Holistic Lactation & Infant Feeding Support
Sara Alanis RN, IBCLC, IFS
Lactation Consultant, Feeding Specialist, Registered Nurse
Insurance Coverage & Pricing Information
Appointments with Board Certified Lactation Consultants are, by law, expected to be covered by health insurance with no deductible, no copay, no coinsurance, and no other out of pocket costs.
...unfortunately, it is not that clear cut.
More information is below.
Anthem
Cigna
BCBS
Unicare
United
VA CCN
Multiplan
PNOA
So do you take my insurance?
For prenatal or breastmilk feeding parents or babies with United/UHC/UMR PPO or HMO, BCBS PPO (non-federal), Anthem PPO, Unicare PPO, VA CCN, some Harvard Pilgrim; any subsidiary of any of these companies; and any group with a PNOA or MultiPlan logo on the back of the card- up front insurance coverage should be available to you through The Lactation Network (TLN). ...Not sure if this is you? Check anyway:
For parents or babies with Cigna, regardless of feeding modality, insurance coverage is available to you though Wildflower:
The Lactation Network and Wildflower are medical billers who will bill your insurance company, and then use a portion of what they collect to pay me. There is no copay, no coinsurance, and no deductible. Once you are approved your coverage is guaranteed. You must receive approval prior to your appointment in order to use this service, and your policy must remain active for coverage to continue. Office visits are 100% covered. Home visit travel fees do still apply.
If you choose not to use a medical biller or if your insurance company is not listed above, then detailed pricing information is available on the Appointments page. Payment is due in full at the time of service, and you may seek reimbursement afterwards. Many insurance companies will reimburse (Tufts, Tricare), but not all will (NH/MA state plans, federal plans). If reimbursement is important to you, please check with your insurance company about coverage prior to scheduling. I can not guarantee reimbursement and I will not refund non-reimbursed fees. I will provide a special invoice to submit to insurance following your appointment with me. The procedure codes generally are S9443 for a prenatal, 99404 and 99203 for a lactating parent as the patient, and S9444 for a formula feeding baby as the patient.
I accept FSA & HSA cards, cash, check, Visa, Mastercard, Discover, American Express, and Venmo. If lactation or feeding assistance is needed, but care is not covered by your insurance, and is out of reach financially, please let me know and we can work something out- whether it is a reduced fee, a payment plan, or a barter. Everybody deserves care.
