Insurance Coverage for Doula Services in Oregon

Many families in Oregon are turning to doulas for support during pregnancy, birth, and postpartum recovery. But the big question remains—does insurance cover doula services? The good news is that in many cases, yes! Several insurance providers and programs now recognize the value of doula care and offer coverage options.

Oregon Health Plan (OHP) – Medicaid

If you’re covered by the Oregon Health Plan (OHP), you may be eligible for doula services at no extra cost. OHP covers:

  • Four support visits—two prenatal and two postpartum

  • Labor and delivery support

  • In-home, office, or virtual visits

To qualify, you’ll need to work with a certified doula listed in Oregon’s State Traditional Health Worker (THW) Registry.

Kaiser Permanente – PEBB Members

For those enrolled in Kaiser Permanente through the Oregon Public Employees Benefit Board (PEBB), coverage starts January 1, 2025. This benefit includes:

  • Up to eight visits throughout pregnancy and postpartum

  • Labor and birth support in the hospital

  • Zero out-of-pocket costs for covered services

Moda Health – PEBB Members

Like Kaiser, Moda Health will begin covering doula services for PEBB members on January 1, 2025. Members can access:

  • Eight visits during pregnancy and postpartum

  • Labor and delivery support

Moda requires that services be provided by a Traditional Health Worker (THW) Birth Doula registered with the Oregon Health Authority (OHA). While there's no cost-sharing, Moda reimburses up to OHA’s Medicaid rate, meaning additional charges may apply.

Private Insurance Plans

Some private health insurance providers also cover doula services. Plans from Kaiser, Moda, and United Health Care GEHA may include coverage, particularly in the Portland area. Coverage varies, so checking directly with your insurance company is the best way to confirm your benefits.

Using an HSA or FSA for Doula Services

If your insurance doesn’t cover doulas, you can still use Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to pay for these services. The IRS recognizes doula care as a qualified medical expense, making it a tax-advantaged way to invest in birth support.

Employer-Sponsored Doula Benefits

Some companies offer doula benefits through workplace wellness programs like:

  • Carrot Fertility

  • Maven Fertility

  • Stork Club

For example, Microsoft employees can receive up to $1,000 toward doula services. If you're employed, it's worth checking with HR to see if your company offers similar perks.