As of 2025, public and private insurance policies for doula support vary significantly by state. While some states fund full service pre- and post- pregnancy, others—even those with widespread, public coverage—may only support one or two, post-partum visits. The solution to expansive, informed care is building a network of doulas for communities, from communities alongside major advances in insurance coverage. Recieving support from doulas should not be a luxury, nor a service which requires payment out-of-pocket. Eventually, we hope for comprehensive insurance coverage of all doula services, including and beyond childbirth.
N/A
N/A
Medicaid:
Maximum Reimbursement Rate:
$781.32 per diem, plus $16.28/15 minutes
Services Covered:
No minimum or maximum number of visits specified; labor and delivery
Coverage in Progress: 2025 Healthy Moms, Healthy Babies Act
Medicaid:
Maximum Reimbursement Rate:
Up to $3,153 for a vaginal delivery or $3,263 for cesarean birth
Services Covered:
11 total visits (initial visit, 8 follow-up visits, and 2 optional extended postpartum visits) and labor and delivery
Known Insurers:
Anthem BCBS California (Elevance Health, Commercial)
Health Net California (Medicaid, Commercial)
Health Plan of San Mateo California (Medicaid)
LA Care (Medicaid, Commercial)
Positive Healthcare (Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$1500
Services Covered:
3 hours of prenatal care, 3 hours of postpartum care, and labor and delivery
Known Insurers:
Anthem BCBS Colorado (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
$1500
Services Covered:
3 hours of prenatal care, 3 hours of postpartum care, and labor and delivery
Known Insurers:
Anthem BCBS Colorado (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
Not publicly available
Services Covered:
6 total visits (3 prenatal, 3 postpartum) and labor and delivery
Known Insurers:
Anthem BCBS Connecticut (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
$1,951
Services Covered:
12 total visits and labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$450-$1,110
Services Covered:
Plans negotiate rates and services
Known Insurers:
Aetna Better Health of Florida (CVSH, Medicaid)
Community Care Plan (Medicaid)
Humana Healthy Horizons (Humana, Medicaid)
Molina Healthcare of Florida (Molina, Medicaid)
Simply Health Florida (Elevance Health, Medicaid)
Sunshine Health (Centene, Medicaid)
UHC Community Plan (UnitedHealthcare, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$1500
Services Covered:
3 hours of prenatal care, 3 hours of postpartum care, and labor and delivery
Known Insurers:
Anthem BCBS Georgia (Elevance Health, Commercial)
N/A
N/A
Medicaid:
Maximum Reimbursement Rate:
Not publicly available
Services Covered:
Not publicly available
Known Insurers:
Anthem BCBS Indiana (Elevance Health, Commercial)
Known Insurers:
Iowa Total Care (Centene, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$1,295
Services Covered:
7 hours of prenatal care, 6.25 hours of postpartum care, and labor and delivery
Known Insurers:
Anthem BCBS Kentucky (Elevance Health, Commercial)
UHC Community Plan (UnitedHealthcare, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$1015
Services Covered:
5 prenatal and 3 postpartum visits, plus labor and delivery (both vaginal and cesarean)
Private Insurance
Louisiana law requires state-regulated private health insurance plans to provide coverage for doula care up to $1500 per pregnancy
Known Insurers:
Anthem BCBS Maine (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
$930
Services Covered:
8 total visits (prenatal and postpartum) and labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$1,700
Services Covered:
Between 5 and 8 total visits (depending on length of visit) and labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$1,150 (2023 value—may have increased, but not publicly available as of April 2026)
Services Covered:
6 total visits and labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$3,200
Services Covered:
18 total visits and labor and delivery
N/A
Medicaid:
