Insurance Reimbursement

We are a private fee-for-service practice and your fee is due at the time of service. However, under the Affordable Care Act (ACA) lactation consultations are required to be covered by your insurance company (expect for a few “grandfathered plans”). Presently, AETNA is the only insurance company allowing Lactation Consultants in their network.

We will provide you with an invoice with the medical billing codes to assist with reimbursement. Since there are no in-network providers for the major insurance companies, our patients have been getting full reimbursement for lactation services. We will assist you in any way to get lactation coverage that is mandated under the ACA.

Please use the following links for further information on your insurance plan and its coverage:

AETNA

Anthem BLUE CROSS/ BLUE SHIELD

Carefirst BLUE CROSS/BLUE SHIELD

CIGNA

Kaiser Permanente

Tricare

United Healthcare