Do you take medical insurance?
Yes! I have partnered with The Lactation Network who is able to bill your insurance plan directly for multiple visits. The Lactation Network is currently contracted with Cigna and Blue Cross Blue Shield PPO. Unfortunately, at this time I don’t take other insurance carriers but I can provide a superbill after the visit. If you would like to check your insurance coverage, please click on the link below.
Fill out the form with your insurance information. They will review your information and reply with an email regarding coverage within a couple of hours. I will receive an email as well letting me know whether or not you are approved. We can then proceed with scheduling a consult (Virtual or in-person).
The Lactation Network does not accept all insurances. If you are not covered, then I can provide a superbill for the consult for partial or full reimbursement. In my experience, Aetna, Harvard Pilgrim, and some Tufts health plans have been reimbursing for IBCLC home visits. This means that you pay me, the IBCLC directly. You can pay by credit card, check or cash. I will provide you with a receipt with information for your insurance company. It’s important that you call your insurance first to determine how much they will reimburse.
Additional travel fee of $50 may apply for areas more than 10 miles from 02806 even if your visits are covered by The Lactation Network.
What is a superbill and how does it work?
The Affordable Care Act of 2012 requires coverage of lactation consulting as a “Women’s Preventive Service.” Please contact your insurance company to learn specifics for your plan. I will accept payment on the day of the consult (Venmo, Visa/Mastercard/Discover, Check) and provide you with the receipt necessary for you to seek insurance reimbursement.
I suggest following these steps to get specific information for your insurance plan and processes:
- Call your insurance company and ask if they have any particular instructions or forms they require.
- Your IBCLC will give you a receipt – known as a superbill – which includes:
- A National Provider Identification (NPI) number and tax ID (EIN) number.
- A code for the type of appointment (CPT code), such as a home visit.
- A code for the problem (ICD-10 code), such as slow weight gain in newborn.
- The amount you paid.
- The date of service.
- The IBCLC’s contact info and signature.
- You should mail or fax this superbill, together with your policy information, to your insurance company, according to their instructions.