Frequently Asked Questions

Are prenatal, weaning, or starting solids consultations covered?

In many cases, yes. Insurance may still cover visits related to feeding support, even before birth or later in your breastfeeding journey. This can include prenatal education, pumping, bottle feeding, returning to work, introducing solids, and weaning guidance.

How many lactation visits are covered by insurance?

Coverage varies by plan and individual needs. Many insurance plans cover ongoing lactation care when visits are medically necessary, rather than limiting families to a specific number of appointments.

Some plans may have visit caps. For example, certain Aetna or Tricare plans may allow a limited number of visits.

Will I owe anything out of pocket?

That depends on your specific insurance benefits. While some plans cover lactation care at no cost to the patient, others may apply deductibles, copays, or coinsurance.

Insurance verification is completed through LCA prior to your appointment.

How can I confirm whether my plan includes lactation coverage?

You can contact your insurance company directly and ask about coverage for lactation services using:

• Procedure code: S9443
• Diagnosis code: Z39.1

Even if visits are not fully covered, some plans may still reimburse a portion of the cost.

Are home visits covered by insurance?

Insurance often covers the medical portion of home lactation visits if your plan is eligible through LCA.

A separate travel fee may apply depending on your location and distance traveled.

Do you offer home visits near me?

Home visits within La Crescenta are free of travel fees. For locations up to 10 miles away from my office in La Crescenta, a $100 USD travel fee applies. For distances between 10–15 miles, the fee is $150 USD. I will confirm the correct payment option and you will receive a secure payment link.

All in-office and virtual visits are not subject to any additional fees.

Is my insurance considered in-network?

Many PPO plans are commonly accepted through LCA. Sometimes insurance directories list providers under broader network names, which can make things confusing.

Your eligibility and network status are reviewed individually during the insurance verification process.

What if my insurance is not covered?

You are still welcome to schedule a self-pay appointment.

A superbill can be provided after your visit if you would like to submit for possible reimbursement through your insurance, HSA, or FSA account.