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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.


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Home Visits

Home Visits

Breastfeeding guidance in the comfort of your home! A convenient and more effective 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. Call me at 617-435-0693.

How does a home visit work?
A home visit takes about two hours. 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. Together we’ll observe, without judgement, how nursing is going. I’ll answer your questions and we’ll make a plan for moving forward.
You’ll receive a written review of our visit, relevant hand outs and a receipt. I’ll send a written review to your pediatrician. We can be in touch by phone call or e-mail for follow-up. If you need more time, 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 am comfortable with most pets.

How is payment made? You pay me directly, check or credit card. I’ll give you a receipt.
Harvard Pilgrim, Tufts, Blue Cross/Blue Shield of MA will reimburse you in about a month. United Health and Cigna may reimburse. We suggest you contact your insurance company to confirm their reimbursement.

Aetna covers IBCLC care from their preferred providers. I can connect you to Aetna preferred providers.

*Coverage means you don’t pay out of pocket. Only Aetna covers IBCLC care.
*Reimbursement means you pay out of pocket first and get that returned after you send your proof of payment (receipt) to your insurance company. 

When should you have a visit? The first two weeks are the most important time to establish your milk supply.
It’s important to get help anytime, especially if
• feeding is painful, you are uncomfortable.
• 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? For families with specific concerns, prior difficult experiences, or have limited time for a class, a prenatal visit is a good option. Learn what you can do for a good start. Breastfeeding 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!


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Lactation Consultant

Lactation Consultant

I’m Robin Snyder-Drummond, an International Board Certified Lactation Consultant (IBCLC). Home visits are a comfortable and certainly more convenient way to answer your breastfeeding concerns. We’ll have about two hours to discuss your questions, observe a feeding, make a plan.  Call me at 617-435-0693 to arrange a visit.

Background Experience and Training 
I began as a childbirth educator and doula, twenty five years ago. It was clear that every family benefitted from accurate and consistent breastfeeding information… the sooner the better. That was my inspiration to become an IBCLC. I became certified in 2009.

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 Boston area hospitals and a birth center. For ten years, I was an active DONA certified birth doula.
Much of my experience was with the Cambridge Doulas, a multicultural program offered through Cambridge Health Alliance. My mentor, Kate Reist, RN, CNM, IBCLC was an excellent guide on my journey to become an IBCLC.

I still teach prenatal breastfeeding classes, though no longer work a doula. My focus 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, lactation specific education and up to 2,000 hours of supervised clinical experience (that is, meeting mothers and babies one-on-one). In 2009, I passed the exam and became an International Board Certified Lactation Consultant (IBCLC).  All 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
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?  That is an important feature of the Affordable Care Act. Tufts and Harvard Pilgrim have been most consistent with reimbursement. Blue Cross/Blue Shield of MA has a list of IBCLCs in Massachusetts who make home visits and will reimburse for that.

If you are an Aetna client, I can refer you to my colleagues who are Aetna preferred providers. You do not have to pay out of pocket for Aetna care if you work with their providers.

I’m glad to talk with you about home visits, prenatal classes and workshops. 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.

 


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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.


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Insurance Coverage for Home Visits

There are insurance companies that have been reimbursing for IBCLC home visits.
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Home Visits

Home visits with an IBCLC are thorough, convenient and comfortable.
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Lactation Consultant

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