This policy outlines the conditions under which the health plan covers doula services as part of maternity and perinatal support. Doula services are recognized as non-clinical, evidence-based support that contributes to improved maternal and neonatal outcomes, lower intervention rates, and increased patient satisfaction.
Definition of Doula Services
Doula services include physical, emotional, and informational support provided Lania (NIA) a certified birth or postpartum doula before, during, and/or after childbirth. Doulas do not provide medical care or clinical procedures.
Covered Services
Eligible doula services under this policy may include:
Prenatal Support (10 visits)
Initial Intake & Needs Assessment
Birth planning & Basic Nutrition Planning
Postpartum planning (2 sessions )
Education and preparation for labor (Include FREE Pregnancy Ball
Physical and emotional support
Labor and Delivery Support
Postpartum Support (up to 1 visits within 4 weeks of delivery) Additional Session available for a fee for a minimum of two 4 hour days
1. Payment for Services
The total fee for doula services is XXXXXwhich covers all scheduled prenatal visits, continuous labor support, and postpartum support (if applicable). This fee is due in full or through an agreed-upon payment plan as outlined below
2. Initial Deposit
A non-refundable deposit of [insert deposit amount or percentage] is required to reserve your doula services and confirm your booking. This deposit will be deducted from the total fee.
The deposit is due upon signing the contract and is required to secure your spot on the doula's calendar.
3. Payment Methods
Payments can be made via cashapp, credit card, PayPal, check, zelle,etc.].
4. Payment Schedule
Deposit: Due upon signing the contract to secure services.
Remaining Balance: The remaining balance of XX(date) at least 30 days before the expected due date.
If paying in installments, payments will be made according to the agreed-upon schedule (e.g., monthly, bi-weekly, etc.), with the final payment due XXX
5. Late Payments
Payments are due on the agreed-upon dates. If a payment is not received by the due date, a late fee of $100 will be applied for every week the payment is overdue.
If payment is not received two weeks after the agreed date, I reserve the right to discontinue services, and the deposit will be forfeited.
6. Refunds & Cancellations
Cancellation by Client:
XXXCancellation by Doula: In the rare case that I am unable to provide services due to illness, emergency, or other unforeseen circumstances, I will refund all payments made, including the deposit, and help you find a suitable replacement doula.
7. Payment Plans (if applicable)
If you are opting for a payment plan, please ensure all payments are made on time as agreed. Failure to make timely payments may result in suspension of services until payments are caught up.
Payments must be completed no later than
8. Receipts & Documentation
9. Additional Charges
10. Emergency Labor SupportXXX
If labor occurs before the scheduled due date, I will make every effort to attend the birth, but an additional fee may apply for short-notice services or if my services need to be provided during off-hours (e.g., late-night/early-morning births).
Agreement and Acknowledgment
By signing this contract, you agree to the payment terms outlined above. This ensures clarity and mutual understanding regarding the financial aspects of our working relationship.