Insurance & Fees
If you have the following Health Insurance Plans, you may be able to have six Lactation Visits covered: Blue Cross, Anthem, Cigna, Humana, VA CCN, or the PNOA or Multiplan logos on your card.
Nurture Lactation partners with The Lactation Network (TLN) to provide insurance coverage for lactation services. TLN will verify your insurance and inform you of what is covered, and then we can work together to create a plan that works for you.
If your insurance does not participate with TLN, you may still be able to have your lactation services covered! I am an out-of-network provider with other insurances. You will pay for your visit at the time of service and I will provide you with a Superbill with insurance codes which can be submitted to your insurance company for reimbursement.
It is highly recommended that you contact your insurance company to find out about their coverage of lactation services. To do this:
- Call the number on the back of your insurance card and ask about your breastfeeding and pumping benefits.
- Ask if you are required to see an in-network provider and for a list of providers.
- Ask if you are able to see out-of-network providers and for further details ( ie, do you need prior authorization?, how to submit a Superbill, what your reimbursement will be).
IF the person you are talking to does not know the the answer to these questions, ask to speak to their supervisor. Here are some potential talking points that may help:
1. The Affordable Care Act requires insurance providers to cover preventive lactation services (support, counseling and equipment) without copays or additional costs. These services can be before or after birth.
2. Your plan may be "grandfathered" into the ACA, which may limit your options.
3. If your insurance company only covers in-network providers, you can ask for a "Geographic Gap Exception". This coverage allows you to see an out-of-network provider at the in-network rate and was created to address gaps in coverage.
4. If your claim is denied, you can appeal the decision through your insurance provider.
The National Women's Law Center has a Toolkit that can walk you through contacting your insurance provider. Learning to advocate for yourself and your child's health is hard, but it is a valuable skill that you will use throughout your child's life.
In Home Lactation Visits
Initial Visit: $250, 1.5-2 hours
Follow up: $175, 1-1.5 hours
Virtual Lactation Visits
Initial Visit: $200, 1 - 1.5 hr
Follow up: $125, 45min - 1 hr
Out-of-Network Fees
Prenatal Consult
Virtual or In person
$150, 1 hr
Pumping Consult
Virtual or In Person
$ 150, 1 hour
Returning to Work Consult
Virtual or In Person
$150, 1 hr
Surcharge for Travel
$50 for visits outside of 20 mile service radius of 21044 zipcode
Surcharge for Twins
$100 per visit
Discount for WIC/Medicaid
Contact for more details
More information:
With the passage of the Affordable Care Act of 2010, health care insurance companies must provide support, counseling and equipment for the duration of breastfeeding or chestfeeding. However, this benefit can be interpreted in confusing (and unequal) ways by insurance companies. The National Women's Law Center offers support and guidance for accessing lactation care.
Lactation care is a human right. Due to the difficulty of accessing lactation care for low income families, a discount will be provided for WIC or Medicaid participants. Please contact for more details.
Based on the No Surprises Act, we will provide a Good Faith Estimate of costs prior to your visit. Most families will see a lactation consultant 1-3 times, although it varies for each family.
If you are paying out of pocket for lactation services, I will provide you with a superbill suitable for you to submit to your insurance. The superbill (which will also serve as a payment receipt) will be coded appropriately to the level of service provided during the visit. You agree to pay me at the time of the visit (cash, check, credit card, or FSA). If visits are canceled less than 24 hours before the visit, $50 will be charged to your account.