Cigna

Does my Cigna insurance plan cover lactation consultations?

Home, office and virtual Lactation Services are fully covered with no copay by your Cigna health insurance. This includes prenatal education, lactation consultations, newborn, infant and child breastfeeding guidance; infant bottle feeding and first foods education; breast pump selection and education, flange fitting and breast pumping coaching appointments.

Cigna considers this preventative care and provides 6 visits for education and lactation care. You can request more in your Wildflower patient account.

The easiest way to obtain 6 fully covered lactation appointments is to Request an Appointment here. We set up your account with Cigna/Wildflower Health and give you a fully covered lactation appointment usually in the time frame that you are requesting. You will need your Cigna insurance card to complete the request.

MVP Cards with the Cigna logo are also processed through Wildflower Health and receive the same benefits.

 

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About Wildflower:

Wildflower Health matches parents and IBCLCs, submits claims to Cigna on your behalf, and pays New Baby New Paltz/Donna Bruschi, IBCLC for providing your lactation education and consultation. Though not necessary, you can upload your card separately through Wildflower. You will see "New Baby New Paltz" as your provider. 

If you previously registered with Wildflower, you do not need to register again. You can see more than one Lactation Consultant if you choose. Contact Wildflower to have New Baby New Paltz/Donna Bruschi, IBCLC added as a provider.

Provider relations for Cigna considers lactation consultations as preventative care, and they encourage 6 visits per pregnancy/baby. This includes prenatal and postpartum visits. The mother/lactating parent is covered 100% with never a copay or a deductible.

Each mother is approved for six separate consults per pregnancy whether virtual, in-office or in-home. Any other lactation consultations or classes that a mother may have received from any providers other than Wildflower, will not count as one of these 6 visits.

If a patient requires more than 6 visits due to medical need, or only Baby has coverage, Wildflower can be flexible so please reach out to them for approval. There is a visit counter in your patient profile screen.

Travel Fees may apply for a home visit more than 20 minutes from Highland, NY  (ref: Google Maps)

Home visit travel fee:

I specialize in home lactation consultations and I travel up to 90 minutes.  

+$0 -   up to 20 minutes from Highland, NY.
+$30 - 21 to 30 minutes from Highland, NY.
+$60 -  31 to 45 minutes from Highland, NY.
+$90 - 46 to 60 minutes from Highland, NY.
+$120 - 61 to 90 minutes from Highland, NY.

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Request an Appointment here.

We check your insurance benefits and/or give you an appointment in the time frame you list as available. If you have a new baby or an urgent situation, your appointment will occur within a day or two.

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If you need a self pay option:

Emergent Newborn Home appointment: 

• Meet within 24 hours, 90 mins - $300.   + Travel fee if needed.

Regular self pay options:

• 60 minute appointment - $175.    + Travel fee if needed.
• 90 minute appointment - $250.   + Travel fee if needed.
• 15 minute "Quick Question"; follow-up appointments; office or virtual only - $40.
  

I accept the following forms of payment:

Insurance pre-approval, approved Wildflower contract, cash, check, credit card, gift card, and Flex/HSA cards. Please let me know your preference on the intake form.

All clients must have a debit/credit/HSA card on file.

Your debit/credit/HSA card is used as backup payment source for a last-minute cancellations, co-pays, or if your insurance lapses. It can also be used to pay for lactation supplies, travel fees, and appointment fees as needed.

Cancellation fees

When you cancel more than 48 hours before the appointment, there is a no cancellation fee and prepaid appointments are fully refunded.

If you are sick, you must reschedule your appointment. An appointment can be rescheduled for illness ONE TIME at no charge. If you cancel your rescheduled appointment, there is a 100% appointment cancellation fee.

When less than 48 hours advance notice is given to cancel your appointment, there is a $175 appointment cancellation fee charged immediately to your card on file.