We are in-network with most commercial Aetna, Northwell Direct, United Healthcare and CIGNA plans. 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. Scroll down for payer-specific information, including how to call and check your benefits. We also accept self-pay and provide you with a superbill that you can submit to your insurance company for reimbursement. Submitting the superbill to your insurance company does not guarantee partial or full reimbursement. Reimbursement is at the discretion of your insurance company and you may not get reimbursed at all.

Yes. We are working on becoming in-network with additional insurance companies.

Payment is required upfront. We accept cash, check and credit card. 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: 1629961883
• EIN: 46-2281393
• Code S9443, billed amount $350

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.

We offer a week of messaging support to our clients after each date of service. Messages with complex inquiries necessitating a back-and-forth discussion may require a follow-up consultation. If you are still experiencing challenges after one week of messaging support it is recommended to make a follow up appointment.

Yes, all home visits have a travel fee associated with them. Lactation consultations take place either in the comfort of your home or through our HIPPA secure videocare. We travel to Nassau and Suffolk county. Travel fees are based on the distance from my home service area and help account for round-trip travel time and associated travel expenses. Current travel fees are $25 for locations within 0–10 driving miles, $50 for 11–20 driving miles, $75 for 21–30 driving miles, and $100 for 31–40 driving miles. Locations beyond 40 driving miles may be considered on a case-by-case basis. Your applicable travel fee will be confirmed prior to your visit. Please note that travel fees are separate from self-pay consultations and will not be reimbursed by insurance companies.

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.

We submit a claim for you and for your baby (when present). That is 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 one of you is out-of-network, we will still submit an out-of-network claim to the insurance in the hopes that they will pay something.

Once both of your claims have been processed, we will balance bill you for any amount not covered by either insurance up to our listed self pay fee for the type of visit you had. We will never charge you any amount that would cause us to collect more than our stated self pay fee from you and your insurance combined.

Example 1: The self pay fee for the service is listed as $350. We bill each insurance $350. Your in-network insurance pays $100. Your baby’s out-of-network insurance pays $10. You would be balanced billed $240.

Example 2: The self pay fee for the service is listed as $350. We bill each insurance $350. Your baby’s in-network insurance pays $250. Your out-of-network insurance pays $100. You would not be billed anything.

We are in-network with Aetna and its subsidiaries. 

You can call Member Services and ask if we are in-network using this information: Laura Camera IBCLC, NPI: 1629961883 and EIN: 46-2281393

Aetna may have told you that you would get up to 6 “free lactation visits.” But in reality you can have as many sessions with us as you need, and that in most cases you may only have to pay a small amount if your baby has a deductible or specialist copay. 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. 

So what does Aetna actually mean when they say you get 6 visits? This is going to get a little technical, so bear with me. There is a code called S9443 which covers a lactation session by a non-physician provider. Aetna gives you 6 uses of this code that can be used for you and/or your baby.  In order to provide comprehensive lactation care for you and your baby, we bill S9443 for you and for your baby. The reason we bill S9443 for both you and your baby is because it will not count to anyone’s deductible. It allows us to receive payment and minimize or even eliminate potential out-of-pocket costs to you. 

Each in-person visit with us will use up 2 of what Aetna calls your “free lactation visits.” A prenatal session or a virtual session uses up 1. If you saw another lactation consultant before seeing me, or if you took a class from the company that sent you your breast pump, you may have already used up some of your S9443 benefit.

We are in-network with CIGNA in partnership with WILDFLOWER.  You can check your benefits here. https://portal.wildflowerhealth.net/affiliate-care/3e1573f

We are proud to be in-network with Northwell Direct.