lactation consult covered by insurance?

iVillage Member
Registered: 03-26-2003
lactation consult covered by insurance?
12
Thu, 08-28-2003 - 8:59pm
a good friend delivered 2 weeks ago and is having a rough time bf-ing (poor latch). she had no problems with her first, but this baby is different.

anyway, the lc's at the hospital keep pointing her to video (that features a 4mos old -- as if that could help).

so she decided to go to our local lactaction resource center (not laleche) for a consult ($100 an hour). anyway, they provided her w/ some forms and directed her to call her ins co. apparently, several have started to cover these services.

i thought that was kind of interesting -- knowing that ins co's do due diligence in terms of cost benefit research they must see this as $ well spent (healthier babies?). maybe some will cover pumps in the future?

unfortunately, her ins co said no, but she spent $100 anyway.

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iVillage Member
Registered: 03-26-2003
Thu, 08-28-2003 - 9:23pm
I don't see why not. It's part of baby/mom care. Some moms even see LC's (or rather, IBCLC's) for help drying up. If you do things "right" you're less likely to have blocked ducts, then mastitis, then abcesses, so even in that situation it's perhaps beneficial for the ins. companies.

Fio.

iVillage Member
Registered: 03-25-2003
Thu, 08-28-2003 - 9:58pm
I don't see why not...I mean I look at what my insurance covers: naturopath, dietitian, massage therapy. I think it would be in their best interest to cover it. I see no difference between covering those services and an lc IMO.

I really never gave it much thought. Here in my area (Greater Toronto Area) most of the hospitals have breastfeeding clinics. The hospital I gave birth at (and will give birth at this time as well) has one. I am lucky here in Ontario in that all these services are funded by the government so it's free. Believe me I will definitely be taking advantage of the services my hospital provides.

Judi


iVillage Member
Registered: 03-27-2003
Fri, 08-29-2003 - 4:04pm
In a perfect world insurance companies would cover every single thing but this ain't a perfect world. If they pay for lactation consultants and breast pumps because breast milk is healthier for babies than by extension they should also pay for organically grown fruit and vegetables because those foods are healthier for growing children and by extension insurance companies should pay for fitness facilities and playgrounds for children because excercise is healthy for children.
Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
Fri, 08-29-2003 - 4:09pm
Disagree with you here....breastpumps can be construed as a medical device. Lactation consultants are also providing a service...medical service if you will. Insurance companies cover chiropractors, physical therapists, massage therapists.....why not certified lactation consultants??

christine


~christine~

iVillage Member
Registered: 03-26-2003
Fri, 08-29-2003 - 7:09pm
a bunch of random things...

actually, some ins co's (in the u.s.) do cover gyms.

and, i agree with christine below (about pumps).

also, in addition to healthier children an lc can help a mom avoid mastitis (even if she's not bf-ing), which is certainly medical. i think this already was said.

i have to wonder if more moms w/ problems might be successful bf-ing if these *skilled* resources were available to them through their ins co. i've heard such mixed reviews about hospital lcs (they are not all created equal).

your argument about organic foods doesn't really work (as they are more expensive). breastmilk happens to be free (in most cases).


Avatar for cl_sunny_side_up
iVillage Member
Registered: 03-25-2003
Fri, 08-29-2003 - 9:13pm
Yes, and as I've posted before as well. If these services were covered by all or most insurance companies...more women would succeed at breastfeeding. My opinion, of course.


christine


~christine~

iVillage Member
Registered: 03-25-2003
Fri, 08-29-2003 - 10:17pm
My insurance paid for LC visits and for my breastpump rental while DS was in the NICU. I'm sure glad it did. I think it's much more important that organic produce. (Though I try to give him that as well now.)

- Ingrid


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iVillage Member
Registered: 12-29-1999
Fri, 08-29-2003 - 10:19pm
My ins. co refused to pay my LC visit, but it was only like $50 or something. Personally, I think it's a travesty that they don't cover it, but...typical of our HMO environment, IMHO. Christi
iVillage Member
Registered: 03-27-2003
Mon, 09-01-2003 - 8:40am
Because there has to be a line drawn somewhere. Medical insurance can't cover every single thing, premiums would go through the roof and than even few people would be able to afford insurance.
iVillage Member
Registered: 03-27-2003
Mon, 09-01-2003 - 8:42am
Sure, organic food is expensive but so are breast pumps and lactation consultants, and gyms.

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