I am pleased to be in-network with Aetna. My aim is to provide clear and helpful information to assist you in understanding how Aetna processes claims for lactation services.

Key Points to Understand

• Billing Codes: You have a limit of 6 billing codes per year, which means you can have 3 consultations since each one uses 2 codes (one for you and one for your baby).
• Online Classes: "Free" online classes from pump suppliers count toward your 6 billing codes.
• Out-of-Pocket Costs: Even if Aetna says they cover 100%, you might still have to pay some costs.
• "Covered" Doesn't Mean Free: Be aware of possible out-of-pocket costs, like deductibles, coinsurance and copayments. 

Understanding Your Coverage

• Review Your Aetna Benefits: Check your plan details before booking to understand your coverage.
• Claims Submission: I will submit claims and can appeal up to two times if needed.
• Remaining Balance: Any balance determined by Aetna will be charged to you.
• ​Out-of-Pocket Costs: Be aware of possible out-of-pocket costs, like deductibles, coinsurance and copayments. Just because something is "covered" doesn't mean it will be paid in full.

---

Curious about My Approach? Check out my Services
Need information about insurance coverage? Look at Insurance + Fees
​Need Assistance?
If you have questions or trouble finding an available time slot, please contact me Help Me Book an Appointment