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Kaiser plans to add doula coverage, lift post‑mastectomy bra limit and expand transport coverage
Summary
Kaiser plan proposals for 2027 include a birth‑doula benefit (one doula at delivery plus four visits), a $1,000 per‑case limit in some products for 2027, removal of a prior limit on post‑mastectomy bras and expanded non‑emergency post‑discharge transportation when ordered by a network provider.
Board presenters said Kaiser Foundation Health Plan offerings will add a doula benefit and remove a low‑utilization prior authorization limit for post‑mastectomy bras. Christine Davis described the NW/Washington Kaiser slides and said the change to post‑mastectomy prosthetic garment limits followed utilization review showing a very low denial rate.
On the doula benefit, Davis said the initial launch is conservative for 2027 in some products: “it’s limited to $1,000 per case” in certain Kaiser Washington options and requires use of a contracted or licensed doula in the carrier network where applicable. Staff urged the board to consider that implementation details differ by carrier and may be revisited in future years.
