Language Assistance

Get helpful language services at no cost to you! (non-Medicare)
(Adobe PDF)




Health Net logo

Benefits of Breastfeeding

Health Net Promotes Benefits of Breastfeeding

Importance of Preconception Health

"It's well established that breastfeeding is beneficial to both babies and mothers," said Patricia Buss, M.D., Medical and Health Care Services Operations officer for Health Net, Inc. However, recent data from the Centers for Disease Control and Prevention (CDC) indicate that some breastfeeding rates are relatively low. "For example," Buss said, "the CDC reported in 2012 that, while 75 percent of new mothers in the United States start out breastfeeding, less than half breastfed their babies for six months."

Buss points out, "The American Academy of Pediatrics advises that women breastfeed their babies exclusively for six months, and continue to breastfeed for one year or longer, along with giving their child pediatrician-recommended foods. Although more moms are now breastfeeding their babies, Health Net's goal is to not only increase the percentage of breastfeeding moms, but also to help increase the average number of months that they breastfeed."

To help expand awareness of this goal, Health Net provides its members with breastfeeding education and resources. Members can access lactation education and support services, including access to international, board-certified lactation consultants through Health Net, their medical groups, or at healthnet.com - depending on their enrollment. Additionally, Health Net supports healthy outcomes for mothers and babies by providing breast pumps to new mothers which are covered under members' preventive care benefits.

The Benefits of Breastfeeding
According to the U.S. Department of Health and Human Services Office on Women's Health (OWH), breastfeeding benefits babies, moms, and possibly society as a whole. The OWH states that some of the advantages of breastfeeding include:

  • Early breast milk is packed with nutrients and antibodies – Sometimes referred to as liquid gold, colostrum is the thick, yellow breast milk that is produced just after birth. This milk is very rich in nutrients and antibodies that protect the newborn.
  • Breast milk changes as the baby grows – Colostrum changes into what is called mature milk. By the third to fifth day after birth, this mature breast milk has just the right amount of fat, sugar, water, and protein to facilitate the baby's growth. It is a thinner type of milk than colostrum, but it provides all of the nutrients and antibodies the baby needs.
  • Breast milk is easier to digest – For most babies, especially premature babies, breast milk is easier to digest than formula.
  • Breast milk fights disease – The cells, hormones, and antibodies in breast milk protect babies from illness. This protection is unique to breast milk; formula cannot match the chemical makeup of human breast milk. In fact, among formula-fed babies, ear infections and diarrhea are more common. Additionally, formula-fed babies also have higher risks of:

    • Rnecrotizing enterocolitis, a disease that affects the gastrointestinal tract in preterm infants;
    • lower respiratory infections;
    • asthma;
    • obesity; and
    • type 2 diabetes.

Some research shows that breastfeeding also can reduce the risk of type 1 diabetes, childhood leukemia, and atopic dermatitis (a type of skin rash) in babies. Further findings point to breastfeeding's ability to lower the risk of sudden infant death syndrome.

Other factors that OWH says are worth considering include:

  • Convenience – Breastfeeding is always at the ready. That means, when you breastfeed, there are no bottles and nipples to sterilize, and you don't have to buy, measure, and mix formula. Additionally, there are no bottles to warm in the middle of the night; with breastfeeding, mothers can satisfy their babies' hunger on demand.
  • Money savings – Formula and feeding supplies can cost well over $1,500 each year, depending on how much your baby eats. Breastfed babies also are sick less often, which can lower health care costs.
  • A bridge to bonding – Physical contact helps newborns feel secure, warm, and comforted. Mothers also benefit from this closeness, and the skin-to-skin contact can boost the mom's levels of oxytocin, a hormone that helps milk flow and additionally can serve as a calming force to the mother.
  • Maternal health benefits – Breastfeeding is linked to a lower risk of these health problems in women:

    • type 2 diabetes;
    • breast cancer;
    • ovarian cancer; and
    • postpartum depression.

  • Less work missed – Breastfeeding mothers miss fewer days from work, because their infants are sick less often.
  • Breastfeeding may benefit society – The OWH contends that the nation benefits overall when mothers breastfeed.

    • Recent research shows that if 90 percent of mothers breastfed exclusively for six months, nearly 1,000 deaths among infants could be prevented.
    • The United States also would save $13 billion per year; medical-care costs are lower for fully breastfed infants than never-breastfed infants.
    • Breastfed infants typically need fewer sick-care visits, prescriptions, and hospitalizations.

  • Breastfeeding benefits the environment – There is less trash and plastic waste associated with breastfeeding compared to that produced by formula cans and bottle supplies.

For more information about National Breastfeeding Month, visit http://www.womenshealth.gov and http://www.usbreastfeeding.org

Medical Advice Disclaimer
The information provided is not intended as medical advice or as a substitute for professional medical care. Always seek the advice of your physician or other health provider for any questions you may have regarding your medical condition and follow your health care provider’s instructions.

Log In:
Select Your Account Type

I'm a Member

I'm a Provider

I'm a Broker

I'm an Employer

Log In:
Members

Individual & Family Plan member

CA: Log in at myhealthnetca.com

OR: Log in at healthnet.com

AZ: Log in at ambetterhealth.com

Medicare Advantage member

Log in at membersecurelogin.com

Employer Group Plan member

Log in at healthnet.com

All other plan members

Log in at healthnet.com

Log In:
Members

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Brokers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Employers

Login

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Member information is available on provider.healthnetarizona.com.

Already have an account?
Log in now

(your username is your email address)

Note: HNA providers can log in by using their existing HNA user name (your email address) and password to access Allwell and Ambetter member information.

