Insurance and Billing

Understanding Your Coverage

At Arizona Breastfeeding Medicine and Wellness, we want to ensure you have a clear understanding of your insurance coverage. Please take a moment to review your insurance plan’s details, including deductibles, copays, and out-of-pocket maximums.

Contact Your Insurance Provider

To confirm your specific benefits and costs for an office visit with lactation services, reach out to your insurance company directly. We’re always happy to assist you, but your insurance provider can give you the most accurate information.  Our office can give you specific codes that we use to verify with your carrier. 

Our Billing Process

Insurance Claims: We will file your insurance claims on your behalf. However, please remember that insurance coverage can change, so it’s best to verify your benefits regularly.

Estimates: Any insurance estimates we provide are based on the information available at the time and may not be the final cost. **If we are unable to verify your benefits or coverage, we will charge a deposit until your insurance has a chance to properly process your claim(s). Please note that some insurance companies do not cover all of cost of your appointment(s); since we are an office-based provider we bill appointments as office visits + lactation (for your breastfeeding consultation based appointments).

Multiple Insurance Plans: If you have multiple insurance plans, please provide us with information on both and indicate your primary plan.

Out-of-Network Costs: If your insurance processes your claim as out-of-network, you may be responsible for additional costs.

Explanation of Benefits (EOBs): Regularly review your EOBs to understand how your claims were processed and any amounts due.

Invoices: If you receive an invoice, it means your claim has been processed and a balance is due.

Refunds: If your insurance requests a refund, you’ll be responsible for the amount owed.

Self-Pay: If you choose not to use insurance, you’ll be responsible for the full self-pay amount at the time of service.

Multiple Visits: We may bill separately for mother and baby, especially for lactation-related issues.

Office Visit Fees: You may incur a copay for office visits, even if they are related to lactation.

Procedure Fees: For procedures like tongue or lip-tie revisions, additional fees may apply.

Payment Options

We accept cash or credit card payments. If you have insurance, we’ll bill your provider directly. Co-pays are due at the time of service. 

Ultimately, your insurance coverage is unique to you. Please don’t hesitate to contact your insurance company for the most accurate information. We are excited to walk into this partnership with you, and warmly welcome you into our clinic.

Thank you,

Dr. Cara Riek, FNP-BC & Team

Insurance Plans Accepted

We are in-network with many plans, and we try to list all of them the best we can to help you understand ahead of time if we can run your insurance for your visit(s).

*If your insurance plan and/or card specifies that you will need a referral (from your PCP or other), you will need to provide us with a referral or we will not be able to accept your insurance. It is your responsibility to provide the referral from the necessary provider to our office.

*If you are in a AHCCCS or Community Health type plan, please call our office and we would be happy to work with you on an amount that works for you and us to help you out.

*For Honor Health (Ameriben) plans for Group HHH001, please note that this is an out-of-network plan for our clinic.

*For Aetna Choice® POS II (Aetna HealthFund®) plans – you may have a deductible due for this plan, as Aetna has changed coverage in 2024 for this specific plan.

*For BCBS (HealthChoice) plans for Member IDs that start with “IAZ”, please note that this is an out-of-network plan for our clinic.

Contracted (in-network) plans below, click on your carrier and see which plans we participate in: