rss search

next page next page close
thumbnail Chloe Medium zoom
next page next page close

Insurance Coverage for Home Visits

Insurance Coverage for Home Visits

Does insurance cover for home visits? That’s usually the third question a mother asks when she calls.
The first question is “Do you make home visits?”  Yes and I work with an association of nine other experienced IBCLCs. If I can’t make it, I can help find someone who can.
The second question is “When can you be here?” Within 24-48 hours. Usually within a day.
To answer the third question, I’ll explain the how payments are made.

For a home visit, families pay the Lactation Consultant directly and the insurance company reimburses them. We give you a receipt that has everything your insurance company would need from us. Keep a copy for yourself and send it along with your own policy information. Your cancelled check or credit card receipt is proof of payment.

You can call your insurance company ahead of time to confirm what your coverage is. Document when you called, what was said, who said it.  We’ve heard varying answers, sometimes from the same company! In our experience, Harvard Pilgrim and Tufts have been most consistent with their reimbursements. If you have Aetna, three of my colleagues are Aetna preferred providers. Blue Cross/Blue Shield does have a list of qualified IBCLCs in Massachusetts.

My colleagues and I published an article titled “Massachusetts Parents Experiences with Insurance Coverage for  Lactation Consultant IBCLC Services” in the February 2017 issue of Clinical Lactation.

As of March 2017, while the Affordable Care Act is still in place, the Health and Human Services Guideline for Health Insurance Coverage states women are entitled to “Comprehensive lactation support and counseling, by a trained provider during pregnancy and/or in the postpartum period, and costs for renting breastfeeding equipment.” Visits with a breastfeeding specialist such as a board certified Lactation Consultant, are covered 100% with no co-pay.

It’s important to assert this. The key word is assert. If your baby isn’t gaining weight, isn’t having bowel movements or if you’re in pain, that needs attention especially in the first two weeks. The sooner you get help, the better you (and your baby) will feel. That effects your milk supply and your baby’s well being.

It is distressing that maternity and newborn care would not be considered essential services to be provided for families. It’s way more than Women’s Health we are concerned with here.  Once you’ve settled into your new parenting role, you’ll see how advocating for your child, and your family’s health, is a skill that you’ll refine as a parent.

Here’s  another blog with more specifics on your insurance benefits.


next page next page close
thumbnail blue sky and planet with house and orange light zoom
next page next page close

Home Visits

Home visits are a convenient and comfortable way to learn about breastfeeding, especially in the first two weeks. With your baby in your arms, the answers to your questions make more sense. You can reach me by phone at 617-435-0693.
How does a home visit work?
I’ll come to your house and meet you (your partner, your older kids, your pets). You review and sign a consent form while I wash my hands.
We’ll weigh your baby before  and then after a feeding to assure milk transfer.
Together we’ll observe, without judgement, how nursing is going. We’ll see what works, what doesn’t and remedy it for your comfort.

One visit usually takes about two hours. You’ll receive a written review of our visit, relevant hand outs and a receipt. I’ll send a written review to your pediatrician.
I’ll follow up by phone call or e-mail. If you need more follow up, we can schedule another visit.
Most families need one or two visits and a few phone calls. For your reassurance, I’m current with flu shots, immunizations, TB testing, am ‘fragrance-neutral’ and like dogs, cats, lizards, snakes, birds and fish.

How is payment made? You pay me directly, a check is fine. I’ll give you a signed receipt with information your insurance company requires. They may reimburse you. We suggest you contact them, maybe more than once, to clarify what is covered.

When should you have a visit? Guidance in the first two weeks makes a big difference in your milk supply and your comfort. It’s important to get help especially if
• feeding is painful
• latching on is difficult
• your baby is not soiling enough diapers
• your baby is not gaining weight or is losing weight

How about a prenatal visit? We can meet before your baby is born. For families with specific concerns, prior difficult experiences, or are limited in time for a class, this is a good option. Get answers to any of your questions, learn what you can do for a good start and have resources lined up if necessary.

Breastfeeding is supposed to be comfortable.That takes patience and practice, not pain. For breastfeeding guidance in the comfort of your home, call me. 617-435-0693

Sign up for my monthly newsletter!


next page next page close

Lactation Consultant

Lactation Consultant

I’m Robin Snyder-Drummond, an international board certified lactation consultant (IBCLC). Home visits are a more effective way to review your breastfeeding concerns. (It’s comfortable and certainly more convenient.) We’ll have about two hours to review your concern, observe a feeding, discuss questions.  You can call me at 617-435-0693 to arrange a visit.

Each child and breastfeeding experience has it’s unique learning curve, especially in the first weeks. Call when you have a question.

