The Affordable Care Act of 2012 requires coverage of lactation consulting as a “Women’s Preventive Service.” You will pay the IBCLC directly. She will provide you with a receipt that has all the necessary information for your insurance company.
We suggest that you call your insurance company to learn what they will provide for breast-feeding support. If your insurance does not have in-network providers, you could get an out-of-network provider. This should be covered with no co-pay, no deductible, for the duration of breastfeeding, guidance from a lactation professional.
Donald Judson, the Commissioner of Insurance in Massachusetts, issued a bulletin on July 6, 2016 that clarifies this. "Federal Requirement that Carriers Cover Certain Lactation Services Without Any Consumer Cost-Sharing".
Document everything your insurance company has told you. You can get some help in advocating for this required care.
The National Women’s Law Center has a very practical tool kit to help you understand and advocate for your benefits under the Affordable Care Act.
The IBCLC is an internationally recognized certification, considered the most rigorous standard for lactation education.
Currently, Heather Bingham and Shelly Taft are preferred providers for Aetna. Shelly Taft, IBCLC is a licensed provider in Rhode Island.
A home visit for breastfeeding guidance helps mothers and babies breastfeed more comfortably and effectively. That’s good because the longer a mother breastfeeds, the more long-term health benefits for her and her baby.
You can save money on formula, bottles and most likely less antibiotics and doctor visits. You also reduce the amount of trash and plastics.
All in all, breastfeeding help is a healthy investment.