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Home Visits

Home Visits

Breastfeeding guidance in your home is a convenient and effective way to learn about breastfeeding. 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 breastfeeding is going. I’ll answer your questions. 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 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 detailed 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.

Reimbursement means you pay out of pocket first and get that returned after you send your proof of payment (receipt) to your insurance company. 

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.

When should you have a visit?
 Anytime you have questions or need some guidance..The first two weeks are a time-sensitive period to establish your milk supply.
It’s important to get help 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

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

Tufts and Harvard Pilgrim consistently reimburse for IBCLC home visits. Blue Cross/Blue Shield of MA does, too. BC/BS of MA has a list of IBCLCs in Massachusetts who make home visits.

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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Home Visits and Insurance

Home Visits and Insurance

For home visits with an IBCLC, here’s a summary of  who will cover the cost and who will reimburse for the cost. First, it’s necessary to define coverage and reimbursement.

Coverage means the service is included in your plan. You do not pay out of pocket because, essentially, you have already paid.

Aetna is the only company in the United States that covers IBCLC home visits. They have a list of preferred providers, there are several in Massachusetts. Contact one of them and there will be no out of pocket cost to you.

Reimbursement means you pay out of pocket (credit card, check, cash) for the service. You submit a detailed receipt, provided by the IBCLC, and get your money back in about a month.
Three companies that reliably reimburse for IBCLC home visits are:

• Harvard Pilgrim Health Care
• Tufts
• Blue Cross/Blue Shield of Massachusetts.
Harvard Pilgrim and Tufts have recognized the value of lactation support for years, even before the Affordable Care Act mandated continued support. Blue Cross/Blue Shield joined their ranks more recently.

There have been irregular reports of reimbursement from other companies.

Find out what kind of lactation support your insurance company provides. They may not understand what or why that is important.  It helps to start the conversation. For example, several IBCLCs, as part of a licensure effort, were able to talk with administrators from BC/BS of Massachusetts. The lactation consultants explained why mothers need IBCLC support after they leave the hospital. The administrators came to understand the value of this continuing care. As a result, Blue Cross/Blue Shield of MA has been providing reimbursement. They have a list of many IBCLCs in Massachusetts who make home visits.

What about women who have MA Health or other Medicaid plans? Those plans require a licensed health care professional. For example, you can see a doctor or nurse, both licensed health care providers, in an office. However, it won’t cover or reimburse for an IBCLC visit at home.

Although doctors and nurses are licensed, their training and experience in lactation is not as thorough. There is a difference. An IBCLC is a lactation specialist with an internationally recognized certification. However, we are not (yet) licensed in MA.

It simply is unfair that all families cannot receive the benefit of an IBCLC home visits, especially low income families. This is an obvious disparity in health care. For this purpose, my colleagues and I advocate for licensure of IBCLCs. It’s a state-by-state endeavor. We’re still working on it in Massachusetts.

Here’s the insurance situation for IBCLC home visits:
• Aetna provides full coverage.
• Harvard Pilgrim, Tufts and Blue Cross/Blue Shield of MA will reimburse.
• Some other companies may, you have to research that.
• Every family deserves access to IBCLC lactation support.

The artwork is a detail from a painting by Barbara Swan. This painting hung in my mother’s bedroom for my decades.


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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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Home Visits

Thorough, convenient and comfortable. Call and we'll schedule an appointment. 617-435-0693.
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Lactation Consultant

Families benefit from accurate, consistent breastfeeding advice. That's why I became an IBCLC.
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Home Visits and Insurance

For home visits with an IBCLC, here's a summary of insurance reimbursement or coverage.
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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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