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SERVICE LIST

​​​​Full-scope Medi-Cal is the same complete coverage you have before or after pregnancy. It automatically includes prenatal care, labor and delivery, and post-partum care for a year after pregnancy. Your Private Insurance and Medi-Cal benefits support you, with no out of pocket cost to you or your family. Doulas do not provide clinical tasks or replace the medical staff. 

 

MATRESCENCE 

Medi-Cal & Insurance pregnancy coverage

​The Developmental Transition to Motherhood. A term that describes the physical body, mind, and hormone transition that a woman goes through when she becomes a mother. It encompasses the irreversible changes that take place during pregnancy, childbirth and the postpartum period.

The term highlights that giving birth does not automatically make someone a mother; instead, it is a gradual transformation.

THE ROLE OF A FULL SPECTRUM DOULA 

Medi-Cal & Insurance pregnancy coverage

​Childbirth assistant is a labor support person a birth worker who provide health education, advocacy, and physical, emotional and nonmedical support for pregnant and postpartum persons before, during and immediately after childbirth including support during miscarriage, stillbirth and termination.

THE ROLE OF A POSTPARTUM DOULA 

Medi-Cal & Insurance pregnancy coverage

A non-medical assistant during the delicate postpartum period. Supporting birthing people, other caregivers, help face unexpected challenges.

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THE ROLE OF AN END OF LIFE DOULA [EOLD] 

Medi-Cal & Insurance pregnancy coverage

All other death, payment due at the beginning of services.

A trained end of life doula provides emotional, and practical support to individuals who are preparing for or experiencing end of life.
Helping navigate death with dignity and meaning.

Working alongside health care teams to ensure a person center approach to dying. And opening up conversations about death.

 

END OF LIFE DOULA - PRE VIGIL 

Medi-Cal & Insurance pregnancy coverage

for all other death $198 - initial 90 minutes   

$165 - additional visits​​

The period identified as “Pre-Vigil,” represents the time before the dying person has entered the final days of life, and/or mother with her unborn (neonatal) and for the first year after end of pregnancy. 

END OF LIFE DOULA - THE VIGIL 

Medi-Cal & Insurance pregnancy coverage

for all other death $795 - active dying 

The second period, called “The Vigil,” occurs when the dying person is actively dying; Mother laboring period.

​​​END OF LIFE DOULA - POST VIGIL  

Medi-Cal & Insurance pregnancy coverage

for all other death $165 - after death care

The final period, referred to as “Post-Vigil,” occurs after the death.

A life journey – California’s Death with Dignity Law In California, the End of Life Option Act allows terminally ill adults to request medical aid in dying. Here are key steps: Eligibility: Patients must be mentally competent adults with a terminal illness expected to result in death within six months. Request: Patients must make three requests two oral requests (at least 48 hours apart) and one written request signed by two witnesses. Consultation: Patients must consult with a physician to confirm their diagnosis and mental competence.

POSTPARTUM

 

And let's talk about postpartum: A Developing Response

Postpartum is not a single moment it is an ongoing process. After birth, a mother's body, mind, and identity are all adjusting simultaneously. Hormones shift, sleep is interrupted, emotions ebb and flow, and relationships are renegotiated. this period is a developing response to the profound changes of birth, requiring time, support, and gentle care. 

A doula's role during postpartum is to: 

  • Provide emotional support as you navigate new challenges. 

  • Offer practical guidance for recovery, infant care, and daily life. 

  • Help you honor your own needs while caring for your baby. 

  • Recognize the subtle shifts in your identity, supporting the ongoing transformation into motherhood. 

  • With attentive care, postpartum can be experienced as a journey of growth, connection, and self-discovery. 

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Referrals

Postpartum, please let's support one another, it's worth the conversation.


​If you know of a woman who has delivered within the past year, please consider referring them to me. Together we can support, encourage, and stand with each other.

  • ​Listening without judgment - Creating a safe space for vulnerability 

  • Recognizing warning signs - Spotting changes in mood or behavior early 

  • Practical help - Assisting to reduce stress

THE LIFE SURVEY JOURNEY 

Together, this work reflects the heart of Compassionate Responders: 

This 9 phase life survey journey ensures

  • Identity is never shamed

  • Beliefs are honored

  • Change is body led, not forced

  • Worth is inherent, not earned

  • Growth stays within the window of tolerance 

You do not have to do this alone. Creative Conversations - artistic activities, supplies included. 

  1. Awareness: Seeing yourself clearly 

  2. Belief: Trusting your inner compass 

  3. Image: The story you tell about you 

  4. Esteem: Valuing your worth 

  5. Acceptance: Embracing all that you are 

  6. Love: Nurturing your inner relationship 

  7. Actualization: Living your truth 

  8. Integration: Harmony between parts 

  9. Renewal: Evolving with grace 

 

Each phase builds upon the previous, creating a life survey - a visual representation of personal growth. Participants can track insights, emotional patterns, and evolving values, producing a holistic picture of inner landscape. 
 

