We are in-network with Colorado Medicaid. Upon submitting the intake form, we will verify your benefits and notify you if we cannot accept your insurance or if there may be any out-of-pocket cost, Scroll down for payer-specific information, including how to call and check your benefits.

Colorado Medicaid requires a referral from a provider to reimburse for lactation services. You cannot self-refer to an IBCLC. We can help assist you with obtaining that referral.

Up-to-date fee information is available in the online booking widget.

If you would like to call your insurance to request an out-of-network exception, you can give them this information:

• NPI: 1841008919
• Code S9443

We will provide you with a superbill with code S9443 under the lactating parent that includes the insurance information you provide to us. We cannot guarantee that your insurance will reimburse you under the Affordable Care Act.

If you would like a home visit, and you are out of our preferred service area, you will pay a convenience fee of $25 for each visit. The home visit out-of-area convenience fee is non-refundable if you cancel with less than 24 hours notice. This fee is not eligible for insurance reimbursement.

Sliding scale may be available if you or your partner(s) meet one or more of these qualifications:

• WIC participants
• SNAP recipient
• Active service military
• Educator
• Other situations – please reach out!

Please contact us prior to booking to request sliding scale for the self-pay rate or waiver of the home visit convenience fee.

We cannot waive cost-sharing for our in-network clients even on a sliding scale basis (unfortunately this is considered insurance fraud and we don’t do that).

We cannot guarantee that your covered services will not have cost-sharing applied by your insurance. Even if your insurance told you that you have full coverage for lactation care, there will likely be limitations and restrictions on care that may differ from plan to plan. We cannot legally or contractually waive the cost-sharing under any circumstance. We are required by law to invoice you. (Colorado Medicaid will have no cost-sharing for lactation services).

A brief phone call or secure email follow-up is included with every initial consult. Additional follow-ups are subject to follow-up costs and billed at 15 intervals.

If covered insurance is confirmed, we submit a claim for you and/or for your baby (when present). That may be two separate claims for two separate people. You and your baby do NOT need to be on the same insurance for services to be rendered. If we are not contracted with your insurance, you can be supplied with a super bill.

You will be responsible for the full payment. We will provide a super bill which you can submit to the insurance in the hopes that they will pay something. Insurance will reimburse that amount directly to you. If we receive payment in addition to your payment, any payment in excess of agreed upon charges will be refunded to you.

On request, we can provide you with our best estimate of what cost-sharing or out-of-pocket for you or your baby might be.