FEES & INSURANCE
We offer 2 options to work with insurance companies. One of these two options will work for 80% of our clients.
OPTION 1: INSURANCE COVERAGE WITH THE LACTATION NETWORK
We contract with The Lactation Network, an organization that helps parents get the breastfeeding support they deserve, covered by their insurance. The Lactation Network is partnered with *many* common insurance plans and guarantees unlimited lactation consultations for clients who are pre-approved at no/low cost to you (the patient/client). A nominal travel fee may apply for home visits and is not billable to insurance. The Lactation Network handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed through The Lactation Network for this type of coverage and it takes only a minute of your time. In general, this does not work for Tricare, TennCare, or Federal plans; some Cigna plans will be covered, please check your coverage with our link. If you see a small logo on your insurance card such as MultiPlan, PHCS, PNOA you will likely get coverage!
Veterans who have VA benefits, you may also get coverage through TLN; but there are a few steps. Use this link AND email Kate to inquire.
MNPS employees, use The Lactation Network for a special program your employer has with them.
GET PRE-APPROVAL QUICKLY with The Lactation Network
STEP 1: Schedule an appointment with your IBCLC *first*. Email or call us.
STEP 2: Click on the link for the IBCLC you are scheduled to see. Don’t know who to see? Use this link. Enter insurance card details there.
For Leah click here
For Kate click here
For Bess click here
For Nancy click here
For Heather click here
For Lakeshia click here
For Kelli click here
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4: If you are *not* approved through The Lactation Network, see Option 2: Cigna, Option 3: Out Of Pocket Fees below.
We contract with The Lactation Network, an organization that helps parents get the breastfeeding support they deserve, covered by their insurance. The Lactation Network is partnered with *many* common insurance plans and guarantees unlimited lactation consultations for clients who are pre-approved at no/low cost to you (the patient/client). A nominal travel fee may apply for home visits and is not billable to insurance. The Lactation Network handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed through The Lactation Network for this type of coverage and it takes only a minute of your time. In general, this does not work for Tricare, TennCare, or Federal plans; some Cigna plans will be covered, please check your coverage with our link. If you see a small logo on your insurance card such as MultiPlan, PHCS, PNOA you will likely get coverage!
Veterans who have VA benefits, you may also get coverage through TLN; but there are a few steps. Use this link AND email Kate to inquire.
MNPS employees, use The Lactation Network for a special program your employer has with them.
GET PRE-APPROVAL QUICKLY with The Lactation Network
STEP 1: Schedule an appointment with your IBCLC *first*. Email or call us.
STEP 2: Click on the link for the IBCLC you are scheduled to see. Don’t know who to see? Use this link. Enter insurance card details there.
For Leah click here
For Kate click here
For Bess click here
For Nancy click here
For Heather click here
For Lakeshia click here
For Kelli click here
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4: If you are *not* approved through The Lactation Network, see Option 2: Cigna, Option 3: Out Of Pocket Fees below.
OPTION 2: CIGNA INSURANCE COVERAGE WITH WILDFLOWER
We contract with Wildflower, an organization specific *only* to Cigna insurance plans, that helps parents simplify the healthcare journey to obtain the breastfeeding support they deserve, covered by their insurance. Wildflower is partnered *only* with Cigna insurance plans and guarantees lactation consultations for clients who are pre-approved at no/low cost to you. A nominal travel fee may apply for home visits and is not billable to insurance. Wildflower handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed through Wildflower for this type of coverage and it takes only a minute of your time. This is for Cigna insurance plans only. Those who qualify for both billing agencies will be assigned to billing through The Lactation Network.
MNPS employees, use The Lactation Network for a special program your employer has with them.
GET PRE-APPROVAL QUICKLY with Wildflower (Cigna plans only)
STEP 1: Schedule an appointment with your IBCLC *first*. Email or call us. DO NOT schedule on the Wildflower website.
STEP 2: Click on the link for the IBCLC you are scheduled to see. Don’t know who to see? Use this link. Enter insurance card details there.
For Leah click here
For Kate click here
For Bess click here
For Heather click here
For Lakeshia click here
For Grace click here
For Nancy click here
Kelli will be in the Wildflower network shortly.
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4 If you are *not* approved through Wildflower, see Option 3: Out-Of-Pocket Fees below.
