Insurance & Pricing

If you’d like to seek reimbursement from your insurance, we will provide you with a superbill — a detailed receipt including procedure codes and provider information that you can submit directly to your insurance company. Reimbursement is not guaranteed and depends on your out-of-network benefits.

Our providers are licensed as both Occupational Therapists and Lactation Consultants. Because of this dual credentialing, we are able to bill under both occupational therapy and lactation codes for either parent or baby, depending on the services provided in your session.

Since every insurance plan is different, the best way to understand your coverage is to call your provider directly. We recommend asking:

1. Do I have out-of-network benefits? (Some plans do not cover out-of-network services.)
2. What is my out-of-network deductible? (This tells you how much you’ll need to pay before insurance starts reimbursing.)
3. Do I have out-of-network benefits for lactation? (See treatment codes above.)
4. Have I used all of my lactation visits? If so, can I request more?
5. What is my out-of-network coverage for occupational therapy services? (See treatment codes above.)
6. What is the process for submitting a superbill for reimbursement? (Each plan has different requirements, so it’s helpful to ask about their specific procedures.)

• Lactation care for breastfeeding, pumping, lactation management, and weaning
• Bottle-feeding, feeding transitions, and developmental concerns as part of lactation support
• Integrated occupational therapy and lactation care with Milk Stories providers
• Home and clinic visits
• Telehealth Visits *Select Plans only*
• Prenatal lactation consultations

As dual-credentialed IBCLCs and licensed occupational therapists, Milk Stories offers a comprehensive, integrated approach to infant feeding and lactation. Because of that scope, all visits with Milk Stories include occupational therapy, a separate service covering evaluation and treatment of the areas that fall outside of lactation care. This unique service allows us to support the underlying causes of feeding challenges and development, including whole body patterns, motor development, strength, coordination, and regulation that influence how your baby feeds. These OT fees are billed directly to you and are not part of your lactation benefit. They are what allow us to provide an integrated scope of occupational therapy and lactation support. Our providers hold credentials as both registered occupational therapists and IBCLCs, which allows us to deliver a comprehensive and unique service. Upon request, we will provide a superbill for your occupational therapy charges to submit to your insurance.

*Home visits are subject to baby’s age, your location, and provider availability, and may have limited availability.

1. Fill out an assessment request form.
2. Submit your insurance information through our TLN verification link. TLN will review your eligibility and email you directly with approval within 2–3 days.
3. Once benefits verification is complete and a request form is submitted, we’ll do our best to contact you via text message and email within 2 business days.

You must verify your benefits prior to your appointment.

Coverage with TLN may change, and as contracted providers we unfortunately have no control over those changes. We are currently in-network for lactation benefits through TLN with:

• Aetna Commercial Plans
• Anthem Blue Cross Blue Shield — Illinois and Texas plans only
• Blue Cross Blue Shield of Texas (BCBSTX) — Texas plans only
  • applies to most:
    • PPO plans
    • BlueChoice plans (including FEP)
    • HMO plans with the appropriate referral
• Curative Health
• Imagine Health
• Meritain Commercial Plans
• Multi-Plan PPO
• PNOA
• Sutter Health
• United Healthcare
• VA CCN Optum East
• Velocity PPO

For the most current list or to determine your plan’s coverage, please fill out a verification form or reach out directly to TLN.

TLN will not cover telehealth or virtual visits for any UHC or Aetna plans. Some smaller plans may include coverage. Specific coverage type and visit limits (if any) will be sent to you and your provider upon verification.

TLN covers feeding support only for lactating parents. If you’re still nursing or pumping, visits that include bottle transitions or solids guidance may be covered. If you’ve weaned or are exclusively formula-feeding, we’re still happy to work with you as a self-pay client.

• Lactation support for breastfeeding, bottle-feeding, pumping, supply issues, starting solids, weaning, and developmental concerns related to feeding
• Integrated occupational therapy and lactation care with Milk Stories providers
• Virtual, clinic-based, or home visit options
• Prenatal lactation consultations

As dual-credentialed IBCLCs and licensed occupational therapists, Milk Stories offers a comprehensive, integrated approach to infant feeding and lactation. Because of that scope, all visits with Milk Stories include occupational therapy, a separate service covering evaluation and treatment of the areas that fall outside of lactation care. This unique service allows us to support the underlying causes of feeding challenges and development, including whole body patterns, motor development, strength, coordination, and regulation that influence how your baby feeds. These OT fees are billed directly to you and are not part of your lactation benefit. They are what allow us to provide an integrated scope of occupational therapy and lactation support. Our providers hold credentials as both registered occupational therapists and IBCLCs, which allows us to deliver a comprehensive and unique service. Upon request, we will provide a superbill for your occupational therapy charges to submit to your insurance.

*Home visits are subject to baby’s age, your location, and provider availability, and may have limited availability.

1. Fill out an assessment request form.
2. Complete this benefits verification form through Wildflower Health to confirm your benefits.
3. Once benefits verification is complete and a request form is submitted, we’ll do our best to contact you via text message and email within 2 business days.

You must verify your benefits prior to your appointment.