Insurance Coverage

Anthem Blue Cross Blue Shield

Ebb & Flow Lactation Services is in-network with Anthem Blue Cross Blue Shield. I can bill Anthem Blue Cross Blue Shield, or any other Blue Cross Blue Shield plan, directly for Lactation Consulting Services provided. Services may be provided both prenatally in preparation as well for breastfeeding consultation.  You don’t need to do anything but schedule an appointment and bring your insurance card! 

For Any Other Insurance company 

I am not in network with any other insurance company, currently.  I am in waiting to hear from several and will update this information as soon as I have it. 

However, our visit may still be covered. Please do the following prior to scheduling an appointment:

1. Please alert me that you are interested in scheuling an appointment. I will provide necessary information to share with your insurance company about my practice.

2. Find a provider who IS in network with your insurance and ask them to write a letter stating that lactation services are medically necessary for you. For example, Obstetrician, CNM, Nurse Practitioner.  Most services will be billed under the mother so the pediatrician is not a good choice for this referral. 

3.  Call the number on the back of your card and request a Prior Authorization for an Out of Network Geographic Gap Exception. Most of the major insurance companies do not have in network Lactation Providers in this area except Blue Cross Blue Shield.  A written prior authorization from your insurance company approving visits with arrive from your insurance company

4. Contact me with any questions you may have.

OR

You may pay for Lactation Services with a health spending account (HSA) or other discretionary spending account.  All clients will be provided with all necessary paperwork to apply for reimbursement with your insurance company.

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