Since 2018, we have worked diligently to be in-network with insurance companies, making it easier for new mothers to access our services. While things usually go smoothly, there are exceptions—grandfathered plans, tricky pre-existing condition clauses, and the dreaded clawbacks and audits. These hurdles are burdensome not just for new mamas but also for lactation consultants. Our focus should be on supporting moms and babies, not navigating bureaucratic red tape. To minimize financial risks and simplify the process, Lisa Paul IBCLC has partnered with The Lactation Network and Wildflower Health.This partnership allows us to dedicate more time to what truly matters: the well-being of mothers and their babies.

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Below is a list of the insurance companies we partner with and the most effective ways we can work together to support your needs. 

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Aetna:  Book an appointment online and the billing will be taken care of by our office.  We are in-network with Aetna.

 

Ambetter: Book an appointment online and the billing will be taken care of by our office. We are in-network with Ambetter.

 

Blue Cross Blue Shield (all states):  Use this link to get pre-approved by The Lactation Network which takes 1-3 days.  Book online once you are approved. If you cannot wait for the approval,  you may book online and self-pay until approval happens.

 

Cigna: You may use either The Lactation Network or Wildflower Health to get pre-approved.  Book online once you are approved.  

 

Humana: You may choose to be pre-approved through The Lactation Network or our office will bill directly to Humana. We are not in-network but have had success in the past with getting it covered. Book online​ once you are approved.  

 

Tricare:  Book an appointment online and the billing will be taken care of by our office. We are a certified Tricare provider, which means we have satisfied the criteria set forth by Tricare to be accepted by them. We are not "in-network" at this time so you are responsible for paying for what they do not cover. Tricare will send payment directly to you, so we require payment at time of service.  

 

United Healthcare & UMR: You may choose to be pre-approved through The Lactation Network or our office will bill directly to UHC or UMR.  We are in-network so in most cases visits (both virtual and in-person) will be covered.  Book an appointment online and the billing will be taken care of by our office.

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• My insurance is Tenncare, I heard that I can get lactation help with my insurance.  Do you accept Tenncare?​

  • As non-RN IBCLCs, we are not able to bill Tenncare for breastfeeding care.  We recommend using the resources provided by WIC, or the Tennesee Breastfeeding Hotline. Also the best way to ensure coverage is to use your insurance website to find someone in-network.

• Will you work with my ​health care share ministry?

  • ​If they accept electronic submission of claims, we are willing to submit claims on your behalf. If not, we will issue a superbill for you to submit.

  • We require payment at time of service.​

• Do you take credit cards?​ 

  • ​Yes, we are set up for credit card processing through our secure patient portal. We also accept checks and cash. We can accept HSA cards as well.

• Do you offer home visits?

  • ​At this time we are not offering home visits.  We find that we can see more clients and offer a higher quality of service if moms are able to come to us. 

• I am not able to get to your office, may I see you by telehealth?​

  • We would love to explore telehealth as an option for you. Telehealth visits may be covered by your insurance plan and are a great way to get care if you are not able to come to our location.  We have a secure site that is easy to use from your phone or laptop.  This option can be used as a bridge until you are able to travel to our location, or as a follow-up plan once care has been established.