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Wellpoint insurance was previously called Unicare. I am not in network with them, but I partner with TLN (The Lactation Network) who contracts with them for some plans. TLN bills your insurance company on your behalf and pays me for a portion of that for my service. You will never be balance billed. Please fill out this preapproval form from TLN to determine if we can bill your particular plan on your behalf. Most PPO Unicare/Wellpoint plan are covered. Let's see if yours is. If denied, you will pay out of pocket and receive a superbill to submit to your insurance for possible reimbursement to you directly. I cannot guarantee reimbursement.
Wellsense is Massachusetts' state Medicaid program. They will NOT cover lactation related services to private providers. They will NOT reimburse you either. You can go to WIC or a hospital-based program to receive support. If you choose to come to this office for evaluation and care, you will need to pay out of pocket.
Health Plans Inc. is usually good about reimbursing for lactation related services. All lactation consultants are considered out of network. You will pay for each visit needed and we will give you the superbill and necessary paperwork to submit for HPI to reimburse you. I cannot guarantee reimbursement.
When it comes to Multiplan for lactation related services, I partner with TLN (The Lactation Network) to provide care at no cost to you. TLN bills your insurance company on your behalf and pays me a portion for my service. You will never be balance billed. Please fill out this preapproval form from TLN to determine if we can bill on your behalf. Most PPO plan are covered but your card must have the Multiplan log on it. If denied, you will pay out of pocket and receive a superbill to submit to your insurance for possible reimbursement to you directly.
When it comes to Cigna insurance coverage for lactation related services, I partner with Wildflower Health to provide care at no cost to you. Wildflower bills your CIGNA insurance company on your behalf and pays me a portion for my service. You will never be balance billed. Please fill out this preapproval form to determine if we can bill on your behalf. Often the only Cigna plans covered are PPO plans but fill the form out to see if your plan qualifies. If denied, you will pay out of pocket and receive a superbill to submit to your insurance for possible reimbursement to you directly.
Mass General Brigham (formerly known as Allways) is really good about reimbursing for lactation related services. All lactation consultants are considered out of network. You will pay for each visit needed and we will give you the superbill and necessary paperwork to submit for them to reimburse you. I cannot guarantee reimbursement.
Harvard Pilgrim health insurance coverage is really good about reimbursing for lactation related services. All lactation consultants are considered out of network. You will pay for each visit needed and we will give you the superbill and necessary paperwork to submit for Harvard Pilgrim to reimburse you. I cannot guarantee reimbursement.
When it comes to Aetna insurance coverage for lactation related services, I am considered out of Network. The nice thing is Aetna may still cover services even if you see an out of network provider. Aetna will typically cover 6 uses of the billing code commonly used for lactation. If you have seen another provider for a lactation consultation, it is likely the code has been used one or more times. We will need to determine how many more visits you can receive and at what cost to you. Aetna often pays me directly. Let's determine your cost and coverage.
When it comes to United Healthcare insurance coverage for lactation related services, I partner with TLN (The Lactation Network) to provide care at no cost to you. TLN bills your insurance company on your behalf and pays me a portion for my service. You will never be balance billed. Please fill out this preapproval form from TLN to determine if we can bill on your behalf. Most UHC plan are covered including UMR, All Savers, Oxford Health Plan, Multiplan and Surest. If denied, you will pay out of pocket and receive a superbill to submit to your insurance for possible reimbursement to you directly. I cannot guarantee reimbursement.
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Hi, I'm Dr. Heidi!A mom of 3, pediatric chiropractor, natural remedy guru and wellness educator. Archives
August 2024
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