Resources to Facilitate Insurance Coverage for Your Lactation Consultation
- The Cost of Not Breastfeeding (Thereby containing insurance costs)
- National Women’s Law Center: Heathcare Toolkit
- Illinois State Insurance Commission
- Model Policy Payer Coverage for Breastfeeding Support from the US Breastfeeding Committee
There have been many official statements that equate standard breastfeeding care with the IBCLC (European Commission, 2004; US Department of Health and Human Services, 2011, World Health Organization, 2003) and the 2011 Surgeon General’s Call To Action To Support Breastfeeding, which states, “International Board Certified Lactation Consultants (IBCLCs) are the only health care professionals certified in lactation care.” And the The 2013 statement by the American Public Health Association.
The following can be helpful if you need to appeal to a higher level at your insurance company.
- This article from the National Breastfeeding Center outlines some of the confusion regarding lactation coverage. It shows the flux of understanding and why some mothers are being told different things from the representatives of their insurance companies.
- Medicare/Medicaid is the standard that insurance companies follow. Here is a clarification on the term “service providers” for preventative care. http://www.medicaid.gov/federal-policy-guidance/downloads/CIB-11-27-2013-Prevention.pdf
- Ameda: Coverage Guidelines Under the Affordable Health Care Act
- Medela: Breastfeeding, Insurance & Reimbursement
- Hygeia: Requesting a Breast Pump from Your Health Insurance Carrier
- Breastfeed, Chicago: Will My Insurance Cover a Breast Pump?
We hope that if your insurance company denies coverage of the cost of a lactation consultation, that you will still find the services of a lactation consultant invaluable.