Insurance/Payment
We work hard to get your visits covered by insurance. We believe that insurance should be paying for your visits. You deserve support and we will do everything we can to get insurance to pay for all or most of your visits with us. We will not bill you if you have medicaid. We do not collect co-pays or co-insurance as the ACA states that there is to be no cost sharing for lactation visits.
We are in network with insurance (see a complete list below) and we will bill this insurance directly. For out-of-network insurances, we can do a benefits check and see if services will be covered. For many insurances, your full cost will be covered. We also can request a pre-approval/in-network exception request to cover all or part of your visits depending on your coverage and benefits. For out of network insurances: We will bill insurance and send you an invoice for any services that are not covered by your insurance within 30 days of your last visit with us. If your insurance does not cover all or part of your visit, we will let you know.
Reimbursement: We can provide you with a Superbill so that you may receive reimbursement from you insurance company.
We can also take HSA/FHA cards.
***We charge a travel fee of $50 for home visits that are a long distance away (over 45 min drive, this is not billable to insurance.***
In Network Insurances:
Regence Blue Cross Blue Shield (all BCBS plans)
BCBS of Illinois
BCBS FEP
Anthem Blue Cross
Blue Shield of CA
Bridgespan Real Value Network (Oregon/WA)
Moda
Cigna (Effective 12/1/2024)
Aetna
First Choice Health
United Health Care
Health Net Commercial
Pacific Source Commercial:
—Billings Clinic Employee Health Plan
—Legacy Expanded (Navigator Custom)
—Navigator
—Voyager
—University of Oregon Student Health Plan
MEDICAID PLANS: We are in network with OHP and can bill the following insurances:
Oregon Health Plan (Open Card Medicaid)
Trillium (Medicaid)
Yamhill Community Care (Medicaid)
Columbia Pacific (Medicaid)
Healthshare Plans:
—Providence Health Assurance
—Care Oregon (Medicaid)
—Legacy Health-Pacific Source (Medicaid)
—OHSU
Pacific Source Community Solutions (Medicaid)
**US Benefits We Can Get Full Payment
Paying Out Of Pocket?: Contact us for current cash rates
Out Of Network: Providence Commercial, All Kaiser Plans and their payment to us will vary by your plan.