Insurances Accepted
We are in network with CareFirst/Blue Cross Blue Shield insurance plans.
For Cigna patients, we provide in-network lactation care through our partnership with Wildflower Health.
For all other insurance plans, we partner with The Lactation Network (TLN) to offer in-network benefits. Prior to your first visit, we will verify your coverage.
Most in-network plans include up to six lactation visits at no additional cost. If additional visits are needed, we can submit a request to your insurance for further approval.
Request an Appointment
CareFirst / BCBS
If you have CareFirst/BCBS, please submit an appointment request and we will verify your benefits before scheduling.
Cigna (Wildflower Health)
Cigna patients can verify coverage through our Wildflower Health partnership. Once eligibility is confirmed, we will contact you to schedule your consultation.
Verify Insurance Coverage Through CIGNA
All Other Insurance Plans
Patients with all other insurance plans can verify in-network eligibility through our TLN partnership. After we confirm your coverage, we will reach out to schedule your visit.
Out-of-Network Visits
If your insurance does not contract with our partners, visits will be billed as out of network. We provide an insurance superbill (coded receipt) that you may submit to your plan for possible reimbursement.
Accepted forms of payment include credit cards, HSA, and FSA.
Personal checks are not accepted.
Use Your FSA, HRA, or HSA.
Don’t forget—if you have a healthcare FSA, HRA, or HSA, you can use those funds to cover your lactation consultations!
How To Submit for Insurance Reimbursement for IBCLC Care
The Affordable Care Act of 2012 requires coverage of lactation consulting as a “Women’s Preventive Service.”
Please contact your insurance company to learn specifics for your plan. This list is for informational purposes only – no healthcare provider can tell you what your insurance will or will not cover.
We suggest following these steps to get specific information for your insurance plan and processes:
- Call your insurance company and ask if they have any particular instructions or forms they require.
- Your IBCLC will give you a receipt – known as a superbill – which includes:
- A National Provider Identification (NPI) number and tax ID (EIN) number.
- A code for the type of appointment (CPT code), such as a home visit.
- A code for the problem (ICD-10 code), such as slow weight gain in newborn.
- The amount you paid.
- The date of service.
- The IBCLC’s contact info and signature.
- You should mail or fax this superbill, together with your policy information, to your insurance company, according to their instructions.
The National Women’s Law Center has a toolkit available to assist in getting lactation care reimbursed through your insurance company. This includes sample letters to send to your insurance company if an appeal is needed for coverage for breast pumps and/or lactation consultant services.