Doula Services

Doulas give emotional and physical support during pregnancy, childbirth and after the end of a pregnancy. Doulas can meet with you in-person and online.

Doula services are available during:

  • Pregnancy.
  • Birth (including still birth).
  • Abortion.
  • Miscarriage (pregnancy loss).

Doula services are covered for HPSM Medi-Cal, CareAdvantage and HealthWorx (HMO) members at no cost.

For doula services to be covered, the doula must be in HPSM's Provider Directory. Check the Provider Directory for the list of doulas you can choose from.

Covered doula services

Doula services are covered during pregnancy and up to one year after the end of a pregnancy.

Doulas can perform different roles:

  • Prenatal (before birth) doulas can help you make a birth plan and give emotional support, like listening and encouragement. They can also support pregnant people on bed rest to prevent early birth and help with household tasks and childcare.
  • Birth doulas help reduce stress and anxiety among birthing people. They give continuous care during labor and delivery.
  • Health Navigators help find healthcare services and other local resources.
  • Postpartum (after birth) doulas support the birthing parent and create opportunities for rest and healing. They also support families' transition into their new roles by helping take care of and feed the baby, as well as some household tasks. 
  • Pregnancy loss doulas support families that have experienced pregnancy loss due to termination, stillbirth, or miscarriage.
  • Abortion doulas support pregnant people choosing to end a pregnancy.

Doula services are covered for the following visits:

  • The first visit.
  • A combination of eight total prenatal and postpartum visits.
  • Support during labor and delivery (including labor resulting in stillbirth or miscarriage).
  • Up to two extended postpartum visits (maximum three hours each) after the end of a pregnancy.
  • Support during and after abortion services.

If more care is needed after birth, up to nine more postpartum visits by a doula may be covered with a recommendation from an Obstetric (OB) provider or Primary Care Provider (PCP).

Doula services NOT covered

  • Belly binding (traditional/ceremonial)
  • Birthing ceremonies (e.g., sealing, closing the bones, etc.)
  • Diagnosing a medical condition
  • Group classes on carrying your baby
  • Massage
  • Photos
  • Giving medical advice
  • Making pills from the placenta
  • Shopping
  • Vaginal steams
  • Yoga
  • Any type of health assessment, exam, or procedure

How to get Doula services

  1. Look in the Provider Directory for Doulas in HPSM’s provider Network
  2. Make your first doula appointment.

For other questions, call one of HPSM’s Customer Support teams:

CareAdvantage members

Call 1-866-880-0606 or 650-616-2174 Monday–Sunday 8:00 a.m. to 8:00 p.m.

TTY: 1-800-735-2929 or dial 7-1-1

Email: CareAdvantageSupport@hpsm.org

Medi-Cal and HealthWorx members

Call 1-800-750-4776 or 650-616-2133 Monday–Friday 8:00 a.m. to 6:00 p.m.

TTY: 1-800-735-2929 or dial 7-1-1

Email: MemberServicesSupport@hpsm.org

Frequently asked questions

Doulas can meet you online and in-person at locations, such as your:

  • home
  • hospital
  • birth center
  • medical center
  • and more.

No. Your doula must have a contract with HPSM for your services to be covered. Visit HPSM’s Provider Directory for a list of contracted doulas.

All doulas listed in the Provider Directory work with HPSM members in San Mateo County. The address listed can refer to the agency the doula works with. Let your doula know where you prefer to have your visits.

Yes. Members can use more than one doula. For example, one doula can provide services during pregnancy and another doula can provide services after birth. However, services during labor, miscarriage or abortion can only by given by one doula.

Yes. Let your doula know your preferred language and they can arrange an interpreter during your visit. Learn more about HPSM’s Language Assistance Services.

Yes. If it has been less than one year since your most recent pregnancy, you can still get doula services. You are covered for doula services for up to one year after the end of a pregnancy.