If you have questions about insurance coverage, email before your appointment to confirm your benefits and avoid delays.
We are proud to partner with a wide range of insurance providers to make quality lactation and doula support accessible and affordable for more families.
How Insurance Coverage Works for Lactation Services
Most insurance plans do not require pre-authorization or referrals for lactation services because lactation care is considered preventive primary care.
Step 1:
Check to see if you have an eligible insurance plan in the list below.
Step 2:
If your plan is on the list, schedule an appointment now.
If your plan is not on the list please mail Lactation Consultants of America to ask about other plans not on the list: Patient.relations@lcsofamerica.com
Step 3:
Once your appointment is booked, you will receive an email from Lactation Consultants of America with intake paperwork. This must be completed prior to being seen. Your insurance will be verified within 24 hours of receiving the completed paperwork. Your appointment is not confirmed until the paperwork is complete.
Unless noted below, few plans require pre-authorization or referrals as Lactation is Preventative Primary Care. Insurance representatives commonly give enrollees incorrect information regarding coverage and requirements.
We do NOT accept Medicare plans currently and only accept Medicaid plans in CA at this time. For plans that require benefits checked, please allow 24 business hours for a response from LCA.
Once your appointment is booked, you will receive an email from Lactation Consultants of America with intake paperwork. This must be completed prior to being seen.
Your insurance will be verified within 24 hours of receiving the completed paperwork. If your insurance is not in network, you will be responsible for paying for your appointment in cash. The following plans are usually covered. If you have any questions, email prior to being seen to check on your benefits.
Aetna/Meritain
PPO
Point of service (POS)
Open Access Plus (OAP)
Select (local plans only) - check all plans
Subsidiaries - check all plans
HMO - LCA not contracted
Blue Cross Blue Shield
PPO
EPO
HMO - only plans based in Oregon
Plans that do not need to be checked before booking (always in network AND cover lactation):
Anthem PPO (outside of PPO Prudent Buyer)
Federal BCBS (Basic, Standard, & PPO)
Regence PPO
Premera PPO
Plans that we can NOT work with:
Blue Shield of CA Bronze, Silver, and Gold plans (will say the metal tier on the card) HMO (outside of Regence HMO)
Regence Legacy
It is your (the patient’s) responsibility to know your insurance benefits. If you are calling your insurance company to check eligibility, the code to check is s9443 with the diagnosis code Z39.1. If your plan does not cover lactation and you are seen, you will be responsible for the contracted rate for s9443 for the lactating parent.
Centivo*
All plans
Cigna*
PPO
POS
OAP
EPO
HMO - requires referral, check all plans If you have any questions just have the
insurance checked.
Allegiance Cigna:
NO TELEHEALTH. Baby appointments will be charged $150. Lactating parent is covered without cost sharing.
Health Net of CA / CalViva
PPO
Ambetter PPO
Ambetter HMO
HMO Fee-for-Service (No Assigned Medical Group)
Other HMOs - LCA NOT contracted, LOA possible for some plans email
patient.relations@lcsofamerica.com
Intel Connect Care
All plans based in AZ
Inland Empire Health Plan
NOT COVERED
Kaiser
NOT COVERED
LA Care
NOT COVERED
Medi-Cal
NOT COVERED
MODA
PPO
EPO
HMO
OHSU EPO/CCN, Legacy and MODA Select Plans - LCA not
contracted Oscar* - LOA required email
patient.relations@lcsofamerica.com
PacificSource
PPO
EPO
HMO
Legacy
UHC*/UMR*/GEHA*/Empire*/Oxford*
PPO
EPO
HMO - Check all HMO’s
Choice Plus
Individual Exchange Plans - only in AZ
Doctor’s Plan, Navigator, Core, Nexus - check all plans
SignatureValue HMO, Oxford Metro, Heritage, and Neighborhood Health Plan,
Community Health Plan - LCA not contracted
Your Responsibility as a Patient
It is your responsibility to understand your insurance benefits. If you contact your insurance company directly, provide them with the following information:
If your insurance plan is not listed above, you may email Patient.relations@lcsofamerica.com to inquire about coverage.
Out-of-Network Insurance
If your insurance plan is not in network, you will be required to pay in full at the time of booking.
Questions?
Lactation Consultants Conveniently
Located Across Los Angeles.
Contact info
Get in touch and we'll get back
to you as soon as we can.
Text: 424-386-2539
Email: lalactation@gmail.com
© Copy Right 2025 All Rights Reserved | Sitemap | Privacy Policy