Birth Doula Blog
On January 1, 2022, Tricare debuted their Childbirth and Breastfeeding Support Demonstration which will run until December 31, 2026. This demonstration seeks to study the impact birth doulas and lactation counselors/consultants have on the services of cost, quality of care, and maternal and fetal outcomes for the Tricare population.
In order to get reimbursed for doula services, you must:
•Be at least 20 weeks pregnant upon your first prenatal visit
•Be enrolled in Tricare Prime or Tricare Select
•If you have Tricare Prime, obtain a referral from your PCM to see a provider for the management of your pregnancy AND for doula services
•Choose prenatal care with a Tricare-authorized OB/GYN or a Certified Nurse Midwife (CNM)
•Choose in-person labor support. Prenatal and postpartum visits may be in-person or virtual
•Use Tricare as your primary insurance
Sometimes the amount of info out there regarding VBAC can be overwhelming, confusing, and at times plain false! It can be tricky navigating through all that noise, so I've narrowed it down for you. Read on to learn how YOU can stay informed and in control of your care.
Your provider is a key person in the success of your VBAC and it's very important to find someone who is supportive, not just tolerant. Remember that yes, no one can legally force you to have a C-section nor deny you care even if the hospital has a VBAC ban, but it's also important to know ahead of time if your hospital has the tools and staff to support a true C-section emergency. You really can't force a hospital to treat you if they don't have the means. And if your provider is suggesting a repeat C-section, don't dismiss the advice so quickly. Really talk to them about their concerns to find solutions and compromises. Sometimes having a repeat C-section is truly medically necessary and your best option.
Next time you see your provider ask:
•How long will you allow me to remain pregnant? Why do you prefer that date?
•Will we attempt an induction? Which methods will be used?
•How will I be monitored during labor?
•How do you feel about me laboring as long as possible as long baby and I are doing well?
•At what point during labor will a C-section be needed?
Also, ask yourself: