Fees and Insurance
You're in great hands!
We make sure all our new patients feel welcome, safe, and taken care of. Please contact us to book your appointment or do it by yourself. We will walk you through the options and help you make the choice that works best for your family.
I am only in-network with Aetna, but you may be able to get some insurance coverage. Please read everything careful as all your questions are likely answered below.
As a result of COVID-19, insurance companies have widened their coverage to include telehealth services but we can still also meet in-person. Your consults may be covered depending on your plan. But, if not covered, please remember that getting lactation help can ultimately save you a lot of money, help you achieve your breastfeeding goals and keep you and your baby healthy. Your consults can be paid for out-of-pocket and we will provide you with a receipt that you can use to try to get reimbursement, especially if you've met your out-of-network deductible.
Aetna: We are an in-network provider with most Aetna plans. However, prior to our first appointment, you are responsible for calling Aetna to find out exactly what type of coverage you are entitled to. If you have Meritain, a subsidiary of Aetna, do not assume coverage. Again, please call before we meet.
ConnectiCare: In general ConnectiCare will cover one visit within the first three months post-partum. Please call to confirm your plan's breastfeeding benefits. You are responsible for the consultation fees at the time of the appointment but you will be provided with appropriate paperwork to submit for reimbursement.
But I don't have Aetna or ConnectiCare! Are my visits covered?
Please read the following carefully and follow the steps below:
If you have another carrier, besides Aetna or ConnectiCare, we may be able get insurance coverage for our consults! Here are the steps for looking into coverage:
Do you want an initial in-person or initial telehealth consult?
1. In-person: If you are interested in an initial in-person consult, I am now officially partnered with the Lactation Network. This is an organization that helps moms and moms-to-be get the breastfeeding support they deserve, covered by their insurance. If your plan is eligible, the Lactation Network guarantees every parent three 90-minute, in-person lactation consultations with a registered IBCLC, like me, 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 but remember to use my name as the IBCLC who referred you.
2. Telehealth: If you would prefer to start with a telehealth visit, that will be done differently. Please send me directly, using the contact form below, your insurance carrier name, your full name and your date of birth. We will check it out and let you know.
Without insurance coverage, your consult will need to be paid beforehand, or at the time of the service. You can pay with cash, check, credit, debit or HSA card. We will provide you with an official visit receipt or "superbill" if you would like to try to get some reimbursement.
Out-of-pocket fees can be found here.
However, if you are not eligible for insurance coverage, you can try to get a pre-authorization for a consult beforehand but first read up on what the Affordable Care Act says in the Insurance Toolkit which explains what you are entitled to. Keep notes when you call, get a case number and the name of the representative. 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 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 to which I can refer you or I would be happy to work out an arrangement so that you can work directly with me.