Childbirth Education & Lactation
Serving Greater Lansing, MI
contact@abbiemullins.com
517.798.4878 (p)
517.225.0490 (f)
Accepted Plans
Insurance Coverage / Reimbursement

Insurance
Coverage
and Reimbursement
Lactation Visits
We are excited to let you know that we are partnered with both The Lactation Network and Wildflower Health to help get your consultation covered by your insurance company! These organizations help parents and parents-to-be get the lactation support they deserve, covered by their insurance as it is difficult for IBCLCs to get in network with most insurance plans. It's always worth checking to see if your insurance plan may qualify! They are adding more plans all the time.​


For select health plans TLN and Wildflower cover in-persons and telehealth consultations with an IBCLC at no out of pocket cost. They handle the paperwork and bill your insurance directly. Pre-approval is required and is obtained online. It is important to do this in advance of your visit as we cannot guarantee retroactive coverage. Let’s see if we can get it covered! To see if your specific plan participates and get pre-approved, use the links below to apply online.
To see if your plan participates and get pre-approved, apply online using the buttons below!
PHP
(now University of Michigan Health Plan)
100% reimbursement
(Historically, PHP has been great with this. Now that UMH has taken over, we are hopeful this will continue through 2025, though it would be wise to call your plan to confirm)
*This is the network name, not your carrier. There are many different insurance plans under various names that participate in these networks. Look for the PNOA or Multiplan logo on your insurance card.
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Select plans from the above insurance providers may not participate with TLN. Apply to verify coverage







While you wait for your approval (often within a day or two), go ahead and schedule your visit online!​
Self-Pay / HSA
For plans that don't participate with TLN or Wildflower, lactation consultation fee is due at the end of our visit together. You may use a Health Savings Account or Flexible Spending Account to pay for your visit. We accept major credit cards, cash and check. You will then be provided with an electronic receipt called a Superbill. This is a special invoice with insurance codes that you may submit to your insurance company to request reimbursement.
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If your insurance plan does not participate with Lactation Network, you are still entitled to insurance coverage of lactation support and supplies per the Affordable Care Act. It states "Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after birth. This applies to Marketplace plans and all other health insurance plans, except for grandfathered plans." (https://www.healthcare.gov/coverage/breast-feeding-benefits/)
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If you are planning on submitting your visit for reimbursement, it is your responsibility to know your plan's coverage. There is no guarantee of reimbursement. It is always best to call the number on the back of your insurance card and ask about lactation coverage. If they say they will not cover my services because we am out-of-network, ask if there is an in-network IBCLC in your area. If not, they must cover out-of-network providers as a "gap exception" because there is not an in-network provider.
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Some HMO plans, like BCN, are unlikely to reimburse, but it is always worth a call and always worth requesting it so they know this is a vital service.
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Most PPO plans are better with reimbursement
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PHP (Physicians Health Plan, now U of M Health Plan) historically will reimburse 100% without a cap on number of visits! We don't know if this will change with the transition to UMH, bur are hopeful it will continue.
If can also be helpful to ask what insurance codes your plan will cover related to lactation support if they will provide you with that information. It may be helpful to have the following information ready for them if they request it:
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National Provider Identifier (NPI) Numbers:
Abigail Mullins: 1902346380
Kristen Drumm: 1023886298
Tiffany Gonzales: 1861201261
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Insurance Codes We Use
These are maternal codes, meaning they are usually billed under the lactating parent's insurance plan and work best with a referral from an OB/GYN or Family Practice provider
CPT / Procedure Code Used: S9443
ICD-10 / Diagnosis Code Used: Z39.1
Insurance companies aims are first and foremost to make money, and so at times deny claims illegally.
The National Women's Law Center has great information about insurance companies, what should be covered, and reimbursement. They have helpful scripting when talking to your insurance company in their Breastfeeding Toolkit available for download.
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Some insurance companies require a referral or prescription from your Obstetrician or Primary Care Provider before covering your visit, and this can improve the likelihood of getting reimbursed. You can call or portal message your provider's office to request this. They can fax the referral to us at 517-225-0490.
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You can also request a Gap Exception. This means they have to cover an out-of-network provider if there is no in-network provider in your area, and at the in-network rate.
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If you would like to arrange a payment plan, please let us know at the time of booking and you will be billed in installments. If you anticipate paying for services would be a financial hardship, please contact us. We are willing to work with lower income families to come up with a reduced price or payment plan based on your income. I can also refer you to some local free support groups.
Go ahead and and schedule your visit online!
Insurance Reimbursement
Prenatal Classes
Some insurance plans cover prenatal classes either in whole or in part. It is always worth calling the number on the back of your insurance card to determine if they will cover your classes. Class fees are due at the time of booking, and you may use an HSA / FSA card or other major credit card. If you would like to submit a reimbursement claim to your insurance company, please let me know. After you have attended your class, I will provide you with an electronic receipt called a Superbill. This is a special invoice with insurance codes that you may submit to your insurance company to request reimbursement. These are the codes I use for each class. You may want to ask your insurance provider if they cover these codes:
Lamaze Childbirth Series
(Procedure Code: S9436 Diagnosis Code: Z32.2)
Birth Express
(Procedure Code: S9442 Diagnosis Code: Z32.2)
Breastfeeding
(Procedure Code: S9443 Diagnosis Code: Z32.1, Z32.3)
Newborn
(Procedure Code: S9444 & S9447 Diagnosis Code: Z32.3)
Childbirth Refresher
(Procedure Code: S9437 Diagnosis Code: Z32.2)
Health Pregnancy
(Procedure Code: S9445 Diagnosis Code: Z71.89)