We contract with Wildflower, an organization specific *only* to Cigna insurance plans, that helps parents simplify the healthcare journey to obtain the breastfeeding support they deserve, covered by their insurance. Wildflower is partnered *only* with Cigna insurance plans and guarantees lactation consultations for clients who are pre-approved at no/low cost to you. A nominal travel fee may apply for home visits and is not billable to insurance. Wildflower handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed through Wildflower for this type of coverage and it takes only a minute of your time. This is for Cigna insurance plans only. Those who qualify for both billing agencies will be assigned to billing through The Lactation Network.
MNPS employees, use The Lactation Network for a special program your employer has with them.
GET PRE-APPROVAL QUICKLY with Wildflower (Cigna plans only)
STEP 1: Schedule an appointment with your IBCLC *first*. Email or call us. DO NOT schedule on the Wildflower website.
STEP 2: Click on the link for the IBCLC you are scheduled to see. Don’t know who to see? Use this link. Enter insurance card details there.
For Leah click here
For Kate click here
For Bess click here
For Heather click here
For Lakeshia click here
For Grace click here
For Nancy click here
Kelli will be in the Wildflower network shortly.
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4 If you are *not* approved through Wildflower, see Option 3: Out-Of-Pocket Fees below.
OPTION 3: OUT-OF-POCKET FEES & REIMBURSEMENT
If your plan is not covered by Option 1 or 2, you may be able to get partial or full reimbursement of your lactation consultation fees by submitting receipts to your insurance company. We do not file claims with your insurance company. Reimbursement is not guaranteed. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult. This does not work for TennCare plans.
An order is not needed for our office, though you will want one in order to file with your insurance. Usually, the order is obtained from baby's care provider or your OB/Midwife and is for the lactating parent.
You will have a higher likelihood of reimbursement if you call your insurance company ahead of time to request a "Gap Exception" for the specific IBCLC that you are scheduled to see. Use the form below to guide you; your insurance company will ask for a variety of codes which are on that form. After the consultation we will give you the proper forms and receipts you will need to submit for possible reimbursement.
If your plan is not covered by Option 1 or 2, you may be able to get partial or full reimbursement of your lactation consultation fees by submitting receipts to your insurance company. We do not file claims with your insurance company. Reimbursement is not guaranteed. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult. This does not work for TennCare plans.
An order is not needed for our office, though you will want one in order to file with your insurance. Usually, the order is obtained from baby's care provider or your OB/Midwife and is for the lactating parent.
You will have a higher likelihood of reimbursement if you call your insurance company ahead of time to request a "Gap Exception" for the specific IBCLC that you are scheduled to see. Use the form below to guide you; your insurance company will ask for a variety of codes which are on that form. After the consultation we will give you the proper forms and receipts you will need to submit for possible reimbursement.
| gap_exception_2024.pdf |
OUT-OF-POCKET FEES (subject to change)
Initial office consultation $200
In-home mother/baby consultations $200
Twin home/office consultations $250
Telehealth consultations $150
Follow-up office visits $150-200
Prenatal Adoptive/Induced consults $200
Bottle/Pump/Solid Foods/Weaning Consults $150
Phone Consultations - up to 45 minutes $75
*a travel fee may apply for in-home visits based on your home location
Initial office consultation $200
In-home mother/baby consultations $200
Twin home/office consultations $250
Telehealth consultations $150
Follow-up office visits $150-200
Prenatal Adoptive/Induced consults $200
Bottle/Pump/Solid Foods/Weaning Consults $150
Phone Consultations - up to 45 minutes $75
*a travel fee may apply for in-home visits based on your home location
CANCELLATION POLICY
If you are unable to keep your scheduled appointment and cancel within 24 hours of the scheduled appointment time, you will be charged a fee of $75. Our consultants schedule only one client per appointment time period. Cancelled appointments are not only frustrating for our consultants, but also for other clients in need of our services. Call to cancel: 855-905-2229 and email the consultant with whom you are scheduled.
If you are unable to keep your scheduled appointment and cancel within 24 hours of the scheduled appointment time, you will be charged a fee of $75. Our consultants schedule only one client per appointment time period. Cancelled appointments are not only frustrating for our consultants, but also for other clients in need of our services. Call to cancel: 855-905-2229 and email the consultant with whom you are scheduled.
