Breastfeeding Insurance Reimbursement
Could my lactation services or breast pump be covered by my insurance?
Love it or hate it, the Affordable Care Act is great for breastfeeding! Breast pumps are a required benefit but your company could provide you with the best pump available or a simple hand pump. Covering lactation services is also a required benefit but insurance companies are still sorting out what this means. However, more and more of our clients are receiving insurance reimbursement for a private consultation or going back to work class, so submitting a claim and appealing initial denials are always worth the effort. Even if the services are not covered by insurance, the claim should be reimbursable if you have a Flex Spending account.
Providing you with a receipt with diagnostic codes makes it more likely that our clients will be reimbursed by insurance.
The overwhelming amount of scientific evidence to the benefits to breastfeeding have been influencing many insurance companies to include breastfeeding related costs into their benefit plans. They will often cover International Board Certified Lactation Consultant services or the purchase of a breast pump. Unfortunately, the coverage varies widely under different insurance plans.
For more information you may also visit http://www.aap.org/breastfeeding/files/pdf/CODING.pdf
Other helpful information is listed below:
Important questions you should ask your insurance company
Appealing an insurance claim