Under women’s preventive services of the Affordable Care Act, health insurance companies are required to pay for lactation support services. In addition, they are required to provide breast pumps for mothers in need. Each insurance company interprets this differently, so contact your insurance company representative to find out more!
Simply the Breast is a preferred provider (in-network) for some health insurance companies. In the case that we are out-of-network for your insurance company, we can provide you with documentation so you can file for reimbursement. Contact us today to find out if your insurance is one we work with.
What Is Covered?
Generally speaking, health insurance provides up to 6 outpatient lactation consultations per birth (during first 12 months of life). Sometimes insurance companies will also pay for additional consults depending on the medical necessity. This means that you would be able to see an IBCLC in a clinic or through a home visit after you get out of the hospital. Typically, consultations are covered at 100%.
You should also be able to obtain a manual or electric breast pump should you need to be separated from your baby. If there is medical necessity (i.e., needing a prescription from your doctor), you may also be able to obtain a hospital grade breast pump by rental.
*It is important to check with your health insurance company as this is not a guarantee of coverage because all plans differ.
Health Savings Accounts
If you have a Health Savings Account (HSA), as many people do when they have high deductibles, you can also pay Simply the Breast with your HSA debit card.
Contact Simply the Breast to find your lactation consultant and prenatal lactation educator serving Ventura County!