The only way to know for sure if your plan is covered is to check your coverage with TLN. Plan coverage changes periodically.

Plans covering both in-person and telehealth include most Blue Cross Blue Shield PPO, Anthem PPO, VA CCN, PNOA (logo on card), and Multiplan (logo on card) plans..

United and Aetna plans are generally covered for in-person only. They do not cover telehealth through TLN. 

If you would like to work with me via telehealth but your plan covers only in-person, you can still take advantage of TLN's coverage while working with me. I often collaborate with local lactation consultants to  give parents the best of both worlds! I provide expert guidance on inducing lactation, relactation and/or co-lactation and a local lactation consultant helps with pump rental, flange fit, latching and positioning once baby arrives and referrals to local resources. I love collaborating with local LC's. Schedule a free 15-minute phone "mini" consultation HERE to learn more.

Inducing lactation consultations are considered prenatal consultations with TLN. So far, the only difficulty covering non-birthing parents through TLN has been when there is no due date to report on the application for coverage. This may be an issue is for prospective adoptive parents not yet matched. If this is your circumstance, we can discuss your options during a free 15-minute phone "mini" consultation. You can schedule that HERE. 

The administrative fee helps me to get compensated at the same level for my clients covered by insurance as those who are self-pay. But it also benefits you, the parent. One concern holding me back from extending my coverage with insurance was that my past clients covered by insurance often had poorer outcomes than my self-pay clients. I believe this is because my self-pay clients were required to make a higher level of commitment to their lactation plan by making an upfront financial investment -- they had more skin in the game, so to speak.

The  administrative fee is $195. This covers at least six consultations per parent/baby dyad.

Co-Lactation

If parents plan to co-lactate, I can accept insurance from either parent as long as the parent whose plan is covered by TLN participates in the consultation. Whenever possible, both parents should request coverage through TLN. Each parent/parent/baby triad will be charged a single administrative fee. 

Gestational Carriers

If baby is arriving via surrogacy and the gestational carrier will be providing milk for baby, I can meet with her to discuss establishing lactation and pumping, storing, and shipping milk. Although I would not charge an additional administrative fee, the GC would have to be covered under her insurance unless the intended parent choses to self-pay for her consultations.

When a parent is approved with TLN, both parent and lactation consultant are notified via email. When this happens, I follow up as soon as possible by sending the parent a scheduling link.