Frequently Asked Questions

An IBCLC (International Board Certified Lactation Consultant) is a healthcare professional who has completed extensive clinical hours and passed a board exam specifically in lactation care. Insurance carriers recognize IBCLC-provided care as a covered preventive service under the ACA, which is why most plans will reimburse visits with a board-certified consultant rather than general breastfeeding advice.

In most cases, yes. Under the Affordable Care Act, most health insurance plans are required to cover breastfeeding support and lactation counseling at no cost to the patient. Atlanta Lactation is in-network with Aetna, Cigna, United Healthcare/UMR, and most Anthem/BCBS PPO plans, so many families pay little to nothing out of pocket.

Yes. Atlanta Lactation is in-network with most Aetna plans for lactation and infant feeding support. Most families have no out-of-pocket cost for the first six visits (home or office); visits seven and beyond typically carry a $71.50 patient responsibility. Insurance can also cover up to four sets of pump parts, as long as they haven’t already been billed by another supplier, such as Aeroflow. Text a photo of your card to 404-793-3300 to confirm your plan.

Yes, for most Anthem and BCBS PPO plans. Accepted PPO plans include unlimited home, office, and telehealth visits covering latching, pumping, bottles, starting solids, and weaning. HMO plans through Anthem or BCBS are not eligible for in-network lactation coverage. Text your insurance card photo to 404-793-3300 to check your plan type.

Yes. Nearly all Cigna plans are accepted, including third-party administrator plans, Cigna Marketplace, and Cigna HMO. Most families have no out-of-pocket cost for mom or baby, with unlimited home, office, and telehealth visits covering any lactation or feeding concern.

Yes, for most plans. Atlanta Lactation is in-network with most United Healthcare and UMR plans, typically with little or no out-of-pocket cost once coverage is confirmed. United AXA, Liberty, Oxford, and Golden Rule plans are the exception: these are not covered and are billed as self-pay.

No, not for direct billing. Tricare, Medicare, Medicaid, and most HMO plans are not eligible for in-network lactation billing, so visits with these plans are self-pay. Families with Medicaid or Medicare qualify for a 20% self-pay discount, as do teachers, first responders, active-duty military, and other frontline workers.

Yes. VA CCN is accepted for both home and office visits. Home visits include the standard $85 travel fee. After booking, you’ll receive an intake form by email to complete before your first visit.

It depends on the carrier. Aetna, United, and Cigna marketplace plans are typically covered in-network, the same as their standard plans. Oscar marketplace plans are out-of-network but consistently reimburse the full visit fee when a superbill is submitted. Ambetter, Anthem/BCBS, and Caresource marketplace plans typically deny reimbursement for out-of-network care, though some patients have had success after filing a complaint with their state insurance commissioner.

You can still be seen as a self-pay patient. After your visit, Atlanta Lactation provides a superbill (an itemized receipt) that you can submit to your insurance company for possible out-of-network reimbursement. Some carriers, like Oscar, reimburse the full fee this way.

Self-pay office visits are $195 for new patients and $175 for established patients. Home visits are $295 for new patients and $275 for established patients. Telehealth visits are $195 for new patients and $175 for established patients.

Yes. A 20% discount is available for teachers, first responders, active-duty military, federal health employees, and families with Medicaid or Medicare. If cost is a barrier to care, Atlanta Lactation encourages families to reach out directly to discuss options.

Yes, all home lactation visits include an $85 travel fee. This is a non-medical fee not covered by any insurance plan, including in-network plans. Families who want to avoid this fee can book an office visit instead at one of nine metro Atlanta locations: Morningside (Intown Atlanta), Century Center (Brookhaven area), Decatur, East Point, Johns Creek/Alpharetta, Marietta, Peachtree Corners, Roswell, Sandy Springs, or Smyrna.

The fastest way is to text a photo of your insurance card to 404-793-3300, or select your insurance during online booking so it can be verified ahead of your visit. Atlanta Lactation’s team will confirm your in-network status, visit limits, and any expected out-of-pocket cost before your appointment.

Yes. Telehealth visits are available and covered the same as in-person visits for in-network plans such as Aetna, Cigna, and United/UMR. During a virtual visit, your IBCLC reviews your history, observes a live feeding or pumping session over video, and sends a personalized care plan afterward, providing the same standard of care as an office visit, without the $85 home-visit travel fee.