Insurance & Payment Information

Lactation support, despite its critical role in maternal and infant health, often isn’t adequately covered by insurance. Many insurance plans either offer limited coverage or exclude lactation services altogether, leaving new families to bear the cost.

As a result, families may struggle to access essential support (like consultations with lactation consultants) which can impact feeding success and overall health outcomes.

We want to help.

We are committed to helping with this barrier by:

  • Offering sliding-scale pricing

  • Offering payment plans

  • Submitting all out of network claims at no additional cost to you

    Any reimbursement your insurance provides will be sent directly to you!*

In-Network:

Nourished Lactation Care is an in-network provider with Aetna! Typically, they cover 3-6 visits with an IBCLC.

We are also in-network with First Choice Health Insurance, which includes Kaiser PPO!

The Lactation Network (TLN) works with most Blue Cross PPO, Blue Shield PPO, Anthem PPO, Cigna PPO, and VA CCN (Veterans Affairs Community Care Network) plans, United HealthCare HMO & PPO plans, as well as most plans that utilize MultiPlan and PNOA.

To get started verifying your lactation benefits with TLN, CLICK HERE. They will let you know in 1-2 days about your lactation specific coverage. You can still proceed with scheduling your consultation while you wait to hear back from TLN.

Nourished Lactation Care is an approved NON-Network provider with TRICARE West. For Select plans, all you pay out of pocket is 15% of the allowable rate. For Prime plans, you need a referral first, then your visits are covered at 100%.

*The standard billing process for lactation visits is to bill for both mom and baby, since you both are patients under our practice as defined in the practice policies. Each patient is billed a lactation 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 or office visit. Most insurances allow a set number of S9443 codes per patient, and those are usually covered in full. For time codes, it depends on the patients deductible. In some cases, a portion may be applied to deductible (and then becomes patient responsibility). It is your responsibility to know your individual insurance covered lactation benefits, and potential out-of-pocket expenses.

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. We cannot guarantee full reimbursement from your insurance provider. 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 (YAY!). You can schedule your lactation consultation here on our website, or you can contact the birth center to schedule.