Out of Network Insurance Information
☆ First thing to know: by federal law, all insurance companies are required to cover “timely” lactation care at a rate of 100% with no deductible or co-pay
☆ If it is essential for you to be reimbursed, I recommend you call your insurance to discuss your options prior to our visit
☆ Ask the following questions
If you do see a provider out of network, will they reimburse you for the cost?
A list of IBCLCs that are in-network
If they do not have a list of IBCLCs in-network, or none of those IBCLCs will see you within a couple days, then they are required by law to cover out-of-network.
☆ National Women’s Law Center has a great resource to help guide you as well
☆ If they request provider or service info…
Provider Name: Meghan Manangon
Provider Credentials: RN, IBCLC
NPI or Provider ID: 1033739099
EIN: 87-4564554
CPT Codes: S9443 - Lactation Care, non-physician provider
Alternate CPT Codes: These often apply and could be used if they prefer, or if they say that the fee is higher than the allowable amount for S9443.
99344 or 99345, 99403 or 99404, 99349 or 99350