Insurance and Fees
You're in great hands!
We make sure all our families feel welcome, safe, and taken care of. Please contact us with your questions, but if you are ready to book an appointment, it's simple and best to do it yourself.
For all questions related to insurance and fees, please read the following information first because it should answer all your questions so that you can get moving with scheduling your initial appointment.
Do you accept insurance?
Yes, coverage is limited and only under certain circumstances. This is something that you are responsible for confirming prior to our appointment. Keep reading for specific company information.
Please keep in mind that even if you have to pay out of pocket for lactation support, it is well worth it. Good lactation help can ultimately save you money, help you achieve your breastfeeding goals and keep you and your baby healthy and happy.
We are an in-network provider with Aetna. Aetna families typically get 6 visits. It remains your responsibility to confirm your specific coverage prior to initiating service with us. **If you have Meritain, a subsidiary of Aetna, do not assume coverage. Please call your insurance company to confirm.
ConnectiCare families typically get 1 visit within the first three months post-partum Please call to confirm your plan's breastfeeding benefits. You will be responsible for the consultation fees at the time of service but will be provided the necessary forms to submit for reimbursement.
Please read the following carefully and follow the steps below:
If you have another carrier, besides Aetna or ConnectiCare, you may be able get insurance coverage for our consults. Here are the steps for looking into coverage:
Forrester Lactation has partnered with the Lactation Network to provide eligible families with lactation coverage both prenatally and postpartum, via telehealth or in-person. If eligible, the Lactation Network guarantees every family three 90-minute, in-person lactation consults, at no out-of-pocket cost. They handle the paperwork and bill your insurance directly. To find out if you are eligible for coverage, visit www.lactationnetwork.com and please remember to use the name "Susan Forrester" as the IBCLC who referred you.
To see what fees are, go through the process of scheduling an appointment (either in-office or telehealth), choose "self pay" and the fees will be listed next to each appointment type. You can easily browse appointment types without committing to anything.
Pre-authorization: If you are not eligible for insurance coverage, you can try to get a pre-authorization for a consult beforehand by requesting a "gap exception" or an "in for out". If your insurance carrier has no lactation consultant (IBCLC) "in-network" they are supposed to cover an "out-of- network" provider. Request that this be expedited, write everything down, who you spoke with, get a case number and the authorization number.
For more information about what the Affordable Care Act says you are entitled to, please take a look at this Insurance Toolkit. If your request is denied you can also file a complaint with the Connecticut Insurance Department. Fight the good fight!
Husky and Medicaid Plans will not reimburse for lactation services unfortunately. If you need breastfeeding help, but have financial constraints, please contact me directly to discuss your situation. There are some breastfeeding practices in the Greater Hartford area that can bill these plans or I would be happy to work out a payment plan so that you can work directly with me.