Background Experience and Training 
Twenty four years ago, I began as a childbirth educator and doula. Working with women before, during and after birth, I saw how important personal support was for a family. I also saw how the necessity for accurate and consistent information about breastfeeding as soon as possible. That inspired me to become an IBCLC and I became certified in 2009, again in 2014.

In my work, I’ve met a lot of different families. I’ve taught prenatal classes in a high school, an air force base, women’s shelter, a lesbian moms group, recreation centers, for Early Intervention programs and regular series in four Boston area hospitals and a birth center.

For ten years, I was an active DONA certified birth doula , working mostly with the Cambridge Doulas, a multicultural program offered through Cambridge Health Alliance. I have attended to over 200 families in Boston area hospitals (and one birth center) for labor and early postpartum home visits. No longer practicing as a doula, I do still teach prenatal breastfeeding classes.

My focus now is home visits for breastfeeding guidance.

Breastfeeding Help
The IBCLC credential is the only internationally recognized accreditation for lactation consultants. Qualifying for the IBCLC exam requires college level courses, breastfeeding specific education and, when I was applying, 2500 hours of supervised clinical experience for counseling. I passed the exam and became an International Board Certified Lactation Consultant (IBCLC) in 2009. I recertified in 2014.

IBCLCs recertify every 5 years and take the board exam every 10 years.

I’m always learning from conferences, journals and colleagues. The most important learning, I feel, is from visiting with mothers and families.

Professional Associations
I’m a member of the
International Lactation Consultants Association
United States Lactation Consultants Association
Massachusetts Lactation Consultants Association
Nursing Mothers Council
LCHomeVisits.com

I’m current in my vaccinations and CPR certification. I am a certified Basic Life Support Instructor.

Did you know that insurance may cover the cost of a home visit?  100% with no co-pay was part of the Affordable Care Act. Tufts and Harvard Pilgrim have been most consistent with reimbursement. Some others are, too. If you are an Aetna client, I can refer you to 3 of my colleagues who are Aetna preferred providers. It is worth calling your insurance company.  (Document when you called, what was said and with whom you spoke.)

I’m glad to talk with you about home visits, prenatal classes and workshops. Feel free to contact me.  You can also sign up for my newsletter.

Let’s be in touch. 617-435-0693 or robin@birthready.com.

I look forward to talking with you.

 


next page next page close
thumbnail zoom
next page next page close

Best Possible Support

“Learning the laid back position and in general gaining more confidence around breastfeeding.” 2016

“Thank you again for all your help. You provided me with some great strategies to make it as far as I did despite the challenges, and gave me a lot of information that helped me understand how the body works and how to maximize our breastfeeding journey.” CS 2015

“All of your expertise and knowledge. You knew immediately that L. may have a tongue tie/lip tie… Also your comforting and warm presence as it was sensitive and fragile. I felt supported during my session and felt like you were very accessible by phone as well. Also, weighing the baby to see how much milk he got was so helpful.” J.and L. 2014

“Robin, what a wonderful, educational and compassionate talk you gave to us at our meeting. Thank you so much, it was great to have a return visit from you. We all felt that we were better prepared …You were so well prepared and interesting and I know that all of us were grateful that you could show us how to better understand (postpartum adjustment) and help the mother to seek assistance for herself. I hope you will come again to our gathering and enlighten us with a different topic”. Kate Hall,  Founder/Chairwoman of Bluebird Childcare, 2012

“I am so very grateful for the lactation support I received from Robin Snyder-Drummond after the birth of my first child. Robin visited us in our home … Her knowledge, warmth and nurturance made our challenging situation seem manageable. She assessed the problems we faced and gave us the tools to overcome them. My daughter and I now enjoy a very satisfying breastfeeding relationship. For this, I am indebted to Robin, who guided us through that difficult time with skill and compassion.” Amy Alberts Warren, PhD Development Psychologist,  2012

Robin Snyder-Drummond, BA, IBCLC
Prenatal classes and home visits
617-435-0693
Sign up for my monthly newsletter.


next page next page close
thumbnail Chloe Medium article post

Insurance Coverage for Home Visits

There are insurance companies that have been reimbursing for IBCLC home visits.
article post
thumbnail blue sky and planet with house and orange light article post

Home Visits

Home visits with an IBCLC are thorough, convenient and comfortable.
article post

Lactation Consultant

617-435-0693 I'm an IBCLC Lactation Consultant who makes home visits in the Greater Boston area.
article post
thumbnail article post
"What was most helpful about our home visit? Encouraging me to feed via the breast. Watching him latch at a bottle feed."
article post
thumbnail Simple truths Video
index.php