Insurance & Payment Information
We are committed to providing accessible and professional infant feeding & lactation support to ALL.
Insurance coverage for lactation services has gotten so much better over the years, but can sometimes leave families with some financial responsibility. This is an unfortunate barrier for many families who really need infant feeding support.
We are committed to helping with this barrier by:
Offering discounted rates to families on state insurance (since we’re unable to bill them directly)
Offering payment plans
Submitting all out of network claims at no additional cost to you
Nourished Lactation accepts most major insurances! We want you to get your infant feeding and lactation support covered by your insurance, and we do everything we can to help with that.
We partner with The Lactation Network & Wildflower Health, as well as privately contract with some insurances.
Aetna (In-Network)
First Choice Health & Kaiser PPO (In-Network)
Regence/Premera (most Blue Cross PPO, Blue Shield PPO plans) (The Lactation Network)
Anthem PPO (The Lactation Network)
Cigna (Wildflower Health)
TRICARE WEST (Approved provider)
Veterans Affairs Community Care Network plans (The Lactation Network)
United HealthCare (The Lactation Network)
As well as most plans that utilize MultiPlan and PNOA (The Lactation Network)
If you would like us to verify your coverage, please text us and we can help walk you through the process.
You may also click the links below to confirm eligibility.
Please note, there is a travel fee of $35 applied to all TLN & Wildflower HOME visits.
The Lactation Network (TLN)
Out-of-Network:
For out of network claims, we will collect payment for our services at the time of our visit at our cash rate, and we will submit the out of network claim for you at no additional cost. Any reimbursement from your insurance provider will be sent directly to you. We cannot guarantee full reimbursement. It is important to know your lactation specific insurance coverage.
If you wish to submit your own claims, we will give you a super-bill for our services to submit to your insurance provider for reimbursement.
SPECIAL DELIVERY CO. Patients:
Everything is billed through the birth center. You can schedule your lactation consultation here on our website, or you can contact the birth center to schedule. All billing related questions or concerns should be directed to the birth center.
A NOTE ON BILLING:
The standard billing process for lactation visits is to bill for both mom and baby, since you both will be patients under our practice as defined in the practice policies. Each patient is billed a lactation class code (S9443), and a time code. The time codes selected depends on how much time is spent with each patient, whether you are new or established patients of ours, and whether it’s a home, office, or telehelth visit. Most insurances allow a set number of lactation class codes per patient, and those are typically covered in full. For time codes, it depends on the patients deductible. In some cases, a portion may be applied to cost sharing or deductible (and then becomes patient responsibility). It is your responsibility to know your individual insurance covered lactation benefits, and potential out-of-pocket expenses. We have a legal obligation to bill you for what your insurance company applies to patient responsibility or deductible.