Insurance

Insurance Coverage

For breastfeeding appointments:

Blue Cross PPO, Anthem PPO, Cigna PPO, United PPO, Aetna:

I work with Lactation Network to provide 2-3 consultations (In-home, In-office, or Virtual) at no-cost to the you. Client must check for pre-approval through Lactation Network prior to scheduling appointment as not all plans will provide coverage. Just click the above link and fill out insurance information. You will receive notice via email within the day to let you know if you are eligible for coverage by your insurance. If approved, they will cover up to 3 visits with no up-front costs to you! Totally free lactation support! Woo-hoo!!

If not covered by above Insurance Providers

My prices can be seen under Lactation Appointments or Nutrition Services on this site. Lactation and Nutrition services qualify as an HSA or FSA expense. I can directly charge your HSA savings debit card at the time of service, which means no out-of-pocket costs to you.

If no insurance or HSA, I collect payment at the time of service, then I will provide you with a superbill containing all applicable billing codes that your insurance will need to provide coverage. Under the Affordable Care Act (ACA), most insurance plans are required to cover lactation services at no out-of-pocket costs. Getting them to actually reimburse payment can sometimes be difficult though. It is recommended that you speak to your insurance rep prior to lactation services to get pre-approval, which can sometimes help the reimbursement process. Many families report having to submit a superbill several times before receiving reimbursement. I am happy to help guide you through this process. Here is an article by Rachel O'Brien that may be able to help aide you in this process. Also check out this article by the National Women's Law Center for more information on steps for reimbursement.

Nutrition Services

At this time, I am unable to directly bill insurance. Many insurance companies do reimburse for nutrition consults with an RD though.

While nutrition services are hit-or-miss with coverage, the same recommendations listed above do apply. I will provide a superbill following nutrition consults with applicable codes as well. Even though Rachel O'Brien's above article is directed towards breastfeeding coverage, the same steps can be taken for reimbursement of nutrition consulting. Check with your insurance prior to a nutrition consult for pre-approval to increase your likelihood of reimbursement. I can also request your MD for a referral form for RD services which will also increase likelihood of reimbursement from your insurance provider.

Appointments can be made by calling (269) 697-1088. Payment will be taken at time of visit.