Essential Lactation

Insurance for Aetna clients: Essential Lactation is in-network with Aetna. I am able to submit your fees for Aetna’s consideration. Aetna’s usual and customary allotment for each procedure will satisfy your account; ultimately, each client remains responsible for full payment for services. You are responsible for providing me with accurate insurance information and informing me of any changes in your insurance status; if you do not have coverage at the time of service, you will be responsible to pay me at my self-pay rate.

Insurance for BCBS PPO (and subsidiaries like Regence, Premera, Anthem), some Cigna PPO, Multiplan, and now United Healthcare: These need prior approval. This organization helps parents and parents-to-be get the breastfeeding support they deserve, covered by their insurance. Once approved, the Lactation Network guarantees full coverage with these insurances for in-home lactation consultations with a registered IBCLC, like me, at no out of pocket cost. They handle the paperwork and bill your insurance directly while I am contracted to provide the services. To learn more and schedule a consultation with me, visit Lactation Network to see if you qualify!

Cash-pay clients: I will provide you with a superbill suitable for you to submit to your insurance. The superbill (which will also serve as a payment receipt) will be coded appropriately to the level of service provided during the visit. You agree to pay me at the time of the visit (cash, check, credit card, or HSA). Prices vary by appointment type and are listed in the online scheduling system.

Payments: A credit card will be required for booking online, but won’t be charged until after the consultation and insurance has been verified. For self pay clients, payment is due on the date of service. Payment may be made electronically using a credit card or fund transfer. I use SquareUp to process payments. SquareUp meets the high standards of HIPAA and the banking industry for security and privacy with regard to financial transactions. Cash and check are also accepted.

Affordable Care Act: Under the Affordable Care Act most insurances are required to cover lactation services, but you will want to check with your plan to determine your benefits. For more information about getting reimbursed please visit the National Women’s Law Center Tool Kit.

Cancellation Policy: If you cancel greater than 24 hrs ahead of your appointment, no fees will be incurred. If you cancel 24 hrs or less, then you will be charged a $50 cancellation fee.