Need to create a new account?
Register now

Log In:
Providers

Member information is available on provider.healthnetcalifornia.com.

Already have an account?
Log in now

(your username is your email address)

Need to create a new account?
Register now

Log In:
Providers

Member information is available on provider.healthnetoregon.com.

Already have an account?
Log in now

(your username is your email address)

Need to create a new account?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Log In:
Providers

Please enter your user name.

Forgot your user name?

Forgot your password?

Don't have a Health Net user name and password?
Register now

Disclaimer

You are now leaving Health Net's website for Medicare.gov. While Health Net believes you may find value in reading the contents of this site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information contained on the destination server.

To proceed to Medicare.gov, click 'Continue'. To stay on the Health Net website, click 'Cancel'.

If you would prefer to speak to a Health Net representative about this issue, please click here to go to our Customer Service Center page.


Cancel Continue

Important Notice

General Purpose
Health Net's National Medical Policies (the "Policies") are developed to assist Health Net in administering plan benefits and determining whether a particular procedure, drug, service, or supply is medically necessary. The Policies are based upon a review of the available clinical information including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the drug or device, evidence-based guidelines of governmental bodies, and evidence-based guidelines and positions of select national health professional organizations. Coverage determinations are made on a case-by-case basis and are subject to all of the terms, conditions, limitations, and exclusions of the Member's contract, including medical necessity requirements. Health Net may use the Policies to determine whether, under the facts and circumstances of a particular case, the proposed procedure, drug, service, or supply is medically necessary. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. The policy provides for clearly written, reasonable and current criteria that have been approved by Health Net's National Medical Advisory Council (MAC). The clinical criteria and medical policies provide guidelines for determining the medical necessity criteria for specific procedures, equipment and services. In order to be eligible, all services must be medically necessary and otherwise defined in the Member's benefits contract as described in this "Important Notice" disclaimer. In all cases, final benefit determinations are based on the applicable contract language. To the extent there are any conflicts between medical policy guidelines and applicable contract language, the contract language prevails. Medical policy is not intended to override the policy that defines the Member's benefits, nor is it intended to dictate to providers how to practice medicine.


Policy Effective Date and Defined Terms.
The date of posting is not the effective date of the Policy. The Policy is effective as of the date determined by Health Net. All policies are subject to applicable legal and regulatory mandates and requirements for prior notification. If there is a discrepancy between the policy effective date and legal mandates and regulatory requirements, the requirements of law and regulation shall govern. In some states, prior notice or posting on the website is required before a policy is deemed effective. For information regarding the effective dates of Policies, contact your provider representative. The Policies do not include definitions. All terms are defined by Health Net. For information regarding the definitions of terms used in the Policies, contact your provider representative.


Policy Amendment without Notice.
Health Net reserves the right to amend the Policies without notice to providers or Members. In some states, prior notice or website posting is required before an amendment is deemed effective.


No Medical Advice.
The Policies do not constitute medical advice. Health Net does not provide or recommend treatment to Members. Members should consult with their treating physician in connection with diagnosis and treatment decisions.


No Authorization or Guarantee of Coverage.
The Policies do not constitute authorization or guarantee of coverage of any particular procedure, drug, service, or supply. Members and providers should refer to the Member contract to determine if exclusions, limitations and dollar caps apply to a particular procedure, drug, service, or supply.


Policy Limitation: Member's Contract Controls Coverage Determinations.
Statutory Notice to Members: The materials provided to you are guidelines used by this plan to authorize, modify or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. The determination of coverage for a particular procedure, drug, service, or supply is not based upon the Policies, but rather is subject to the facts of the individual clinical case, terms and conditions of the Member's contract, and requirements of applicable laws and regulations. The contract language contains specific terms and conditions, including pre-existing conditions, limitations, exclusions, benefit maximums, eligibility, and other relevant terms and conditions of coverage. In the event the Member's contract (also known as the benefit contract, coverage document, or evidence of coverage) conflicts with the Policies, the Member's contract shall govern. The Policies do not replace or amend the Member contract.


Policy Limitation: Legal and Regulatory Mandates and Requirements
The determinations of coverage for a particular procedure, drug, service, or supply is subject to applicable legal and regulatory mandates and requirements. If there is a discrepancy between the Policies and legal mandates and regulatory requirements, the requirements of law and regulation shall govern.


Reconstructive Surgery
California Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following:


1. To improve function; or
2. To create a normal appearance, to the extent possible.


Reconstructive surgery does not mean "cosmetic surgery," which is surgery performed to alter or reshape normal structures of the body in order to improve appearance.


Requests for reconstructive surgery may be denied, if the proposed procedure offers only a minimal improvement in the appearance of the enrollee, in accordance with the standard of care as practiced by physicians specializing in reconstructive surgery.


Reconstructive Surgery after Mastectomy
California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Coverage for prosthetic devices and reconstructive surgery shall be subject to the copayment, or deductible and coinsurance conditions, that are applicable to the mastectomy and all other terms and conditions applicable to other benefits. "Mastectomy" means the removal of all or part of the breast for medically necessary reasons, as determined by a licensed physician and surgeon.


Policy Limitations: Medicare and Medicaid
Policies specifically developed to assist Health Net in administering Medicare or Medicaid plan benefits and determining coverage for a particular procedure, drug, service, or supply for Medicare or Medicaid Members shall not be construed to apply to any other Health Net plans and Members. The Policies shall not be interpreted to limit the benefits afforded Medicare and Medicaid Members by law and regulation.

Continue

You are now leaving HealthNet.com