Insurance Reimbursement

The Affordable Care Act of 2010, Women’ Preventive Services requires health care insurance providers to cover, at no cost-sharing, breastfeeding support, supplies and counseling.

Is your Health Plan not providing you with Breastfeeding Support, Supplies or Counseling?  File a complaint.

Model Policy:  This model policy can be used as an advocacy and education tool for insurance payers to compare their policy to best practices.


 

I need help understanding my insurance plan!

For a comprehensive tool kit that helps you navigate breastfeeding and insurance plans – please see the National Women’s Law Center tool kit, which includes a sample script for calling your health plan:

NWLC Insurance Coverage Logic ModelNWLC Sample Script

How does your insurance company rate?  

See the National Breastfeeding Center’s Payer Score Card.


 

What about MediCAL?

MediCal DOES cover breastfeeding support, supplies and counseling.  LEARN MORE

L.A. Care is Los Angeles’ largest MediCal provider.  Here is their BreastpumpL.A.Care.

HealthNet has excellent provider guidance on implementing breastfeeding support:   https://breastfeedla.box.com/HealthNetInfantFeeding


 

Durable Medical Equipment (DME)

Several companies contract with insurance payers as the DME to provide pumps.

The following is a short list of DME providers we have identified as providing pumps, however listing here does not constitute an endorsement of their services.


 

Apria Healthcare at (800) 277-4288   HealthNet, Kaiser and others

Advanced Home Medical, Inc  (909) 569-9013 Cell

AME inc.   Phone (562) 698-0266

Byram Healthcare  Phone (877) 773-1972  breast-pumps@byramhealthcare.com

Pumping Essentials   Sylvia@pumpingessentials.com   (714 )585-7458

 

Need more help?  These companies help you work with your insurance payers to be reimbursed – for a fee:

https://www.healthybabyessentials.com

https://www.copatient.com

  • California Department of Public Health

    New In-Hospital Breastfeeding Data.

    Read more here!

  • Healthcare

    The Regional Hospital Breastfeeding Consortium (RHBC) meetings to provide ongoing support and guidance for staff from participating hospitals. Learn more

  • LA Convention Center-Breastfeeding Friendly!

    Learn more here.

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