Let’s Check Your Insurance Coverage For Your Lactation Visits

This quick form helps us verify your benefits before your visit.

✅ Takes 2–3 minutes
✅ Upload your insurance card
✅ We’ll follow up within 1–2 business days

You MUST complete this form in full and submit it otherwise we will not be notified that you would like a visit. If you submit it and have questions please just reach out and let us know!

Have questions? Just reply to your confirmation email.

Please fill this form out in one sitting as it will be difficult to try to come back to it and may cause a duplicate form. 

**Special Note before you fill out the entire form**

We are currently in network with United Healthcare/UMR, but we are not able to bill any Aetna, Meritain, or Medicaid plans.  

We are currently accepting select BCBS/Anthem PPO plans with Out of Network Benefits. Due to lactation coverage policy changes that took place with BCBSTX effective June 26th, 2025 we are no longer in network with BCBSTX and many private practice IBCLC providers in Texas have left the network as well. We are, however, working toward a sustainable way to allow out of network billing by partnering with families in a pilot study so if you have a BCBS/Anthem out of state plan please inquire about the pilot study which could make your visits $0. The pilot study is open to anyone who has an insurance card from another state. Unfortunately, if your card says the word "Texas" on it...yours was one that BCBSTX reduced benefits on and we are not able to take your particular plan. We do apologize. This has truly been heartbreaking for so many families. We do offer cash pay visits if that is something you are interested in please just let us know that on your form.