Most Commercial Insurance Plans Cover our Services
with no Cost SharingWe now offer a limited number of discounted self pay home visits if you live within 25 minutes driving distance from New Hartford. A travel fee will be applied to your visit cost. (up to 10 miles $30, 10-25 miles $60)
Please Text us if you have questions about your insurance coverage (315) 497-7080
INSURANCE visits with Anna
We are ABLE TO BILL most plans from the following carriers and networks
Click the ⓘ icon to find out about specific plan coverge.
Excellus Anthem and other Blue Cross Blue Shield PPO/POS
Most BCBS PPO/EPO are typically covered in full. Please proceed with filling out appointment request form.
Please review the lactation coverage information for BCBS plans. https://tinyurl.com/44fkpu3r
Out of pocket cost
Most BCBS plans covers visits at 100%, some apply small cost sharing to infant’s portion.
United Healthcare PPO/PPS/HMO
We are in Network with UHC and can accept Most United Healthcare plans. Typically visits are covered in full. Please fill out the booking request form.
Aetna/Meritain
Please carefully read Aetna Reimbursement Details and than proceed with filling out the appointment request form.
UMR PPO/POS
We are in Network with UMR and can accept Most United Healthcare plans. Typically visits are covered in full. Please fill out the booking request form.
Cigna
Cigna PPO, POS, OAP, EPO are typically covered in full
Please proceed with filling out appointment request form.
Out of pocket cost
Mostly Cigna covers visits at 100%
Tricare
Tricare will cover 6 (1 hr) lactation visits with no cost sharing for clients. Please proceed with filling out appointment request form.
CDPHP
We are in Network with both PPO and HMO plans. Typically your visits are covered in Full. Please proceed with filling out appointment request form.
SELF PAY visits
These plans don’t work with Lactation Consultants to reimburse our services
Click the ⓘ icon to find out about specific plan coverge.
Medicaid
Self Pay rates
Consultation with Anna
$208 Initial visit, $186 follow up
Lactation Intern (CLC) Consultation with Brittney or Erica
Limited Offer: FREE Initial Home or Telehealth Visits (Limited Availabilty)
The best part? Every visit comes with direct guidance from our mentor and IBCLC, Ania. So you’ll get compassionate, personalized care and the benefit of her expertise behind the scenes.
Please note: A predetermined travel fee will apply for in-home visits. Prefer virtual support? Telehealth appointments are available, too!$80 follow up
We will provide you with a superbill to use for possible reimbursement after your visit. FSA accepted
Please don’t let financial difficulties defer your form seeking help. A limited number of discounted visits are available as needed.
Fidelis
Self Pay rates
Consultation with Anna
$208 Initial visit, $186 follow up
Lactation Intern (CLC) Consultation with Brittney or Erica
Limited Offer: FREE Initial Home or Telehealth Visits (Limited Availabilty)
The best part? Every visit comes with direct guidance from our mentor and IBCLC, Ania. So you’ll get compassionate, personalized care and the benefit of her expertise behind the scenes. Please note: A predetermined travel fee will apply for in-home visits. Prefer virtual support? Telehealth appointments are available, too!$80 follow up
We will provide you with a superbill to use for possible reimbursement after your visit. FSA accepted
Please don’t let financial difficulties defer your form seeking help. A limited number of discounted visits are available as needed.
MVP
Please read MVP reimbursement option and then use the self pay option
Self Pay rates
Consultation with Anna
$208 Initial visit, $186 follow up
Lactation Intern Consultation with Brittney or Erica
50% off: $104 Initial visit, $94 follow up
We will provide you with a superbill to use for possible reimbursement after your visit. FSA accepted
Please don’t let financial difficulties defer your form seeking help. A limited number of discounted visits are available as needed.
Healthshare plans
Self Pay rates
Consultation with Anna
$208 Initial visit, $186 follow up
Lactation Intern (CLC) Consultation with Brittney or Erica
Limited Offer: FREE Initial Home or Telehealth Visits (Limited Availabilty)
The best part? Every visit comes with direct guidance from our mentor and IBCLC, Ania. So you’ll get compassionate, personalized care and the benefit of her expertise behind the scenes. Please note: A predetermined travel fee will apply for in-home visits. Prefer virtual support? Telehealth appointments are available, too!$80 follow up
We will provide you with a superbill to use for possible reimbursement after your visit. FSA accepted
Please don’t let financial difficulties defer your form seeking help. A limited number of discounted visits are available as needed.
Purchase A Gift Card
Are you looking for a perfect last minute gift. Do you have a loved one who is breastfeeding or planing to breastfeed and need some help and encouragement. You can give them a one on one time with lactation consultant, virtual consultation or prenatal breastfeeding class. You can choose any amount from $25 to $500. It can make a world of difference to the experience of a new mother.
I don't quality for a in-network insurance covered lactation visits can I still seek reimbursement from my insurance?
The Affordable Care Act of 2012 requires most health insurance companies to cover “breastfeeding support, supplies and counseling” in conjunction with each birth. This means that most insurance companies should cover a home visit from an IBCLC.
If we can’t bill your insurance in-network, we will provide you with a “superbill” to submit to your insurance for reimbursement. We can not guarantee you will be reimbursed since each insurance plan is different. I recommend you call your insurance provider in advance of our appointment to check your plan’s reimbursement policy and ask about seeing an out of network lactation consultant.
This toolkit will provide much-needed information about the laws, how to talk to your insurance resentative and steps to take to receive reimbursement. I encourage you to contact your insurance company to ask about the coverage and to seek authorization.