Some private medical insurance companies do provide a rebate for doula services. Each woman needs to ask their insurers about this and refer them to the doula register so they can see the benefits for themselves. Doulas need to encourage women to write letters to their insurers outlining the benefits of having a doula as it does save the insurers a lot of money. For instance, women who hire a doula have less postpartum depression, less illness, less time in hospital and improved birth outcomes. This all means that the insurers save money. In the near future insurers will probably be paying a large portion of the doulas fee..as soon as they see the benefit.