Insurance

Please direct any questions and concerns regarding insurance to our billing department at 301-801-9070 or billing@metropolitanbreastfeeding.com  Thank you.

Insurance Information

Metropolitan Breastfeeding is committed to helping you understand and fulfill your insurance requirements so that you can get the medical attention you need. With all of the changes in insurance plans and high deductibles, we encourage you to check your specific insurance plan’s coverage, copay, and deductibles to avoid unexpected costs. Specific to newborns, please double check that your newborn baby is covered under your insurance plan before your visit. Our staff is available to assist you with any necessary pre-certifications.

We participate as an In-Network provider for the following insurance plans. Please note that there are sub-plans and products within each insurance company, and you should check your company’s website or call them to make sure we participate with your specific plan.

  • Aetna
  • Cigna
  • Carefirst
  • Blue Cross/Blue Shield
  • United Health Care

If you do not have health insurance, have insufficient coverage, or have a plan we do not accept, and you still want to be seen, our staff will notify you of our fee schedule.  Please contact billing@metropolitanbreastfeeding.com or call 301-801-9070 for more information.

Standard Billing Procedures

We utilize the services of a professional medical billing company that specializes in processing your insurance claims effectively and accurately. These are our standard billing procedures:

  1. Always bring your current insurance card with you to your appointment.
  2. The co-payment amount (there may be more than one due), required by your insurance company, is due at the time of your appointment.
  3. Our billing office will then file a claim with your insurance company.
  4. After we have received a response from your insurance company, you will receive a statement/invoice from us if any additional balance is due from you. These are usually due to deductibles, co-insurances, co-pays, or items not covered by your carrier.  For amounts less than $30 per patient, you will be automatically charged and sent a receipt, per our consent form procedures.  For amounts greater than $30, we will notify you by email before collecting payment within 7 days.  At that time you can change your payment details.
  5. We are required by law to collect these funds that are deemed the patient’s responsibility by your insurance company.

We accept the following forms of payment:

  • Cash
  • Personal checks
  • Visa, MasterCard, Discover, American Express
  • FSA cards

Insurance FAQs

Q. How do I fill out the CMS-1500?

Q: Do you accept insurance?

Q. Does your company accept HSA/FSA accounts?

Q: What if my insurance company denies my claim?

Q: I am unable to submit this paperwork to my insurance company.  Do I have other options?

Q: Can I purchase a breastpump from Metropolitan Breastfeeding using my insurance benefits?

Q: What information do I need to have before I place a call to my insurance company to verify possible benefits for your services at Metropolitan Breastfeeding?

Q: I'm having issues with my insurance company providing the coverage I expected. Do you have any tools for this?