Sample Letter


​Dear   _______________________________________________________, name the head person   (PA Teresa D Miller)  (NJ Richard Badolato)


My name is __________________________ (mom) and I am a citizen of __________________________________________________________(mom's full address)


I am writing to let you know that I am having a current problem with  ___________________________________ (mom's specific exact insurance provider company name


I am submitting for coverage of care which is mandated under the The Affordable Care Act as covered within the provision of Breastfeeding / Lactation support.  The coverage is under the Women's Preventative care guidelines which specifically mention breast pumps; supplies; and lactation support by a qualified provider for the duration of Breastfeeding.


Currently, _______________________________ (the insurance company) is declining to reimburse for my mandated covered expenses.


Please get in touch with me about this violation.   I may be reached at _______________________ (mom's phone number)


I appreciate your concern about this issue, and I will look forward to talking to you about this.


Yours respectfully,





_______________________________________________________(mom's name)



Here is a link to the Pennsylvania Insurance Commissioner

Lactation consultant helping you reach your breastfeeding goals!