Insurance Coverage

I’m proud to partner with The Lactation Network! This is an incredible organization that helps parents get the breastfeeding support they deserve, covered by their insurance.

BCBS PPO, Anthem PPO. Cigna, Aetna and UHC MultiPlan- check  for  this logo on your insurance card (baby or parent coverage): The Lactation Network guarantees every mother 6, in-home lactation consultations with a registered IBCLC, like me, at no out of pocket cost. This includes either office visits, in home visits or virtual (telehealth visits). They handle the paperwork and bill your insurance directly. To learn more and schedule a consultation with me, follow the instructions below to apply.

HOW IT WORKS

Please read the below information carefully. I offer quite a few services and you want to be sure you choose the correct one for your needs.

In- network claims:  If you have been approved by Lactation Network, your are eligible for 6 consultations which are  covered 100%.  This means no out- of -pocket expense for you.  Pre-approval must be obtained through Lactation Network  Once approved, you can choose between:

  1.       Home Visit
  2.       Virtual Visit

 

Out-of-network claims:  If your insurance company is not listed above, I will take payment directly from you.  HSA/FSA cards, credit cards, check, cash, paypal and Venmo are all accepted.  You will be emailed a paid receipt  to submit for reimbursement.   Most insurance companies are now reimbursing for lactation consultations.  Schedule your consult by choosing:

  1.       Home Visit
  2.       Virtual Consult

 

Please note:  For The Lactation Network clients:  A fee of $75.00 for each home visit will be charged if the roundtrip to and from your home to  my office is less than 50 miles.  This travel fee is not covered by insurance and is due at the time of your home visit.  You can pay by cash, check or Venmo.

 

Please note:  For The Lactation Network clients:  A fee of $85.00 for each home visit will be charged if the roundtrip to and from your home to  my office is more than 50 miles.  This travel fee is not covered by insurance and is due at the time of your home visit.  You can pay by cash, check or Venmo.

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If you would  like  to  schedule  a  Prenatal Virtual Consult with Lactation Network,  please  click  here.

Please secure all pets in another room during our consult.

Instructions to Apply to The Lactation Network

In-Network

Blue Cross Blue Shield PPO 

Anthem BCBS PPO

Cigna

Aetna and UHC Multiplan

 

How to get your visit covered:

  1. If you have one of the above insurance plans, please verify your eligibility at Lactation Network.  Pre-approval is needed for coverage.  At least 6 visits with LORI can be covered at no out-of-pocket expense for you IF YOU QUALIFY.
  2. Fill out the  information on the website and submit.
  3. You will receive an email from Lactation Network with information regarding your eligibility for 100% coverage.  This email is frequently sent within hours of your submission.
  4. Once you receive verification from Lactation Network, click on “Schedule an appointment” and choose an available time for your visit.

If you choose not to use Lactation Network, or if your insurance carrier is not an affiliate with them, then payment is due in full at the time of the consult, and you may seek reimbursement for the services afterwards. Most insurance companies will reimburse, but not all will. If reimbursement is important to you, please check in with your insurance carrier prior to scheduling. For anybody seeking reimbursement, I will provide an invoice to submit to insurance following your appointment with me.

 

I accept FSA and HSA cards, cash, check, most major credit cards, Venmo and PayPal.