Maximum Reimbursement Rate:
$1,600
Services Covered:
6 total visits and labor and delivery
Known Insurers:
Anthem BCBS Missouri (Elevance Health, Commercial)
Healthy Blue (Elevance Health, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$1500
Services Covered:
3 hours of prenatal care, 3 hours of postpartum care, and labor and delivery
Known Insurers:
Anthem BCBS Georgia (Elevance Health, Commercial)
Coverage in Progress: Legislative Bill 701
Medicaid:
Maximum Reimbursement Rate:
$1,500-$1,650; rates vary based on location
Services Covered:
6 total visits and labor and delivery
Known Insurers:
Anthem BCBS Nevada (Elevance Health, Commercial)
Anthem Community Care (Elevance Health, Medicaid)
Known Insurers:
Anthem BCBS New Hampshire (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
$1,065-$1,441
Services Covered:
12 total visits for patients age 19 and under or 8 total visits for patients over age 19, plus labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$110 per individual visit
Services Covered:
9 total, 2-hour visits
Medicaid:
Maximum Reimbursement Rate:
$1,350-$1,500; rates vary based on location
Services Covered:
8 total visits and labor and delivery
Known Insurers:
Anthem BCBS New York (Elevance Health, Commercial)
Known Insurers:
UHC Community Plan (UnitedHealthcare, Medicaid)
N/A
Known Insurers:
Anthem BCBS Ohio (Elevance Health, Commercial)
Medicaid:
Maximum Reimbursement Rate:
$1,044
Services Covered:
8 total visits and labor and delivery
Medicaid:
Maximum Reimbursement Rate:
$1,505
Services Covered:
A minimum of 2 prenatal visits, 2 required postpartum visits, and labor and delivery
Known Insurers:
Amerihealth Caritas Pennsylvania (Independence Health Group, Medicaid)
WellSpan Health (Commercial)
Medicaid:
Maximum Reimbursement Rate:
$1,500
Services Covered:
3 prenatal visits, 3 postpartum visits, and labor and delivery
Coverage in progress: Bill 3108
Medicaid:
Maximum Reimbursement Rate:
$600 per diem, plus $16.87/15 minutes. Limited to $1,800 per recipient in an 18 month period
Services Covered:
Labor and delivery, plus prenatal and postpartum care
N/A
Known Insurers:
UHC Community Plan (UnitedHealthcare, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$834.28 per diem, plus $11.59/15 minutes
Services Covered:
Up to 240 minutes prenatal and 180 minutes postpartum care per pregnancy, including telehealth. Labor and delivery covered
Pending coverage: Act 50, section 6
Medicaid:
Maximum Reimbursement Rate:
$959
Services Covered:
8 total visits and labor and delivery
Known Insurers:
Anthem HealthKeepers Plus (Elevance Health, Medicaid)
Medicaid:
Maximum Reimbursement Rate:
$3,500
Services Covered:
1 prenatal visit, 20 hours for additional prenatal and postpartum visits, labor and delivery
Known Insurers:
Washington Apple Health (Medicaid)
Pending coverage: Senate Bill 470
Known Insurers:
Anthem BCBS Wisconsin (Elevance Health, Commercial)
UHC Community Plan (UnitedHealthcare, Medicaid)
N/A
All, D. 4. (2026). Doulas 4 All. Doulas 4 All. https://doulas4all.org/
Chen, A. (2021). Doula Medicaid Project. National Health Law Program. https://healthlaw.org/doulamedicaidproject/
FAQ | The Doula Network. (2017). The Doula Network. https://www.thedoulanetwork.com/faq?questionId=a036e2ca-90a7-4cd1-98a0-28ecaec4485a&appDefId=14c92d28-031e-7910-c9a8-a670011e062d
Goldstein, A. (2024, April 16). More doulas are needed in California’s health workforce. California Health Care Foundation. https://www.chcf.org/resource/more-doulas-needed-californias-health-workforce/
Herbert, K. (2025, April 21). Private insurance coverage of doula care: Spring 2025 State of the States. National Health Law Program. https://healthlaw.org/private-insurance-coverage-of-doula-care-spring-2024-state-of-the-states/
New Apple Health birth doula benefit. (2025). Washington State Health Care Authority. https://www.hca.wa.gov/about-hca/news/news-release/new-apple-health-birth-doula-benefit
SD Medicaid reimbursement overview. (2025, January 16). South Dakota Doulas. https://sddoulas.org/sd-medicaid-reimbursement-overview/