Insurance at the Breastfeeding Center
Preparing for your APPOINTMENT
We highly recommend that you call your insurance provider to verify your coverage prior to your visit. You can find the Member Services phone number on the back of your insurance card.
What to Ask:
Is lactation care covered under my plan?
Is there a copay, coinsurance, or deductible?
Does my plan have a limit on lactation visits?
Do I need a referral, authorization, or pre-certification?
Are telehealth lactation visits or breastfeeding classes covered?
If your insurer tells you the Breastfeeding Center is out-of-network or that lactation care isn’t covered, contact us before assuming you aren’t covered. We are happy to double-check your plan details for you and walk you through your options for care.
Financial responsibility overview
Your out-of-pocket costs are governed entirely by your health insurance plan. This may include a plan deductible, co-insurance percentages, copays, or maximum visit limitations.
Reviewing your plan's standard specialist provider benefits can offer an approximate baseline. However, please be aware that lactation benefits vary widely by insurer, and your actual cost is determined solely by how your insurance carrier processes the final claim.
Please note that the Breastfeeding Center's contracted insurance rates are independent of our self-pay rates. Therefore, your insurance network's dictated "patient responsibility" will differ from our standard self-pay visit costs. If you do not have insurance or wish to waive your benefits, you can view our Self-Pay Pricing below.
insurance billing for parent and baby
Lactation appointments often involve care for both the parent and the infant. Because you and your baby are individual clients with separate charts, the Breastfeeding Center submits two distinct claims to your insurance provider when both individuals receive care during a visit.
Please be aware that health insurance plans frequently process this separately, which may apply independent copays, coinsurance, or deductibles to each individual claim. Clients are strongly encouraged to verify their specific plan benefits regarding multi-patient care prior to their scheduled appointment.
Unverified insurance and grace period
If the insurance information provided is incorrect or we are unable to verify your coverage, the Breastfeeding Center will reach out to you and work with you to obtain the correct information for up to 60 days.
Please note that if we are unable to obtain valid insurance information and the claim cannot be processed, the claim will be voided and you will be automatically charged the applicable self-pay rate. We encourage you to respond to our requests for updated insurance information so we can make every effort to bill your insurance correctly.
out-of-network and self-pay
If the Breastfeeding Center is out of network with your insurance, or if you choose to self-pay, you will be responsible for the cost of your care.
Upon request, we can provide a superbill that you may submit to your insurance company for possible reimbursement, depending on your specific plan. Please note that the Breastfeeding Center cannot guarantee that your insurance provider will reimburse you for out-of-network care.
our commitment to accessible care
As a nonprofit, the Breastfeeding Center is committed to keeping care accessible to all families. We offer low-cost and free programs for families without insurance or those experiencing financial hardship. We never want the cost to stand in the way of getting the care you need. Please see our Financial Assistance resource for support during your breastfeeding journey.
