Insurance Coverage
VERIFY YOUR INSURANCE ELIGIBILITY BELOW!
Our RN, IBCLCs are currently contracted with the following insurance companies,
and we are consistently striving to obtain additional contracts
to make lactation support more accessible to all families.
If your insurance is not listed below, you can proceed with scheduling a Self-Pay visit. We offer discounted private pay rates for each of our services, and all of our services are eligible for HSA and FSA as well.
Please refer to your personal insurance plan to verify benefits prior to scheduling. While we are in-network with many insurance companies, and most of our clients do not have to pay out-of-pocket for care, some specific plans list exceptions or copays.
**all home visits are subject to a $40 home visit fee, insurance-covered visits included.
Aetna
We are in-network with Aetna. Our billing team will submit our claims to Aetna directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule here. Please select the insurance option.
All Savers
We are in-network with All Savers. Our billing team will submit our claims to All Savers directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
Anthem PPO
We work with TLN to offer exceptional lactation coverage for families with Anthem PPO insurance. If approved, all of your visits will be fully covered at zero cost to you! Use this link to verify your eligibility.
You can schedule your consult here. Please select the TLN option if you’ve been approved, and Self Pay option if we have not yet received approval. We can quickly and easily change this, and approval is typically granted within 24 hours.
Auxiant
We are in-network with Auxiant. Our billing team will submit our claims to Auxiant directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
Blue Cross PPO
We work with TLN to offer exceptional lactation coverage for families with Blue Cross PPO insurance. If approved, all of your visits will be fully covered at zero cost to you! Use this link to verify your eligibility.
You can schedule your consult here. Please select the TLN option if you’ve been approved, and Self Pay option if we have not yet received approval. We can quickly and easily change this, and approval is typically granted within 24 hours.
Cigna
We are in-network with Cigna. Our billing team will submit our claims to Cigna directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
Exceedent
We love supporting our Froedtert family! Our billing team works diligently to ensure your lactation consults are covered in full. Because Exceedent does not allow outside providers in their network, we bill all Exceedent lactation consults out-of-network. We will collect payment at the time of our visit, and our billing team will submit the visit to Exceedent on your behalf. Once the claim is reimbursed by Exceedent, the paid amount will be reimbursed to you! Most of our families receive full reimbursement in a timely manner, though we cannot guarantee a reimbursement amount for out-of-network claims.
You can schedule your consult here. Please select the insurance option.
HPS
We are in-network with HPS. Our billing team will submit our claims to HPS directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
MultiPlan
We work with TLN to offer exceptional lactation coverage for families with MultiPlan insurance (you will see a MultiPlan logo on your card). If approved, all of your visits will be fully covered at zero cost to you! Use this link to verify your eligibility.
You can schedule your consult here. Please select the TLN option if you’ve been approved, and Self Pay option if we have not yet received approval. We can quickly and easily change this, and approval is typically granted within 24 hours.
PNOA
We work with TLN to offer exceptional lactation coverage for families with PNOA insurance (you will see a PNOA logo on your card). If approved, all of your visits will be fully covered at zero cost to you! Use this link to verify your eligibility.
You can schedule your consult here. Please select the TLN option if you’ve been approved, and Self Pay option if we have not yet received approval. We can quickly and easily change this, and approval is typically granted within 24 hours.
Quartz
We are in-network with Quartz. Our billing team will submit our claims to Quartz directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
Surest
We are in-network with Surest. Our billing team will submit our claims to Surest directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
TriCare
We are in-network with TriCare. Our billing team will submit our claims to TriCare directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
United HealthCare
We are in-network with United HealthCare. Our billing team will submit our claims to UHC directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
* For families with UHC State insurance (BadgerCare), please see the BadgerCare information below.
UMR
We are in-network with UMR. Our billing team will submit our claims to UMR directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
* For families covered by Medical College of Wisconsin (MCW) or Advocate Aurora (AAH) UMR insurance, please fill out this form for verification of insurance coverage. Your visits should be fully covered by your insurance.
VA CCN
We work with TLN to offer exceptional lactation coverage for families with VA CCN insurance. If approved, all of your visits will be fully covered at zero cost to you! Use this link to verify your eligibility.
You can schedule your consult here. Please select the TLN option if you’ve been approved, and Self Pay option if we have not yet received approval. We can quickly and easily change this, and approval is typically granted within 24 hours.
WPS
We are in-network with WPS as of July 1.2024. Our billing team will submit our claims to WPS directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
BadgerCare, Medicaid, or Title19 WI State Insurance
Currently, the State of Wisconsin health insurance does not provide insurance coverage for lactation consults. While we continue to push for this at every level, we currently offer discounted private pay options for all of our services, and can accept HSA and FSA cards as well.
We are happy to provide a payment plan upon request.
You can schedule your consult here. Please select the Private Pay option.
While we are always working to expand our network, and while the ACA requires that lactation support is fully covered, there are some insurance companies that do not provide coverage for lactation support.
For families with health insurance plans not listed here, we offer discounted private-pay options for all of our services, and can accept HSA and FSA cards as well.
We are happy to provide a SuperBill upon request, for you to submit to your insurance company in a request for reimbursement for your visits.
You can schedule your consult here. Please select the Private Pay option.
Meritain
We are in-network with Meritain. Our billing team will submit our claims to Meritain directly.
You will simply have to upload your insurance information to our intake form after scheduling your consult, and we take care of the rest!
You can schedule your consult here. Please select the insurance option.
Let us help!
Do you still have questions about your insurance coverage, or want additional guidance for verifying your insurance?
Enter your information below, and we would be happy to help!