Aetna
Dana L. Ehman of MotherBorn, LLC is now and In-Network Provider with Aetna.
If your plan offers women’s preventive benefits you most likely have six visits covered with a lactation consultant over a year. Additional visits will have a copay. You can also schedule a visit prenatally. You don't have to be experiencing issues with breastfeeding. I provide a thorough breastfeeding assessment as a baseline then help with adding pumping, bottle, and returning to work.
Aetna - Yes
Coresource - Yes - may have a copay or apply to your deductible which shouldn't happen but does.
Meritain - Yes - typically pays in full
Connolly - will pay a minimal portion of the consult
Aetna Better Health - NO
Blue Cross Plans
Dana L. Ehman of MotherBorn, LLC is now in-network with Blue Cross Plans.
Plans that are accepted:
Independence Blue Cross
Personal Choice
Keystone Health Plan East
Indepedence Administrators
AmeriHealth
AmeriHealth Administrators
Blue Cross Blue Shield - there are 36 BCBS licenses across the country, if you have a Blue Cross Blue Shield Plan, that plan is most likey based in a state other than Pennsylvania. MOST of these plans are accepted with the following exceptions:
Anthem Blue Cross Blue Shield - typically pays for 1-2 visits (when most other plans are unlimited)
Blue Cross Blue Shield of Delaware- NOT ACCEPTED - even if they say I am in network, they do not pay my claims.
Highmark Blue Cross Blue Shield - NOT ACCEPTED- even if they say I am in network, they do not pay my claims.
Federal Blue Cross - NOT ACCEPTED - even if they say I am in network, they do not pay my claims.
Keystone First - NOT ACCEPTED - I am not contracted with Keystone First
Blue Cross Prefix List: I frequently refer to this prefix list to check the state in which the plan originates. Some prefixes are "unassigned" and then I must verify the insurance in another system. This list will typically identify a plan from the list above in which I cannot accept.
http://mypayerdirectory.com/bcbs-prefix-list/
Fees for out of network plans
First visit - $150
Follow up visit- $35-$150 depending on length of the consultation
