Cigna Information:
​I accept Cigna insurance in partnership with Wildflower Health. You must click on the Wildflower link to attain approval. This is a simple and quick process. Please enter my name (Cathleen Walker) when you are asked to select a Lactation Consultant. Once you have received approval, you may book your Intake Telehealth Appointment. I will be notified of your approval. 

• Cigna-Wildflower covers telehealth visits

• Cigna-Wildflower covers office and home visits

• For home visits, there is an additional $150 travel fee, which is not covered by insurance

• There are typically no out-of-pocket costs; however, you should check with your plan

• For Cigna clients, you must schedule a 30-minute telehealth intake visit before your in-person visit. You may schedule the in-person visit any day after this telehealth visit (not the same day). We will meet virtually first and go over history, questions, and concerns. We will put together a temporary plan to get through the next day or two until your in-person appointment. When we meet in person, we can address the feedings or other concerns more efficiently. 

 
Wildflower Link below:
Check your eligibility here at the link below. You will be asked to enter my name on the form. Please enter Cathleen Walker
I have Cigna Insurance
 
Aetna & Meritain Information:
Regarding your Aetna plan, please read the following. I need to ensure you have a good understanding of potential out-of-pocket costs.

• For AETNA HOME VISITS: A $150 Travel Fee applies for any in-person Home visit and is not eligible for insurance coverage. Office Visits are available without this fee.

• If your baby is not covered by Aetna, an additional $150 fee will apply, and a claim (superbill) will be provided to you. 

•  Aetna often states that you have 6 "free" lactation visits. They are referring to 6 S9443 codes. This code has no associated cost-sharing (copay, coinsurance, deductible) for the first 6 uses for most plans, but does not pay well enough to be billed as a stand-alone code. Aetna has recently reduced the number of S9443 allowed to less than 6.

• At each visit, I bill S9443 for the mom and the baby (assuming both are present), in addition to appropriate office visit or home visit codes

• Cost-sharing can be applied to those home or office codes for mom, baby, or both when the visit is longer than 30 minutes. My visits are typically 60-120 minutes.

• Copays or coinsurance are not always applied to these codes, but when they are, they commonly range from $13 to $60 for either the mother, the baby, or both, with an average of around $20-$40 per visit.

• When deductibles have not been met at the beginning of the year, you can expect to see more cost-sharing (higher out-of-pocket costs).

• Starting March 1, 2024, Aetna changed its policies to avoid paying preventive codes for infant feeding services. Even if Aetna tells you you are covered for free, most plans will assign a cost share for your child's claim for these services. All cost share assigned will be charged to your credit card on file. 

• Please note that I cannot guarantee exact costs due to the variability of Aetna plans and Aetna's unreliable cost estimates.

 
 UnitedHealthcare, UMR, and Oxford:​

• Currently, I am accepting United Healthcare, UMR, and Oxford

• As with all insurance, you are responsible for any copays, deductibles, or coinsurance that are assigned by your insurance company. 

• Please check my participation in your specific plan. See instructions below. 

• For all home visits, a $150 travel fee applies. This fee is not reimbursable by insurance​

 
 Curative Insurance

• ​​I am in network with Curative Insurance

• As with all insurance, you are responsible for any copays, deductibles, or coinsurance that are assigned by your insurance company. 

• Please check my participation in your specific plan. See instructions below. 

• For all home visits, a $150 travel fee applies. This fee is not reimbursable by insurance

 
Please call your insurance company to check my participation in your specific plan. 
Here is the information you will need to give the representative:
Provider Name: Cathleen Walker
Business name: Lactation Consultant At Home, LLC, d/b/a Cathy Walker IBCLC
NPI #: 1346054715
Ask for a name and reference # for the call
Please let me know if you have any questions.