More about doulas
A doula is a member of the care team that provides non-medical support to birthing parents and families throughout the stages of pregnancy, childbirth, and post-partum. Having additional emotional, physical, and educational support gives birthing parents a chance to have a safe, memorable and more empowered birth experience.
How doulas can support you
Prenatal visits
- Discussing birth preferences
- Providing evidence-based information
- Demonstrating labor positions
- Practicing coping techniques
During labor
- Comfort measures such as breathing and position changes
- Pain management
- Emotional support
After the baby arrives
- Non-medical newborn care
- Infant feeding education
- Emotional support
- Light household tasks
The benefits of working with a doula
No matter your age, location, experience or support system, there are many advantages of using a doula. Positive birth outcomes for both parent and infant may include:
- Reducing the need for cesarean birth
- Shortening the length of labor
- Decreasing the need for medical interventions like medication or invasive procedures
- Improving communication with your medical team prior, during or after your pregnancy
- Advocating for your choices during the birthing process
Choosing a doula
Selecting a doula is a highly personal decision. Consider compatibility, comfort level, and any specialized skills you are seeking during and after your pregnancy.
Here are some tips to help you select a doula:
- Compile a list of priorities and concerns about your pregnancy and birth.
- Set up an interview and ask about things like availability, how they handle conflict with medical providers, or what type of support they provide.
- Afterwards, ask yourself: Does this person make me feel heard and supported? Can I spend long hours with them? Do they understand and respect my priorities?
Find a covered doula
To be eligible for coverage, doulas must be state certified as a Traditional Health Worker Doula and enrolled with the Oregon Health Authority (OHA) as an Oregon Medicaid provider (OHP) with an Oregon Medicaid ID.
- Visit the Traditional Healthworker Registry
- Under Certification Type, select Birth Doula from the drop-down menu
- Meet with the doula to go over your priorities and questions
- Ask the doula if they are DMAP-registered
Questions? We're here to help.
For questions, call the Moda 360 Health Navigator team at 866-923-0409 or email OEBBquestions@modahealth.com.