Insurance Coverage for Lactation Support
At East Tennessee Lactation, we know that navigating insurance during the newborn period can feel overwhelming. Our goal is to make breastfeeding support easy, accessible, and affordable for every family.
Many insurance plans cover lactation consultations with an IBCLC (International Board Certified Lactation Consultant) at low or no cost. Below, you'll find everything you need to check your coverage and understand your options.
Insurance Plans We Work With
We are in-network with most major insurers and billing partners. Coverage may include hom visits, office visits, or virtual consults, depending upon your plan. ​​
Most insurance plans do not require verification, and you may be able to be seen same/next day. Check yours below.
Aetna / Meritain We are in-network with most Aetna plans for lactation and infant feeding support (see below for plan specifics). If you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. Most families have no out-of-pocket cost for the first six visits, whether home or office. Visits seven and beyond typically have a $71.50 patient responsibility. Home visits may incur a $25 travel fee, a non-medical fee that is not covered by insurance. If you have taken online prenatal or breastfeeding classes through Aeroflow or Baby Academy, your number of fully covered visits may be reduced. If you have questions or need assistance, please call or text us at 423-225-2182. We’re happy to help you get started. PPO: in network Point of Service (POS): in network Open Access Plus (OAP): in network Select (local plans): must be checked Subsidiaries: must be checked HMO: not contracted
Anthem / Blue Cross Blue Shield We are in network with most Anthem and Blue Cross Blue Shield PPO plans. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. Unfortunately, HMO plans do not allow lactation in network. There is sometimes cost sharing for mom, baby, or both. Cost sharing means the financial responsibility insurance assigns to you, such as a copay, coinsurance, or deductible. This varies by plan and isn’t always applied. Typically, it is around $10-40 depending on the plan. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, oral ties, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits may incur a $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network EPO: in network HMO: only in network for Oregon based plans Anthem PPO (except PPO Prudent Buyer): in network Federal BCBS (Basic, Standard, & PPO): in network Regence PPO: in network Premera PPO: in network Plans that we can not work with: Blue Shield of CA Bronze, Silver, and Gold plans HMO (outside of Regence HMO) Regence Legacy
Centivo We are in-network with all Centivo plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182
Cigna We are in-network with most Cigna plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, oral ties, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits may incur a $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network POS: in network OAP: in network EPO: in network HMO: requires referral from PCP, OB, or Peds Allegiance Cigna: in network, no telehealth allowed. Baby appointments will have cost sharing, but lactating parent is covered without cost sharing
Health Net of CA We are in-network with most Health Net of CA plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network Ambetter PPO: in network Ambetter HMO: in network HMO Fee-for-Sevice (No Assigned Medical Group): in network Medi-Cal: in network Other HMOs: must be checked
Intel Connect Care We are in-network with all Intel Connect Care Plans based in Arizona for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. All Arizona based plans are in network
Inland Empire Health Plan We are in-network with most Inland Empire Health plans for lactation, infant feeding support, and prenatal and postpartum doula care. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. If you have any questions or need assistance, please call or text us at 423-225-2182. Medi-Cal in network except when IEHP Covered CA number starts with 77.
Kaiser (CA only) We are in-network with most California Kaiser plans for lactation, infant feeding support, and prenatal and postpartum doula care. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network HMO: in network Medi-Cal: in network
LA Care We are in-network with most LA Care plans for lactation, infant feeding support, and prenatal and postpartum doula care. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. If you have any questions or need assistance, please call or text us at 423-225-2182. Covered CA: in network Medi-Cal: in network
Medical We are in-network with most Medi-Cal plans for lactation, infant feeding support, and prenatal and postpartum doula care. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. If you have any questions or need assistance, please call or text us at 423-225-2182. In network with fee-for-service plans
MODA We are in-network with most MODA plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network EPO: in network HMO: in network OHSU EPO/CCN, Legacy, and MODA Select Plans - we are not contracted
Oscar We are able to bill for most Oscar plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have this insurance, please call or text us at 423-225-2182.
PacificSource We are in-network with most PacificSource plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network EPO: in network HMO: in network Legacy: in network
Partnership We are in-network with all Partnership plans for lactation, infant feeding support, and prenatal and postpartum doula care. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. If you have any questions or need assistance, please call or text us at 423-225-2182.
Tricare East and Tricare West (we are pending) We are pending in-network with most Tricare plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect 6 hours of home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits incur an $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. All Tricare Prime or Tricare Select plans (including Reserve, Retiree, Young Adult, etc) are in network. Note: must be at least 27 weeks pregnant Tricare Overseas: not contracted
United / UHC / UMR / GEHA / Empire / Oxford We are in-network with most United plans for lactation and infant feeding support. Please take a look at accepted plans, and if you have questions about your plan, please text us a photo of your insurance card at 423-225-2182. If your plan is accepted, you can expect unlimited home, office, telehealth, and hospital visits. We can cover anything regarding lactation and infant feeding — latching, pumping, bottles, starting solids, breast or nipple problems, weaning, etc. Home visits may incur a $25 travel fee, a non-medical fee that is not covered by insurance. If you have any questions or need assistance, please call or text us at 423-225-2182. PPO: in network EPO: in network HMO: must be checked Choice Plus: in network Individual Exchange Plans: only Arizona based Doctor’s Plan, Navigator, Core, Nexus: please call/text 423-225-2182 so we can check benefits SignatureValue HMO, Oxford Metro, Heritage, Neighborhood Health Plan, and Community Health Plan: not contracted