CommercialCoverageMedium impact
24-1270 New: Doula Services Offered to Commercial Plans Starting January 1, 2025
Health Net·CA · OB-GYN, Family Medicine·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Health Net will begin covering doula services for Commercial plan members starting January 1, 2025. This new benefit includes prenatal, labor/delivery, and postpartum support services with specific visit limitations and coverage criteria.
Action Required
Before January 1, 2025: Billing team must identify appropriate billing codes for doula services and update system to recognize these as covered services for Health Net Commercial (HMO, POS, PPO) plans. Providers should inform pregnant patients about this new benefit and coordinate referrals to doula services through Health Net Provider Services. Update patient education materials to include doula service availability.