Birth Doula Benefit for Kaiser Permanente PEBB members

Starting January 1, 2025, Kaiser Permanente will cover Doula services for eligible members enrolled in medical benefits through the Public Employees Benefit Board (PEBB).

What’s Covered?

• Up to eight (8) visits during pregnancy and postpartum (after delivery).
• Inpatient hospital services provided by a Doula.

Plan Benefits

*This benefit summary does not fully describe your benefit coverage with Kaiser Foundation Health Plan of the Northwest. In the case of a conflict between this summary and the Evidence of Coverage (EOC), the EOC will prevail.

Costs should be discussed with your Doula, including if they will bill you for any balance owed above what your plan benefit covers. You may be responsible for any charges above the payment amounts below:

• Pre-natal and post-natal visits: $215 per visit (up to 8 visits).
• Birth and Delivery support: $645.

How to choose a Doula?

You may select any Doula provider of your choosing with a valid National Provider Identifier (NPI) and Tax Identification Number (TIN). Selecting a Doula can be a personal and important decision. Here are some simple steps to help you through the process:

1. Research: Start by looking for Doulas in your area. Use online directories, local birthing centers, or recommendations from friends or healthcare providers.
2. Interview Doulas: Set up interviews with a few Doulas. Prepare questions about their experience, philosophy, and approach to birth.
3. Check Credentials and reviews: Look at the Doula’s profile, certifications and read reviews from other families. Some Doulas may be state certified or designated as a Traditional Health Worker. Most or all Doulas will have completed a rigorous Doula training program.
4. Evaluate your needs: Determine what type of Doula you need (birth Doula, postpartum Doula, etc.) and what specific services you’re looking for.
5. Review Fees: Discuss costs upfront. Understand what is included in their services.
6. Check Availability: Confirm that the Doula is available around your due date and understands your birth plan.
7. Make Your Decision: After considering all factors, choose the Doula who best fits your needs. Once selected, stay in touch and communicate your preferences and any concerns throughout your pregnancy.

Following these steps can help ensure you find a Doula who supports your birth experience effectively!

We’re here to help if you have more questions:

1-800-213-2000 (TTY 711), Monday through Friday, 8.a.m to 6.p.m.