INSURANCE & PAYMENTS
Insurances we work with, self pay information, and payment policies
Anthem
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Anthem BCBS plans do not cover IBCLC-provided lactation care, as Anthem has declined to contract with IBCLCs. At this time, families with Anthem must self-pay. We currently have a discount on services to help families better afford care. See more information under SELF PAY, below. Star Lactation can provide, on request, a superbill (receipt) that can be sent to Anthem for possible reimbursement.
Aetna - Most plans, except Medicaid
Star Lactation is a contracted provider with Aetna (except medicaid plans). Most, but not all, Aetna plans provide some coverage for lactation care. It is always prudent to call Aetna to ensure Star Lactation is in network with your plan, and that your plan covers lactation services.  Some HMO Aetna plans require OB/PCP referral. Provider details: Havener Ventures DBA Star Lactation, NPI # 1710510045, EIN # 842943443. Aetna commonly requires "cost sharing" for lactation visits. Cost sharing includes copays, coinsurance, and amounts applied to deductibles.  Historically, cost shares have averaged $50 a visit.  Usually, cost shares start at your fourth visit, but we can not guarantee this. We do our best with coding to reduce cost shares, but only book a visit if you are comfortable with cost sharing.​  NOTE: If you were told by Aetna that you have 6 free visits, please note this is not accurate. Aetna covers 6 uses of the billing code S9443 in a 12 month period.  In order for us to be paid appropriately for our expertise and long visit times, when billing for your visits, we use S9443 for parent and baby per visit, in addition to a counseling code. This means the S9443 code will be used up after your 3rd visit.  If you did prenatal visits through Aeroflow or another company, you will have less of these codes available, and will likely have more cost sharing. Please note: Families with Aetna cannot go through Lactation Network for coverage; pursuant to our Aetna contract, we must bill Aetna directly.
Cigna: Check Coverage Here
Star Lactation is an independent contractor with Wildflower, an insurance billing company that works exclusively with Cigna to provide lactation coverage for its members. If your plan works with Wildflower, you can receive at least 6 covered visits at no cost to you (no cost sharing). Wildflower will bill Cigna directly for any services that Star Lactation provides. After your visit(s), Cigna will send you an Explanation of Benefits (EOB). Note that if at the time of your visit, your insurance policy has lapsed and Wildflower does not cover the visit, you will be responsible for Star Lactation's cash rate.
Sentara
As of 6/1/25, Star Lactation is in network with Sentara. We have just started submitting patient claims so the number of visits and any applicable cost sharing is not clear at this time. We suggest you reach out to Sentara to inquire about visits and coverage. Should you wish to use your Sentara insurance, it is possible you may have a copay, deductible etc, so do not book an appointment if you are unable to pay a cost share. We will update here as soon as we have more information about coverage and cost shares.
Tricare
Star Lactation is a Tricare East Certified Provider. Tricare typically covers 6 lactation visits for mothers with no cost sharing. Tricare does not cover care for the infant. Since we do care for both mother and baby at visits, we do require Tricare families to pay a $50 per visit fee for baby's portion of the visit. An invoice will be sent upon booking, to be paid prior to visit. Note: if baby is not present at visit, no infant charge will be required.
United Health Care
Star Lactation participates with United Healthcare. We have found that most, but not all, UHC plans are covered. Gate HMO and Freedom Plans are not typically covered. It is always prudent to call UHC to ensure Star Lactation is in network with your plan, and that your plan covers lactation services. Historically, UHC pays visits without requiring any cost sharing (copays, coinsurance, deductibles), however we can not guarantee this. Should you have a visit and your plan is not covered, you will be responsible for the cash pay rate and will be invoiced accordingly. Provider details: Havener Ventures DBA Star Lactation, NPI # 1710510045, EIN # 842943443.
Self Pay
If you have Anthem, or your insurance is not listed above, you can pay for your visit via cash, credit card or HSA card. If paying by card, your payment is due prior to visit. If you would prefer to pay cash at visit, please let us know. We can provide a superbill after your visit that you can submit to your insurance company for possible reimbursement. Self pay fees are below:
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60 minute initial consultations (one baby) are $150. Currently offering $50 quick/self pay discount.
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45 minute follow ups (one baby) are $100. Currently offering $20 quick/self pay discount.
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45 minute prenatal consultations are $100. Currently offering $20 quick/self pay discount.
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45 minute online consultations are $80. Currently offering $5 quick/self pay discount.
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30 minute flange fittings are $60 (two Medela, Spectra/Ameda flanges included with price)​
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***Emily is offering $40 visits for Medicaid families***
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