Insurance Coverage
Covered Lactation care is your RIGHT!
The Affordable Care Act states that all health care plans (with few exceptions) are required to provide coverage for preventative care including breastfeeding support, counseling, and equipment.
If you are interested in lactation services and are unsure if you have coverage, it is recommended that you contact your insurance provider to request a complete list of in-network options ahead of time. If no list can be provided, or the providers are unavailable or not accessible you can ask for a gap exception or pre authorization for out of network care as the insurance plan is required to pay for an out of network provider when there are no appropriate providers in the network.
Beyond the Latch is currently accepts Aetna, Tricare, and Cigna which means families with these types of insurance can be seen with no up front costs and we will bill your insurance company directly for your visit. Covered care does not always mean free. Talk to your insurance company about any out of pocket costs you may be responsible for. Beyond the Latch does their best to inform clients of potential out of pocket costs when they are expected, however there can be instances where cost sharing, deductible, or copays may be applied by your insurance provider unexpectedly, or when you have reached your maximum benefit for lactation care.
If Beyond the Latch is not in network with your insurance provider, we can still see you! After your self pay appointment we will provide you with a superbill that you can submit to your insurance for reimbursement. Payment for services is required at the time of the visit, and reimbursement is not guaranteed, but we do our best to help our clients move successfully through the process!
For information on the Affordable Care Act and breastfeeding/lactation coverage you can visit:
https://nwlc.org/resources/breastfeeding-benefits-understanding-your-coverage-under-the-affordable-care-act/
https://nwlc.org/wp-content/uploads/2015/08/final_nwlcbreastfeedingtoolkit2014_edit.pdf
https://www.healthcare.gov/coverage/breast-feeding-benefits/