Billing through insurance does not guarantee 100% coverage. Your plan may apply a co-pay, cost sharing or deductibles. We always encourage you to contact your insurance company prior to services to clarify any questions regarding your specific coverage options.
We work closely with the breastfeeding parent and the baby in most of our consults. Our assessments and care plans are focused on creating a successful plan for the parent and the baby. Please note in the case of supporting the dyad (parent and baby) there will be 2 separate claims submitted through insurance.
*** Please note, CIGNA is stating Lactation Room is in-network however, we are not. This is an error on their Claims side of the company. We've been working with them to get this error corrected ***
All other Out-of-Network Insurance Plans
Please call your insurance and request a "Special Exception" or "Gap Exception" for lactation coverage. Provide them with the following information:
Administrative address: 8730 Mapleville Road, Mount Airy, 21771
This will help you with reimbursement. We will provide you with a superbill to provide to your insurance for reimbursement for self pay fees. The Affordable Care Act mandates insurance coverage for location services.
Lactation Room is now providing office visits for patients of Pediatric Associates - Montgomery County. Please call 301.933.6440 ( press option #1) for further information. Insurance coverage is available.
*If you would like visits offered in your baby's doctors office please let us know. We will contact them directly and let them know this service is being requested.
Lactation Room is a private practice and fee is due at the time of service via credit card, cash, check or Flex Care Spending Accounts. Under the Affordable Care Act (ACA) lactation consultations may be covered by your insurance company, however there may be exceptions, cost-sharing, deductibles and copays applied by your insurance, so please check with your insurance provider for information per your insurance plan.
You will be provided with a coded invoice with the medical billing information necessary to assist with reimbursement, if your plan provides coverage. Flex Care Spending Accounts Visas are accepted as forms of payment.
Please contact Lactation Room for further information with possible insurance coverage options.