Reimbursement

Reimbursement Options For Prenatal Classes:

1) Many health insurance companies offer reimbursement for all or part of prenatal classes including Childbirth Education, Breastfeeding, Newborn Care, and Infant CPR, safety classes and lactation consultations. You must contact your own health insurance company to confirm your policy’s specific reimbursement benefits.  The following are links to some common MA health insurance companies to help you get started:

• Blue Cross Blue Shield of Massachusetts
• Fallon Community Health Plan 
• Neighborhood Health Plan 
• Tufts Health Plan

2) Flexible Spending Account (FSA)/ Health Care Savings Account (HSA) may be used to pay for all or any remaining balance of prenatal classes. Contact your own FSA/HSA to inquire about specific reimbursement policies.   To learn more about Flexible Spending Accounts reimbursement, see the www.IRS.gov page.

 

Additional Information:

Individual health insurance policies and reimbursements vary greatly. Please contact your health insurance company to confirm your benefits for reimbursement.  Here is some additional information your health insurance company may ask you to provide.

PROOF OF CLASS PAYMENT:   The first Over The Moon Parenting email you received contains confirmation of class registration and payment amount. This email can be used as a receipt of class payment.  A copy of your credit card statement can also be used as proof of class payment.​

PROOF OF CLASS ATTENDANCE*   You can download our reimbursement letter for insurance companies. (*Valid only after you have attended the class.)

CODES that your insurance may need for billing and reimbursement.  CALL your insurance company and ask which of the following codes they are looking for:

​CPT CODES

S9436: Childbirth preparation/Lamaze classes, non-physician provider, per session
S9442: Birthing classes, non-physician, per session
S9443: Lactation Class, no-physician, per session
S9444: Parenting classes, non-physician, per session
S9447: Infant Safety (including CPR) classes, non-physician, per session​

98960 – 98962: Non-physician provider doing education –  all prenatal classes

ICD CODES

ICD-10-CM Diagnosis Code Z39.1 – Mother & Baby program lactation education: Breastfeeding Class & Lactation Consultation

ICD-10-CM Diagnosis Code Z32.2 – Childbirth education; Childbirth instruction: Childbirth Education Class

ICD-10-CM Diagnosis Code Z32.3 – Prenatal childcare instruction: Newborn Care Class

ICD-10-CM Diagnosis Code Z71.89 – Health education; Individual or group safety & first aid education: CPR/Safety Classes