Insurance Coverage
You have the right for Lactation Support insurance coverage!
If your insurance is not listed below, I can provide you with what's called a Superbill.
This can be submitted to your insurance for reimbursement.
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.
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Blue Cross Blue Shield PPO
Anthem PPO
MultiPlan PPO logo
PNOA PPO logo
United Healthcare
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If your insurance is listed above, click Here to check your eligibility!
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When Calling Your Insurance...
When you contact your insurance provider to check for your lactation coverage, The National Women's Law Center has a helpful script to follow
(can be found on pg. 8).
Your insurance may need the following...
Provider NPI # 1952166647
Procedure Codes: 99404 and S9443
Diagnosis Codes: Z39.1 or O92.79
Ask your insurance company to provide a list of lactation consultants within 60 minutes of you that provide in-home care, who are in network. They may not be able to do this so if that happens, ask for GAP coverage. GAP coverage means they will bill an out-of-network provider as an in-network provider. I can help guide you, but your insurance will need to hear from you to get this reimbursed. Be persistent!
My story and why it is worth it
My first breastfeeding journey was pretty smooth and you would think that after doing it once for 10 months that my second and third attempt would be easy, but that is far from the truth. My second daughter was born with a tongue tie and it was at two weeks postpartum that I was about to just give up. I was in SO much pain that my poor husband had to go out at 1 am to purchase a nipple shield. It was that next morning that I immediately made an appointment to see a lactation consultant who then recommended I follow-up with the pediatrician to get my daughter's tongue tie taken care of. It still took us about two weeks after the procedure to finally start seeing some improvement, but I met with her every week so she could support me through it.
I breastfeed my daughter until she was about one year old.
For my last baby, I was determined to breastfeed as long as a I could. I unfortunately had complications postpartum which I'm happy to tell you about in person one day. My milk supply had a rough start and because I was re-admitted into the hospital, we had to formula feed my son very early on. I worked so hard and followed up with a lactation consultant to help get my milk supply up. It was at 4 months postpartum that he just refused the breast and preferred the fast flow of the bottle. I was heartbroken. The only thing that gave me reassurance was knowing that I was experiencing this to one day help someone else. I ended up pumping until he was about 7 months old and that was exactly what he and I both needed.
If for whatever reason your insurance doesn't reimburse you, I promise you that paying out-of-pocket, you will be receiving the best breastfeeding support for you and your baby. I am passionate about what I do and I genuinely care about supporting families in achieving their breastfeeding goals.
May God bless you always,
Laura