insurance

ANNOUNCEMENT: SIGNIFICANT CHANGES IN COVERAGE THROUGH THE LACTATION NETWORK (TLN)

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Hello, sweet families.

A few years ago we made the decision to move from a self pay practice to participating with The Lactation Network (TLN), and later Wildflower, to provide a way for insurance coverage for lactation visits.  This week TLN sent an email to the IBCLCs contracted with them and announced, with no prior warning, that they were creating visit limits, effective immediately for new clients and after May 16 for current clients.  If you are a current client that is affected, you should have received an email from TLN.  

Who this affects:

-if you have Anthem/BCBS and are new with us starting May 1, we have 6 visits that are covered through TLN and then we can move to self pay, per the TLN email.

-if you have Anthem/BCBS and have already used more than 6 visits, PLEASE SCHEDULE BEFORE MAY 17, TLN states in their email that they will continue to cover these visits.  After May 17, if you are over the 6 visit limit, we will move to self pay.  

-if you have BCBS and haven’t used your 6 visits, we will keep a count of your visits and move to self pay after 6 visits as needed. 

Who this shouldn’t affect:

– If you have Cigna (paid through Wildflower), you will continue to have 5 visits covered, and we can request additional visits as needed if we have justification for those visits.

-if you have United (paid through TLN), it doesn’t look like there is any change currently, and we will continue as we have been.

-if you are already self pay, we will continue on as usual.  

For self pay visits, we can provide a superbill/receipt with codes that you can submit directly to your insurance company for potential reimbursement.  HSA/FSA cards are a useful way to pay as well.  

What else can we do?  You can contact your HR department and your insurance company and request consideration for unlimited lactation support.  We will continue to work on ways to provide you and your family with the lactation support you need and deserve. 

Here is the direct link to schedule a visit https://lactationcarewithelizabeth.janeapp.com/

Please reach out with any questions!  We have opened up as much availability as we can over the next few weeks to accommodate as many families as possible; if you don’t see an opening, please reach out and we will do everything possible to make sure you are seen.

Milk Donation Pick Up How-To

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Lexington, KY Milk Express & Milk Depot for The Milk Bank

We are privileged to partner with The Milk Bank to serve as a local Milk Express & a Milk Depot. We can accept donations from registered and approved donors through The Milk Bank. We also dispense purchased pasteurized human milk on behalf of The Milk Bank as well. Check out the steps to take to be sure you can collect your milk as easily and efficiently as possible.

For any additional assistance with feeding babies, please check out the blog, or schedule an appointment with one of our board certified lactation consultants. Insurance coverage an option, check coverage first before scheduling appointment on our Services page. For other support groups and group classes, view the schedule on our Classes page.

Update on Insurance Companies Covering Care

morganlce Leave a comment

We currently partner with The Lactation Network in order to be considered an in-network provider for many of our clients. Through our partnership, we are able to provide care to many at no personal cost to them. Many insurance companies are covering lactation services: prenatal visits, office visits, telehealth visits and home visits.

Effective immediately, Cigna is NOT providing coverage for the items in partnership with The Lactation Network. They have partnered with them in the past, but were unable to come to an agreement and can no longer cover Cigna customers.

The Lactation Network should be contacting you if you have Cigna and are an active client with Lactation Care with Elizabeth. If you have Cigna and saw us in the past, this will mean your care won’t be covered via The Lactation Network.

As always, if you haven’t had a visit in 6 months or more, you will need to resubmit your insurance information anyway to be sure there have been no changes to your coverage. This is available via our scheduling page online, but more efficient would be through your account with The Lactation Network.

The Lactation Network partnership has made no-cost care available to many. We do also provide self-pay services. If cost is a concern, please contact us to discuss options.

If you have any questions, please call Morgan at 859-832-0203 or email morgan@lactationcarewithelizabeth.com.