Category Archives: Insurance Reimbursement

The Lactation Consultant is Coming! How do I Prepare?

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Getting some reassurance from an IBCLC

You have just had a baby. You’ve always known you would breastfeed, but things are not going well. Perhaps your nipples are sore. Or you’re struggling with engorgement. Maybe you’re worried about milk supply. Or your baby has hard time latching. Or maybe you just have a lot of questions. In any case, you and your healthcare provider have decided you need the help of an expert. It’s time to call a lactation consultant.

You’re happy to hear that the lactation consultant (IBCLC) your doctor recommends will come to your home to help you. You make an appointment with the consultant, and then you wonder….”What should I do in preparation for her visit?” Continue reading →

Hygeia Breast Pumps: Why I Made the Switch

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A Hygeia representative visited me in my home one evening a few years ago. He enthusiastically told me about the history of Hygeia, the virtue of their breast pumps and why my clients would love them. I listened, skeptical as always, and gladly accepted some products to try out with the help of my clients. Continue reading →

Think Lactation Consultants are Expensive?

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This mother just fed her baby without any pain for the first time. All mothers and babies are entitled to competent early support in order to establish breastfeeding. Breastfeeding is, after all, the way babies eat! Anything other than human milk—especially in the very vulnerable neonatal period—can contribute to gastric distress, illness and allergies. Unfortunately breastfeeding help in the in the United States is often limited to very brief time in the hospital. Once a breastfeeding dyad leaves the birth center or hospital, mom and baby are left on their own to figure things out. Here’s what one client wrote:

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Breastfeeding and Work–Alice’s Story

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Multi-tasking!

Multi-tasking!

Alice came to me concerned about how she was going to keep breastfeeding once she returned to her full-time career. In her workplace, there is no such thing as 9-5. Everyone is expected to put in long days. I talked to her about asking for what she needed and setting some limits. We also talked about creative ways to meet her baby’s needs. She took my suggestions and ran with them—developing her own, unique style. Many thanks to Alice for sharing how she has managed to maintain her breastfeeding relationship and continue her fast-paced work life.

Christian is a big, healthy boy who is now enjoying solid foods in addition to mommy’s milk. Here is her success story: Continue reading →

Insurance Reimbursement Appeal Letter Sample

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This letter is my formal appeal of the rejection of Claim Number _____ for Lactation Consultation Services provided to my son, (Name) on (Date) for the amount of _____.

Summary of Events: Child was born on (Date). He was discharged from the hospital on (Date) (Detail here whatever complications you had with feeding/jaundice/dehydration/re-admittance to hospital, etc) On (Date) we met with our pediatrician, (Name) and expressed concerns about breastfeeding. Dr. _______ noted that baby was struggling to thrive and referred us to Lactation Consultant, Renee Beebe, M.Ed., IBCLC. Renee provided her services on (Date). Following the consultation, I submitted all required paperwork to (name of insurance company) for reimbursement. On (Date), I received an Explanation of Benefits (referenced above), noting the claim was denied. Continue reading →