Payment for Services
We partner with Wildflower Health for in-network care with CIGNA and partner with The Lactation Network (TLN) to provide in-network care for most insurance plans. We will contact your insurance prior to the first visit to verify coverage. Typically six lactation visits are included in lactation care for most in-network insurance plans with no additional costs. If more visits are needed, we can submit to your insurance for approval.
Please click the following link to request an appointment:
Request Appointment We are partnered with The Lactation Network. You can also enter your information and verify coverage through them. Once we confirm your insurance we will contact you to schedule. Please click the following link to verify coverage and schedule a lactation consult: Verify Insurance Coverage Through TLNWe also accept CIGNA patients through the Wildflower partnership. Please click the following link to verify coverage and schedule a lactation consult:
Verify Insurance Coverage Through CIGNAIf your insurance does not contract with us then the lactation care will be considered out-of-network. An insurance superbill (coded receipt) will be provided for you to submit to your insurance plan for reimbursement. Accepted payment forms include credit card, HSA, and FSA. We do not accept personal checks.
Don’t forget: if you have a healthcare FSA, an HRA or an 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.