Insurance
If you have Anthem PPO, BCBS PPO, Multiplan or UHC your lactation consultation may be covered completely for up to 6+ visits through The Lactation Network!
If you have insurance listed above and you submit for coverage through the link above with The Lactation Network – Once approved, you will receive a confirmation email & I will then reach out to you to schedule your appointment.
For families with Tricare, reach out to me directly to schedule.
Out-of-network insurances, I recommend calling your insurance provider to request pre-authorization to see an out-of-network provider (aka me). Here’s a great collection of articles for receiving reimbursement.
Families with Christian Health Share plans would be treated as self-pay patients and given a superbill to submit for reimbursement. I recommend calling them ahead of time and asking what coding they would like included on the superbill for seamless reimbursement.
Please ask about sliding scale services if you are uninsured, have Medicaid or WIC.
about coverage
Out-Of-Network Patients:
If you have an insurance policy that is not in my network, you would be a self-pay patient and I collect payment at appointment booking. I would then provide you with a superbill after our appointment that would allow you to submit to insurance for reimbursement. HSA/FSA cards, credit cards, or debit cards are all accepted. Payment plans can, also, be arranged in advance of our appointment.
Know Your Rights:
The Affordable Care Act states, “Health Insurance plans MUST provide breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after birth.” The only exceptions to this are state funded health care plans and grandfathered plans.
Advocating for Your Coverage:
When contacting your insurance provider to check coverage, The National Women’s Law Center has a great script to follow, available on page 8 here.
If your insurance company asks, my provider number is 1932798550. I typically use the procedure code 99404 and S9443 and the diagnosis code Z39.1
Final Note:
To all my new families out there, I know fussing with your insurance company is the last thing you want to do. But taking the time to do this when you are denied coverage will help pave the way for other families to receive the breastfeeding support they deserve
If for some reason your insurance company does not cover the cost for my services, I want to assure you that in being a self-pay patient with an IBCLC, you will be receiving the best breastfeeding support in your area. I am passionate about what I do, I care deeply about every family I work with, and strive for excellence in my work. Please reach out with any questions or concerns!
Testimonials
“I can’t recommend Demi and her services enough. As a first-time mom, she has given me invaluable advice and encouragement that has paved the way for my breastfeeding journey. She is responsive, flexible, attentive, and an overall delight to work with. Highly highly recommend!”
-CATHERINE B
“Demi is one of our most favorite consultants we worked with! She’s calming, confident, gentle, and supportive. She’s also very educated and easily explains and teaches you as she consults. She’s incredibly easy to work with regarding communication and she made the insurance coverage part a breeze. We left our first meeting less anxious about getting our breastfeeding journey to a more enjoyable place all thanks to Demi!”
-SAMANTHA K.
“Demi was a delight to have in our home caring for our 2-month-old. She is extremely knowledgeable regarding all things breastfeeding and newborn care. Demi is a very loving person who is very trustworthy. Upon meeting her for the first time, I immediately felt at ease and educated by her support.”
-EMILY