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Home » Insurance Reimbursement of Breast Pumps – Sample Letter

Insurance Reimbursement of Breast Pumps – Sample Letter

Reprinted from Mother-2-Mother.com (2000-2006), with permission from the author, Paula Y.

UPDATE: Federal law now includes breast pumps and other supplies that directly assist with lactation as medical care expenses. Here’s more on Breast Pumps and Insurance Coverage.

Here is a letter written by a fellow breastfeeding mom (Thank you for sharing this Kerry!).  Her pediatrician gladly signed it and said it was well-written. We both expect it to do the trick. If someone else needs such a letter, feel free to use this one as a start:

Now infants can get
all their vitamin D
from their mothers’ milk;
no drops needed with
our sponsor's
TheraNatal Lactation Complete
by THERALOGIX. Use PRC code “KELLY” for a special discount!

To Whom It May Concern:

The American Academy of Pediatrics supports the medical benefits of breastfeeding in its position statement, which notes that, “Breastfeeding and human milk are the normative standards for infant feeding and nutrition. Given the documented short- and long-term medical and neurodevelopmental advantages of breastfeeding, infant nutrition should be considered a public health issue and not only a lifestyle choice [1].” Physical separation of mother and baby presents a medical need for expressed breastmilk.

[MOM’s NAME] and her [SON/DAUGHTER] are separated for approximately 10 hours a day 5 days a week and occasionally for extended periods of approximately 2 weeks. Breastmilk accounts for greater than 50% of her [SON/DAUGHTER]’s caloric intake and there is no comparable substitute for the immunological properties her breastmilk provides. During these periods of separation, a breastpump is the only means for providing breastmilk to her [SON/DAUGHTER]. Therefore, [MOM’s NAME] requires a quality double-electric breastpump (such as the Hygeia EnJoye), any necessary replacement parts, and/or a quality manual pump.

In addition to providing optimal nourishment and antibodies for [MOM’s NAME]’s [SON/DAUGHTER] during periods of separation, using a breastpump addresses the following medical conditions for [MOM’s NAME]: (1) prevents engorgement of the breasts (ICD-9 code 676.24); (2) reduces the risk of plugged milk ducts and treats plugged milk ducts should they occur (ICD-9 code 675.24); (3) reduces the risk of mastitis (ICD-9 code 675.14 or 675.24); (4) maintains milk supply/prevents suppressed lactation (ICD-9 code 676.54).

Sincerely,

[DOC’S NAME]

——————————————————————————–

[1] American Academy of Pediatrics Section on Breastfeeding. “Breastfeeding and the use of human milk.” Pediatrics, vol. 129, no. 3 [March 1, 2012]:pp. e827-e841.

Updated on October 31, 2023Filed Under: Mother-2-Mother.com, Pumping issues

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  • Home
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    • Translations
      ▼
      • Bulgarian
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      • Portuguese
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      • Spanish
    • Sponsors
      ▼
      • Become a sponsor
      • Previous Sponsor Posts
  • Hot Topics
    ▼
    • COVID-19
  • Pregnancy
    ▼
    • Preparing to Breastfeed
    • Breastfeeding when pregnant
  • Breastfeeding
    ▼
    • Got Milk?
    • What is Normal?
    • Can I Breastfeed if…?
      ▼
      • Lifestyle choices
      • Illness, Surgery & Medical Procedures
      • Medications & Vaccines
      • Herbs/natural treatments
      • Chemical exposure
    • Common Concerns
      ▼
      • Child Concerns
      • Mother’s Concerns
      • Finding Help
      • Legal issues
    • Pumping & Employment
      ▼
      • Pumping & supply
      • Feeding baby
      • Milk handling/storage
      • Employed moms
    • Advocacy
  • Ages & Stages
    ▼
    • Adoptive BF/ Relactation
    • Premature Infant
    • Newborn
      ▼
      • Breastfeeding Basics
      • Common Newborn Concerns
      • Newborn Challenges
    • Older Infant
    • After the First Year
    • Tandem Breastfeeding
    • Weaning
      ▼
      • Considering weaning
      • How to wean
  • Parenting
    ▼
    • Parenting FAQ
    • Nighttime parenting
    • Reviews
    • Fun
      ▼
      • Humor & Wisdom
      • Trivia
  • Health
    ▼
    • Baby’s Health
    • Growth & Development
    • Mom’s Health
    • Can I Breastfeed if…?
  • Nutrition
    ▼
    • Solid Foods
    • Mother’s Diet
    • Vitamins/ Supplements
    • Milk
  • Shop
    ▼
    • Support KellyMom – amazon portal
    • Free Handouts