RE: reimbursement by insurances

[Guest guest]

Yes I believe this new brief is scary to

the IBCLC credential, though I am not sure that RNCLC is the requirement or

just CLC. I understood it to be just CLC, maybe I read it wrong.

On another note I don't know how I feel about insurance covering LC visits, the

way they compensate doctors we would probably get $15 for a two hour

visit. :-(.

Lou Moramarco IBCLC

Birth,

Breastfeeding & Before

(732)

239-7771 marylou22@...

www.lunadoula.com

Subject:

reimbursement by insurances

Hello,

A burning questions that you probably recognize:

How do mothers get reimbursed by insurances when services are provided by non

licensed PP-IBCLC's?

Right now I do get clients who are willing to pay my fee, but I fear that as

soon as all cost are covered by insurance companies, that I can close my doors.

Oe option for that mom would be to pay the fee an file a claim, but when

looking into the law and in Medicare plans, it looks like reimbursement can

only be obtained when services are provided by an RNCLC.

Anyone any experience with this or any suggestions?

Thanks,

[Guest guest]

Hello Lou,

I agree that I am not waiting to see my fee reduced to 15 dollar per visit. On

the other hand.....where will the potential clients be going for their free

consultation? Who will and can serve them?

When I read the the changes on the government issued webs tie, it says:

Comprehensive lactation support and counseling, by a trained provider during

pregnancy and/or in the postpartum period, and costs for renting breastfeeding

equipment.

http://www.healthcare.gov/law/resources/regulations/womensprevention.html

When I check out the plans for Blueshield/Bluecross, it talks about care

provided by RNCLC. I called with health insurances and they send me around in

circles on how to get my services reimbursed. It should go through their medical

group, or I should, be on a provider list, and I cannot be a provider since I do

not have a license.

I think this should have more attention from those that advocate IBCLCs,

ultimately, that is us.

Nanny

>

> Yes I believe this new brief is scary to the IBCLC credential, though I am

> not sure that RNCLC is the requirement or just CLC. I understood it to be

> just CLC, maybe I read it wrong. On another note I don't know how I feel

> about insurance covering LC visits, the way they compensate doctors we would

> probably get $15 for a two hour visit. :-(.

>

>

>

> Lou Moramarco IBCLC

>

> Birth, Breastfeeding & Before

>

> marylou22@...

>

> www.lunadoula.com

>

>

>

> Subject: reimbursement by insurances

>

> Hello,

>

> A burning questions that you probably recognize:

>

> How do mothers get reimbursed by insurances when services are provided by

> non licensed PP-IBCLC's?

>

> Right now I do get clients who are willing to pay my fee, but I fear that as

> soon as all cost are covered by insurance companies, that I can close my

> doors. Oe option for that mom would be to pay the fee an file a claim, but

> when looking into the law and in Medicare plans, it looks like reimbursement

> can only be obtained when services are provided by an RNCLC.

>

> Anyone any experience with this or any suggestions?

>

> Thanks,

>

[Guest guest]

please pardon me if this has already been answered.

I would like to directly bill insurance companies. I am hoping this will

establish me as a preferred provider. Has anyone tried that? For me, not taking

insurance is a real problem. I am planning to bill the client whatever the

insurance company does not pay but I feel like I have to work with these

families in these tough economic times.

I had to just sign a waiver for my son's OT that said I have insurance coverage

and will assign all insurance benefits directly to (him).

It goes on to say

I UNDERSTAND THAT I AM FINANCIALLY RESPONSIBLE FOR ALL CHARGES INCURRED WHETHER

OR NOT I AM USING MY INSURANCE COVERAGE AND/OR WHAT IS NOT PAID FOR BY MY

INSURANCE.

Thank you, Dana Schmidt, RN, IBCLC

[Guest guest]

i haven't done this but I have an insurance specialist who does. clients pay me first, tho. Beebe, M.Ed., RLC, IBCLC Lactation Consultant/Postpartum Doula www.second9months.comwww.facebook.com/thesecond9months--- Subject:

Re: reimbursement by insurancesTo: Date: Thursday, May 3, 2012, 10:25 AM

please pardon me if this has already been answered.

I would like to directly bill insurance companies. I am hoping this will establish me as a preferred provider. Has anyone tried that? For me, not taking insurance is a real problem. I am planning to bill the client whatever the insurance company does not pay but I feel like I have to work with these families in these tough economic times.

I had to just sign a waiver for my son's OT that said I have insurance coverage and will assign all insurance benefits directly to (him).

It goes on to say

I UNDERSTAND THAT I AM FINANCIALLY RESPONSIBLE FOR ALL CHARGES INCURRED WHETHER OR NOT I AM USING MY INSURANCE COVERAGE AND/OR WHAT IS NOT PAID FOR BY MY INSURANCE.

Thank you, Dana Schmidt, RN, IBCLC