Insurance Coverage
Our list of accepted insurance is always growing.
We are doing all that we can to improve your access to lactation care by
working with as many insurance companies as possible.
Please contact us with any questions regarding your insurance coverage.
Aetna Insurance
In-Network
VIRTUAL VISITS ARE NO LONGER COVERED BY AETNA.
We are in-network with Aetna. If you have insurance through Aetna we will bill Aetna directly on your behalf. Aetna recently changed their coverage to 6 total S9443 codes billed. This may mean that there will be cost sharing after those codes are exhausted. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations and no shows.
The Alliance
In-Network
We are in-network with The Alliance. If you have insurance through The Alliance we will bill The Alliance directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
All Savers
In-Network
We are in-network with All Savers. If you have insurance through All Savers we will bill All Savers directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Anthem PPO
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
Badger Care, Medicaid, WIC Participant,
Financial Need
We offer discounted rates for those with BadgerCare and Medicaid. See our booking widget for more details. We are happy to set up payment plans as well that fit your financial situation. Payment plans are set up as a monthly auto- payment with a credit card on file. Please reach out if you would like to discuss your options. Payment plans must be set up before your visit. At this time BadgerCare and Medicaid do not allow us to bill them or pay for out of network coverage. We encourage you to contact them to voice your concerns about this exemption to your coverage.
Blue Cross Blue Shield PPO
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
Cigna
In Network
We are in-network with Cigna. If you have insurance through Cigna we will bill Cigna directly on your behalf. Because of Cigna's reimbursement rate these visits are office or virtual visits only. Home visits are not covered. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
GEHA
In Network
We are in-network with GEHA. If you have insurance through GEHA we will bill GEHA directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Humana PPO
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
Meritian
In-Network
We are in-network with Meritian. If you have insurance through Meritian we will bill Meritian directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Molina
Commercial
Plans
In-Network
We are in-network with Molina Commercial plans. This DOES NOT include Molina Medicare, Medicaid or State Insurance like Badgercare. If you have insurance through Molina Commercial Plans we will bill Molina directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Multiplan
(Check your insurance card for logo. This encompasses multiple insurance providers)
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
Provider Network of America
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
Quartz
In-Network
We are in-network with Quartz. If you have insurance through Quartz we will bill Quartz directly on your behalf. Due to Quartz reimbursement home visits are not covered. Quartz visits are office or virtual only. If your plan has a service area please be sure to book at the office within your service area. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Surest
In-Network
We are in-network with Surest. If you have insurance through Surest we will bill Surest directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Tricare
In-Network
We are in-network with Tricare. We will bill Tricare directly on your behalf. Because of Tricare's reimbursement rate these visits are office or virtual visits only. Home visits are not covered. Tricare will pay for 6 codes/visits total. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows. If you have Tricare Prime you will need a referral from your primary physician to utilize our care. Tricare Select plans do not need a referral. Please contact us with questions.
Trilogy Health Solutions Network
In-Network
We are in-network with Trilogy Health Solutions and their Third Party Administrators. Your insurance card MUST have the Trilogy logo on it to have coverage. If you have insurance through Trilogy Health Solutions Network we will bill Trilogy Health Solutions or their administrators directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, denials and no shows.
Third Party Administrators:
Aither Health
Allegiance
Alllied Benefits
AMPS
Auxiant
BPA
Common Ground
90 Degree Benefit
Exemplar Heath
HealthEZ
HPS
Insurance Administrators
IPMG
JP Farley
Lucent
Narpai
Northern Illinois Health Plan
PBA
People 1t
Prairie States
Regional Care
S & S Health
Self Fund Health
Sisco Benefits
UMR
In-Network
We are in-network with UMR. If you have insurance through UMR we will bill UMR directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
United Health Care
In-Network
We are in-network with United Health Care. If you have insurance through United Health Care we will bill United Health Care directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
Veterans Affairs Community Care Network (VA CCN)
Billed through
The Lactation Network
Insurance coverage must be verified before time of appointment. Please fill out this verification form. You must be approved prior to your appointment time to be eligible for coverage. After filling out verification form, book services under "The Lactation Network" here. If not approved payment will be due at the time of service.
These insurances are billed through a partnership with The Lactation Network. Questions about their billing methods can be directed to care@tln.care.
CLICK HERE TO FILL OUT LACTATION NETWORK FORM VERIFICATION FORM
WPS Health Insurance
In-Network
We are in-network with WPS. If you have insurance through WPS we will bill WPS directly on your behalf. Please book under "In Network Insurance" here and provide all of your insurance information in your intake form including a copy of your insurance card. We require a credit card on file in case of unpaid co-insurance, late cancellations, and no shows.
All Other Insurance Plans
Please book under "Self Pay" here. Credit card is required with booking. Payment is auto charged at the time of service and we will provide you with a superbill to send to your insurance company for potential reimbursement. The Affordable Care Act mandates coverage for lactation support but we do not guarantee reimbursement. HMO plans may require a referral from your health care provider in order to be reimbursed. You may also need a Network Gap Exemption for coverage by an out-of-network provider. Call your insurance company for more details.
These links can be helpful in understanding how the Affordable Care Act mandates insurance coverage.
Healthcare.gov
National Women's Law Center Breastfeeding Toolkit
"Not only did Molly help me get set up with the correct equipment so pumping no longer hurt, she also helped me figure out how to nurse as well!"
Jackie S.