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Insurance Information

Tricare East & West

I am in network with Tricare, which coveres both prime and select plans. Virtual or in person lactation services are covered through your insurance with no out of pocket costs to you for 6 visits and, pre-authorizations are not required. If you need more support than the initial 6 visits you can obtain an authorization through your PCM for more visits. 

Please schedule an insurance covered home or virtual appointment. No pre authorizations or referrals are required.

Aetna

I am in network with Aetna insurance plans. Aetna does require an pre authorization before services are rendered. Please book your insurance covered appointment for at least 2 days in advanced and submit your patient forms as soon as possible. I will submit the authorization request (after receiving your patient forms) on your behalf to ensure you have no co pays then I will see you at our appointment!

Commerical Insurances

If you have a commercial insurance such as Blue Cross Blue Shield, Anthem, United Health Care, Multiplan, PNO, VA, Cigna, UMR, etc you will first need to verify your insurance coverage before our appointment. I use a third party billing company (The Lactation Network - TLN) for insurance coverage for many PPO insurance plans. If your insurance is covered with TLN you will have coverage for unlimited visits, there will never be any out of pocket costs, and we will directly bill your insurance.

Medicaid / Self Pay

Unfortunately Medicaid is renown for not covering lactation counseling or working with IBCLCs for insurance coverage outside of health care facilities. If I am not in network with your insurance please select a self pay service. If you are low income on WIC or Medicaid contact me directly to receive information on my sliding scale fees or a customizable payment plan option for support. 

Seeking Insurance Reimbursement:

I believe quality lactation care should be accessible for all families regardless of their financial situations and I make every effort to help you receive insurance coverage. Aside from Medicaid you can call your insurance and ask about their policy for lactation counseling. Then ask for a list of in network IBCLCs, chances are they won't have any options. If so, then legally they are obligated to reimburse you for seeking care out of their network as there were no in network options. For further information on this topic click here

Services

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