I am in network with most primary Aetna plans.

Please confirm your lactation coverage with your insurance policy before booking. Aetna tells most patients that 6 lactation visits are covered. This refers to code S9443. Most appointments with me use S9443 twice: once for the lactating parent and once for the baby. That translates to 3 visits where code S9443 is covered. A pumping only follow-up where the baby is not present only bills S9443. I also bill other preventive codes which Aetna currently does not limit. Some online breastfeeding classes use up lactation class code S9443 before the baby arrives (particularly Aeroflow). You may call Aeroflow and request these claims to be voided if they were not helpful to you. Then you will be able to use your benefits with an in-person IBCLC appointment rather than an online webinar.

Some plans will assign a portion of the claim to your or your baby’s deductible. I will invoice you for any remaining portion after the explanation of benefits has been received. This varies between plans. Some patients successfully appeal this by calling Aetna and reminding them this is preventive healthcare and should be covered with no out of pocket costs under the affordable care act (ACA).

Leslie Kowalski, IBCLC does a great job of explaining this further here

Use my booking link to book Aetna Initial Home Visit for your first postpartum appointment with me.

I am in network with most Cigna insurance plans by working with Wildflower Health. Please click this link and fill out the form to find out if your plan is covered.

The first time you see me use my booking link to book two appointments:

1. Wildflower Virtual Intake Insurance - use an afternoon slot only.

2. Wildflower Initial - this should be a day or two after the intake appointment.

I accept most United Insurance Plans. Please confirm your lactation coverage with your insurance policy before booking.

Some plans will assign a portion of the claim to your or your baby’s deductible. I will invoice you for any remaining portion after the explanation of benefits has been received.

Use my booking link to book United Initial Home Visit for your first postpartum appointment with me.

Initial Consult (90 mins): $320 in your home, $250 virtual

Follow up (60 mins): $220 in your home, $150 virtual

Prenatal (60 mins): $150 virtual only

Please note that virtual appointments will not include a weighted feed or detailed physical exam - I will guide you in using your own hands to do this as much as I can.

Payment is due within 24 hours of booking in order to secure the appointment time. Payment may be made using an HSA/FSA. I will provide a Superbill for all pre-paid appointments. A superbill is a receipt that you can submit to insurance. They may reimburse you for all or part of the visit cost.

I strongly recommend you call your insurance company and ask them about your lactation coverage before booking an appointment. If they do not have any local IBCLCs in their network you can ask for a "Gap Exception" or "In for Out" to cover out of network cost. This can help you get reimbursed when you submit a superbill (receipt) for the visit. All out of network plans need to be pre-paid to book. I will send you a Superbill after the visit.

Sometimes your insurance company will request to know which codes I use before allowing the Gap exception. You can share diagnosis code Z39.1 and Lactation class code S9443.

There is no travel fee for home visits in my service area (linked below).

A travel fee may apply to home visits outside of these towns for all clients and is payable directly to Beech Tree Lactation. The fee is not reimbursable by health insurance and cannot be paid using an HSA/FSA. Payment of travel fee is due within 24 hours of booking the appointment. Service area can be checked here.

Contact me before booking if you are not sure if your town is included in the free travel area.

If you are medicaid eligible or you receive WIC, all services are available at 50% off the self-pay rates. I also offer a limited amount of pay what you can and pro-bono appointments. Email kathryn@beechtreelactation.com if you have financial need.