If the doula who provides medical care for the mother or child is a licensed health care professional who renders medical care, then their fees can be reimbursed. However, a health care professional must provide evidence of medical necessity for the cost of a Doula to be an eligible medical expense. Include evidence of medical necessity by providing a Letter of Medical Necessity (LMN) that specifically identifies the recommendation and expense is for treatment of a medical condition with the request for reimbursement.

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How Should We Communicate Changes to Our Company's ERISA Group Health Plan?

How Should We Communicate Changes to Our Company’s ERISA Group Health Plan?

QUESTION: At the beginning of the year, we distributed new SPDs to participants in our company’s ERISA-covered group health plan ...
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