Verify your benefits
Lactation support covered
at zero out-of-pocket cost.
California law and the Affordable Care Act require most insurance plans to cover lactation services in full. Let us verify your benefits before your first visit — no cost, no hassle, no surprises.
The law requires it —
and we bill it right.
Under the Affordable Care Act, all non-grandfathered health insurance plans are required to cover breastfeeding support and counseling as a preventive service — meaning no copay, no deductible, and no cost-sharing when you see an in-network provider.
California goes further. State law mandates that plans regulated by the DMHC cover comprehensive lactation services including prenatal consultations, postnatal assessments, IBCLC visits, telehealth support, and breast pump rental or purchase.
Our team submits claims correctly the first time, follows up on denials, and advocates on your behalf — so you receive the full benefit you are entitled to without having to fight for it yourself.
What most of our clients pay out-of-pocket when billed correctly as a preventive benefit
"You earned this benefit. You deserve someone who knows how to use it."
What your plan
likely covers
Coverage varies by plan — but here is what most California families are entitled to under state and federal law.
IBCLC Consultations
In-person and telehealth consultations with a board-certified lactation consultant — the gold standard in lactation care. Multiple visits are typically covered.
Prenatal Lactation Education
Covered before baby arrives. A prenatal consultation is an ACA-mandated preventive benefit — most plans cover it at 100% with no copay.
Telehealth / Virtual Visits
Most California plans now cover virtual lactation consultations on equal terms with in-person visits — including evening and weekend appointments.
Breast Pump
The ACA requires most plans to cover a breast pump at no cost — either a rental or a new pump. We'll help you understand what your plan covers and how to order it.
Pumping Support Sessions
Follow-up consultations for flange fitting, output concerns, and returning-to-work pumping schedules are covered under most plans when billed as lactation support.
Breastfeeding Supplies
Medically indicated supplies such as nipple shields and supplemental nursing systems are covered under some plans when prescribed or documented by a provider.
Insurance plans serving
the Inland Empire
We work with most major plans in Riverside County and surrounding areas. Don't see yours? Submit the form — we will find out for you.
IEHP
Inland Empire Health Plan is the primary Medi-Cal managed care plan in Riverside County. Lactation consultations with an IBCLC are a covered benefit. Call 1-800-440-IEHP to verify or let us do it for you.
Medi-Cal / Molina
California Medicaid covers lactation support services. Molina Healthcare is a common Medi-Cal managed care plan in the region. We submit claims to both IEHP and Molina on your behalf.
Kaiser Permanente
Kaiser covers prenatal and postnatal lactation consultations, IBCLC visits, and lactation classes for members. Ask your OB or midwife for a referral at your postpartum visit, or ask us about out-of-network options.
Blue Shield of California
Blue Shield covers IBCLC consultations as a preventive benefit on most plan types. Telehealth and in-person visits are both covered. Coverage details vary by plan — we'll confirm yours.
Anthem Blue Cross
Anthem covers lactation counseling under preventive care benefits for most ACA-compliant and employer-sponsored plans, including telehealth options.
UnitedHealthcare
UHC covers lactation services as a preventive benefit on most commercial and employer plans. We verify your specific plan's coverage before your first appointment.
Cigna
Cigna covers lactation consultations on most ACA-compliant and employer plans as a preventive benefit. Submit your card and we handle the verification and billing.
Covered California Plans
All Covered California marketplace plans are required to cover lactation counseling as a preventive benefit at no cost. This includes all metal tiers — Bronze, Silver, Gold, and Platinum.
Don't see your plan listed?
We accept most major commercial, Covered California, and Medi-Cal managed care plans. Submit the form below and we'll verify your specific benefits — no matter who your carrier is.
How verification
works
It takes about three minutes to submit your information. We do everything else.
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1Submit the form below
Fill in your insurance details and upload a photo of your insurance card front and back. That's all we need to get started.
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2We contact your insurance
Our team calls your insurance on your behalf to verify your lactation benefits, confirm in-network status, and check for any authorization requirements.
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3We follow up within 1–2 business days
We'll reach out by phone or email with a clear summary of what your plan covers — visits, cost-sharing, and any next steps.
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4Book your appointment
Once verified, we schedule your visit and submit all claims on your behalf. You never have to deal with the insurance company directly.
Before you
fill out the form
Grab your insurance card — that's the most important thing. Here's everything the form will ask for:
You'll need:
Your insurance card (front and back photo)
Member ID number
Group number (if listed on your card)
Policyholder name and date of birth if you are on someone else's plan
Your baby's due date or birth date
Your preferred service and visit format
No insurance?
We offer self-pay options and are happy to discuss sliding-scale fees. Reach out and we'll find a path forward together — every mama deserves support.
Verify your benefits
in three minutes.
Complete the form below and our team will verify your insurance and follow up within 1–2 business days. There is no obligation to book after verification.
Your information is kept confidential and used only to verify your insurance benefits.
Frequently asked questions
Does verification mean I am committed to booking?
Not at all. Verification is simply the first step so you know exactly what your insurance covers before making any decisions. There is zero obligation to book after we verify your benefits.
What if my insurance denies the claim?
Denials happen — but they are often overturned. Our team handles appeals and re-submissions on your behalf. We know how to bill lactation services correctly, which prevents most denials before they happen.
I am on Medi-Cal through IEHP. Am I covered?
Yes. IEHP covers lactation support services for Medi-Cal members in Riverside County. California has significantly expanded these benefits in recent years and we work with IEHP regularly.
I have Kaiser. Can I still see you?
We are actively working on Kaiser credentialing. In the meantime, if you are a Kaiser member, contact us — we will help you understand your out-of-network options or connect you with a Kaiser-contracted IBCLC in the area.
Do I need a referral from my doctor first?
It depends on your specific plan. Some require a referral from your OB, midwife, or pediatrician — others allow direct access. We check this as part of your benefits verification so you know before your appointment.
What if I don't have insurance?
We offer self-pay options and are happy to discuss what works for your situation. Reach out directly and we will find a path forward. Every mama deserves support regardless of coverage.
Questions before you submit?
We're happy to help.
Our team serves Murrieta, Temecula, and families across the Inland Empire. Reach out by phone, text, or email — we will get back to you the same day.