Although the care that doulas provide is non-medical, it does have medical and financial benefits. Many hospitals are recognizing that factor and some insurance companies are beginning to reimburse parents for doula services. Medicaid funds are sometimes allocated for doula services by some county agencies and private foundations have also provided grants to cover the cost of doula care.
Parents in the United States may have a flex-spending account in which a percentage of their wages are placed in a pre-tax account that can be used for non-covered medical expenses. Hospitals and individual physicians who directly employ doulas may also bill for doula services.