Insurance & Fees
We are happy to report that most of our families get their visits covered. In addition to being in-network with Aetna, we work with two lactation billing companies — The Lactation Network and Wildflower Health — so we are able to cover most United, Cigna and many Anthem plans. If you aren’t covered we have options for you too. See More
We are in-network providers with Aetna, but every plan is different. It is your responsibility to call before our appointment to confirm coverage with our practice. You might find us under our legal name Central CT Lactation Services, LLC or by our individual provider names.
*Home Visit Concierge Fees Apply
Virtually all Cigna plans will be covered by Wildflower Health. To check eligibility, fill out this form.
No Coverage?
Unfortunately, some insurance plans are not eligible for coverage. However, you may be able to petition for pre-authorization for your consults with us. If not, you can always use your HSA, FSA, cash or check to pay and we will provide you with an official receipt, called a “superbill” that you can submit to your insurance company.
Click here for self-pay rates.
Click here for steps on how to petition your insurance company if your plan isn’t covered by The Lactation Network, Wildflower Healthcare or Aetna insurance.
Discount for Husky & Tricare clients, in-office only. Please contact us directly before booking consult.
Visit Rates
Home Visit & Travel Fees
We are always pleased to do your consult in the comfort of your home. Extra fees may apply.
Home Concierge Fee: $85
If your consult is covered by Aetna, Wildflower Health or The Lactation Network, and your prefer a home visit, there will be an out-of-pocket additional $85 fee for the convenience of doing the visit in your home.
* Self-pay clients: This $85 fee does not apply to self-pay clients because this fee is already built into their at-home visit cost.
Travel Fees:
Please be aware that home visits may incur an additional fee if you are over 25 miles away and/or it takes longer than 30 minutes to drive to your home. When we do home visits, it’s time out of the office, so if you prefer to not have the extra cost, please feel free to come to us.
-
Less than 25 miles away and under 30 mins: $0
-
Greater than 25 miles or longer than 30 mins: $50
-
25-35 miles or 35 minutes: $50
-
35-45 miles or 45 minutes: $85
-
45-55 miles or 60 minutes: $125
-
Over 55 miles: $200, but availability is limited
Anthem CT State Employees
Many private Anthem BCBS plans are covered by The Lactation Network, so please be sure to apply first to TLN which will check your eligibility. However, some CT state employees have Anthem plans which are not covered by TLN. Unfortunately, Anthem will not allow lactation consultants to be in-network providers so here is some information to help you navigate getting reimbursed.
If your place of employment has a "care coordinator” they may be able to help you get authorization to designate our practice "out-of-network as if in-network". Sometimes calling Anthem directly will get you no where so it is advisable to go through your care coordinator and request multiple or unlimited visits.
Basically, if Anthem doesn't have any private practice IBCLCs in-network they are supposed to cover someone as if they were in-network. Lactation consultants working in a pediatric or obstetric practice will not see you if you are not a patient of that practice or they may give you the name of someone who works for Nest Collaborative which only does tele-health visits or someone who is geographically too far away.
State employees often have a low deductible, so it may be fairly simple for you to get reimbursed some or all of the cost of the visit. You will need to pay us in full at the time of the visit and we will then issue you a "superbill” — an official receipt. You would then submit the superbill to your insurance company for either full or partial reimbursement or at least to have it go towards your deductible. It is important to get the authorization in writing.
Information you will need:
Legal Business Name: Central CT Lactation Services, LLC (dba “Forrester Lactation”)
Tax ID: 87-0890714
Group NPI: #1891361127
Possible Visit Codes: 99404, s9443 or 99203 - they will tell you which is acceptable
Diagnosis Code: Z39.1