Insurance Information and Coverage

Service Area and Travel Fees

• Service Area: We provide lactation consulting services within a 30-minute radius of our IBCLCs.

• Travel Fees:

  • For locations 31–44 minutes away: $25 travel fee.

  • For locations 45–60 minutes away: $50 travel fee.

  • Cigna Clients: Initial in-home visits will incur a one-time $25 travel fee (does not apply to follow-up visits).

Self-Pay Rates

• In-Person Visits: $200

• Telehealth Visits: $155

• Student Telehealth Consultations: $60

• Follow-Up Appointments: $25 discount applies.

• Note: For consultations involving twins, an additional $100 fee applies. 

Insurance Coverage

• Accepted Insurance:

  • We accept many insurances including most Aetna, United Healthcare, DMBA, BCBS, Cigna, and Tricare plans. Check your coverage here.

  • If approved, no deductibles or copays are required for our clients approved through The Lactation Network only. For non-coverage, self-pay (including HSA payments) is available.

• Insurance Billing:

  • We can only bill if your primary insurance plan remains active. Lapsed plans require re-verification.

Aetna and United Healthcare Insurance Clients

• Booking: First, check your eligibility and coverage here. 

• Payment: Breezy Babies is paid directly; cost-sharing (copays, coinsurance, deductibles) may apply.

  • Denied claims are the client’s responsibility.

  • Aetna or United Healthcare must be your primary insurance.

  • Important: If your baby is not added to your insurance plan, additional fees may apply for services rendered.

Cigna Insurance Clients

• Booking: First, check your eligibility and coverage here. 

• Payment: A $25 travel fee applies for all in-person initial visits only. Follow-ups will not incur additional fees unless outside the consultant’s standard travel radius.

Tricare Insurance And Self Pay Clients

• Booking: First, check your eligibility and coverage here. 

Cancellation Policy

• Cancellation: Notify us at least 24 hours in advance for a refund.

• No-Shows: A $50 fee applies.

• Rescheduling: Contact us directly to reschedule.

Understanding Your EOB (Explanation of Benefits)

• EOB Overview: An EOB summarizes services and insurance coverage post-consultation.

• Patient Responsibility:

  • An EOB is not a bill.

  • TLN covers full consultation costs if approved.

  • Additional fees (e.g., travel, administrative, or cancellation) may apply outside of TLN coverage.