In Network with Aetna
I serve Aetna clients with breastfeeding and lactation services in my office in Montclair, New Jersey and nationwide via telehealth.
My services are covered as office or telehealth lactation visits on most Aetna plans. You must always check your coverage with Aetna to ensure your plan covers my services. AETNA provides in-network coverage to most plans with up to 6 visits with any providers including breastfeeding classes, short consults with your pediatrician or OBGYN. It's up to you to know your own benefits in your plan. You can call Aetna and ask how many visits are on your Lactation Visit Accumulator.
Be aware that some DMEs who sell pumps will also offer online lactation classes that will use up your breastfeeding benefits before you even see a lactation consultant. You must know your benefits before booking to avoid charges.
As part of the booking process, I will take your credit card information for my files. After each visit, I (or my biller) will submit a claim and, if not fully covered, will do 2 rounds of appeals. If your insurance does not properly cover your visit after these attempts, I will then use the credit card I have on file for you to pay for the remainder of the visit. Because lactation is supposed to be covered as preventative care, I encourage you to contact your insurance company (see below for suggestions) to discuss their lack of coverage. And, if your efforts result in the insurance company correctly paying me for the visit, I will of course reimburse your credit card.
Your insurance plan is a contract between you and your insurance company. If you want to know your coverage, please contact your insurance company. Most insurance plans require Out of Pocket costs for deductible, coinsurance and/or copayment, which may apply to a portion of our visit. Clients will be billed for any out of pocket costs after your insurance company has processed your claim. It behooves you to learn your deductible, coinsurance and copayment amounts for all medical services. Covered does not mean "paid in full". Learn your out of pocket costs to avoid surprises.
I serve Aetna clients with breastfeeding and lactation services in my office in Montclair, New Jersey and nationwide via telehealth.
My services are covered as office or telehealth lactation visits on most Aetna plans. You must always check your coverage with Aetna to ensure your plan covers my services. AETNA provides in-network coverage to most plans with up to 6 visits with any providers including breastfeeding classes, short consults with your pediatrician or OBGYN. It's up to you to know your own benefits in your plan. You can call Aetna and ask how many visits are on your Lactation Visit Accumulator.
Be aware that some DMEs who sell pumps will also offer online lactation classes that will use up your breastfeeding benefits before you even see a lactation consultant. You must know your benefits before booking to avoid charges.
As part of the booking process, I will take your credit card information for my files. After each visit, I (or my biller) will submit a claim and, if not fully covered, will do 2 rounds of appeals. If your insurance does not properly cover your visit after these attempts, I will then use the credit card I have on file for you to pay for the remainder of the visit. Because lactation is supposed to be covered as preventative care, I encourage you to contact your insurance company (see below for suggestions) to discuss their lack of coverage. And, if your efforts result in the insurance company correctly paying me for the visit, I will of course reimburse your credit card.
Your insurance plan is a contract between you and your insurance company. If you want to know your coverage, please contact your insurance company. Most insurance plans require Out of Pocket costs for deductible, coinsurance and/or copayment, which may apply to a portion of our visit. Clients will be billed for any out of pocket costs after your insurance company has processed your claim. It behooves you to learn your deductible, coinsurance and copayment amounts for all medical services. Covered does not mean "paid in full". Learn your out of pocket costs to avoid surprises.