Will my insurance cover the cost of my consults?

Many insurance plans do cover lactation consultant visits, especially under the Affordable Care Act, which requires coverage for breastfeeding support as a preventive service. However, coverage can vary depending on your provider and specific insurance plan. It’s a good idea to contact your insurance company directly to ask about your benefits and approved (“in-network”) providers.

The in-network providers I can currently bill are: St. Luke’s, Aetna, Cigna, Mountain Health, BrightPath, PacificSource Health, United Health Plans, UMR, and Tricare.

If your insurance is not listed above, please see the FAQ section for guidance on what to do if your insurance does not provide coverage.

When should I see a Lactation Consultant?

You can see a lactation consultant at any point in your breastfeeding journey! Some examples include:

• Prenatally: This is a great time to learn general education and norms of breastfeeding.

• Early postpartum: Establishing in-home visits within the first few weeks can provide extra support and guidance.

• Later on: You can schedule a visit if a concern or issue arises, or when you’re transitioning back to work and want a solid pumping schedule and plan.

• Toward the end of your journey: A consultant can help with starting solids or beginning the weaning process.

What does a Lactation Consultant do?

As a lactation consultant, I am here to support you throughout your breastfeeding and overall feeding journey. This includes direct hands-on support, education review and reinforcement, pumping plans, combo-feeding guidance, and bottle-feeding instructions.What problems/concerns can Lactation Consultants help with?

My insurance doesn’t participate, can you still help me?

If your insurance does not cover your visits, I can certainly still help you. Unfortunately, this does happen at times and is part of the ongoing challenge we, as IBCLCs, advocate to improve. I am able to provide a superbill that you can submit directly to your insurance company for potential reimbursement. However, reimbursement is not guaranteed.

Most of the time, the superbill and receipt can be used for reimbursement through HSA/FSA funds.