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HONORING THE SPIRIT

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LIMITATIONS
The Doula is not a replacement for medical care. The Doula will not give medication. If the Client can't administer medication safely for any reason, the Client understands that the Doula will notify the prescribing doctor or appropriate member of the medical care team, so a solution to the problem can be found. 
Please note that while the Doula will make every effort to be present at the time of need, or provide coverage, this is not always feasible. 
Help the Client consider the pros and cons of a decision they are unsure about, but will not make decisions for the Client, nor promote a particular course of action. 

 

PLACE OF SERVICE
The Doula will provide services in the Client's home and/or a facility if the Client is in a facility, the Doula will abide by all the rules and regulations of that facility, honoring the spirit of the plan. 


RESPONSIBILITY OF THE CLIENT
The Client will inform the Doula of any health conditions or complications the Doula should know about what could impact the health of the Doula or dramatically affect the care expected of the Doula. The Client will keep the Doula apprised of any substantial changes. 

Forms

9 additional support services 

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Position Guide

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Birth Preference Plans

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Coverage in California

Merced County
Merced, Los Banos, Atwater, Livingston, Winton, Gustine, Planada, Delhi, Le Grand, Santa Nella, Snelling, Hilmar, Ballico, Stevenson, Cressey, Bear Creek, El Nido, McSwain, Dos Palos, South Dos Palos, Franklin, Tuttle, Volta

Monterey County

Aromas, Boronda, Bradley, Carmel Valley Village, Carmel-by-the-Sea, Castroville, Chualar, Del Monte Forest, Del Rey Oaks, Elkhorn, Fort Hunter Liggett 

Gonzales, Greenfield, King City, Las Lomas, Lockwood, Marina, Monterey, Moss Landing, Pacific Grove, Pajaro, Pine Canyon, Prunedale, Salinas

San Ardo, San Lucas, Sand City, Seaside, Soledad, Spreckels

San Benito County

Aromas, Hollister, Ridgemark, San Juan Bautista, Tres Pinos

Santa Cruz County

Amesti, Aptos, Aptos Hills-Larkin Valley, Ben Lomond, Bonny Doon, Boulder Creek, Brookdale, Capitola, Corralitos, Davenport, Day Valley, Felton

Freedom, Interlaken, La Selva Beach, Live Oak, Lompico, Mount Hermon, Pajaro Dunes, Paradise Park, Pasatiempo, Pleasure Point, Rio Del Mar

Santa Cruz, Scotts Valley, Seacliff, Soquel, Twin Lakes, Watsonville, Zayante

Madera County

Ahwahnee, Bass Lake, Bonadelle Ranchos, Chowchilla, Coarsegold, Fairmead, La Vina, Madera, Madera Ranchos, Nipinnawasee, North Fork, Oakhurst, Parksdale, Parkwood, Rolling Hills, Yosemite Lakes

Stanislaus County

Adela, Airport, Aurora, Bret Harte, Bystrom, Ceres, Chemurgic, Claribel, Claus, Cooperstown, Cowan, Crows Landing, Del Rio, Denair, Diablo Grande, East Oakdale, Empire, Eugene, Grayson, Harp, Hatch, Hickman, Hills Ferry, Hughson, Jet, Keyes, Knights Ferry, La Grange, McHenry, Modesto, Monterey Park, Tract, Montpelier, Newman, North McHenry, Oakdale, Ohm, Orange Blossom, Park Sierra MH Park, Parklawn, Patterson, Paulsell, Riverbank, Riverdale Park, Riverside, Rouse, Salida, Shackelford, Solyo, Standiford, Stomar, Timba, Turlock, Valley Home, Warnerville, Waterford, West Modesto, Westley

San Joaquine County 

Acampo, Akers, Alba, Ampere, Armstrong, Atlanta, August, Avena, Banta, Bardi, Bear Creek, Bellota, Black slough Landing, Burnham, Calla, Carbona, Carrolton, Cherokee, Clements, Cochrane, Collegeville, Collierville, Cometa, Country Club, Dogtown, Dougherty, Eagle Tree, East Side, El Pinal, Escalon, Fair Oaks, Farmington, Five Corners, Foppiano, French Camp, Garden Acres, Gillis, Guild, Haight, Hawes, Henderson, Village, Holt, Huntley, Kennedy, Kettleman, Lane, Larson, Lathrop, Lincoln Village, Linden, Lockeford, Lodi Junction, Lodi, Lyoth, Manteca Junction, Manteca, Mokelumne City, Monada, Morada, Mormon, Mossdale, Mountain House, New Hope, New Hope Landing, Norton, Orford, Ortega, Pearson, Peltier, Peters, Pope, Ripon, Roma, San Joaquin River Club, Simms, Stockton, Summer Home, Taft Mosswood, Terminus, The Homestead, Thornton, Tomspur, Tracy, Trull, Turner, Urgon, Van Allen, Vernalis, Victor, Villinger, Wagner, Wainwright Village, Walthal, Waterloo, West Manteca, Woodbridge, Woodlake, Youngstown

Doulas serving Medi-Cal beneficiaries provide person-centered, culturally competent care that supports the racial, ethnic, linguistic and cultural diversity of beneficiaries while adhering to evidence-based best practices.  Doulas do not provide clinical tasks or replace the medical staff

Kristina Marguerita (350) 500-6131 DoulaMarguerita@gmail.com

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