What are your fees & does my insurance plan cover them?

I am an International Board Certified Lactation Consultant (IBCLC) and lactation services should be covered by your health insurance or employee benefit plan, in full, with no copay. That said, it doesn't always work that way. It's often confusing, and I will do my best to help you navigate this.

Aetna

I am in-network with Aetna. I will file a claim for each consult we have together and accept the negotiated amount as payment. You are responsible for any charges Aetna says are yours. I will give you a receipt and if you want, you can dispute the charges with them. 

BCBS, Anthem, Cigna, UHC, VA and some other plans

If your insurance plan participates in The Lactation Network (TLN), your lactation consultations can be pre-approved for two or more consults, I will file your information with TLN to check participation. TLN will send you an approval or a denial.

You may also need to pay my travel fee if you want a home visit in far, far, away land.

Emblem and CDPHP

I am not in-network with these insurance plans. Some clients have "Requested An Exception" by calling the plan. The plan then calls me and we negotiate an agreement for payment. This can take up to two weeks, and if you have a newborn can feel like an eternity. Plan ahead or self pay.

MVP, Fidelis, Tricare

I am not in-network with these plans. They seem resistant to paying for lactation services, except for MVP which has a decent telehealth lactation consultant network. Expect to self pay.

 

Travel fees for Far, Far, Away Land

My office is in Highland, NY. Use Google Maps for reference. I do offer home lactation consultations in Far, Far, Away Land and I will travel up to 90 minutes.

My travel fee is:

• No fee up to 35 minutes away
• $30 for 36-45 minutes away
• $50 for 46-60 minutes away
• $80 for 61-90 minutes away

 

I require a debit/credit card on file to schedule an appointment.

Your debit/credit/HSA card is used as backup payment source if your insurance lapses or for a last-minute cancellation. 

It can also be used to pay for lactation supplies, travel fees, and appointment fees if you prefer the convenience.

 

Cancellation fees

There is a $100 appointment cancellation fee with fewer than 24 hours notice, or the appointment can be rescheduled at no charge.

There is no charge for cancellation and prepaid appointments will be fully refunded with more than 24 hours in advance.

 

Self pay options

• Home Lactation Consultation, 90 minutes -- $300 per session
• Office Lactation Consultation, 90 minutes  -- $200 per session
• Telehealth Lactation Consultation, 90 minutes -- $150 per session
• Short Session, phone, video or office -- $40 per 15 minutes. ‘Quick Questions’, Follow-up appointments, and small problems are scheduled using short sessions.

 

Sliding scale

If your household income is less than $75,000 I offer a sliding scale.

• Home Lactation Consultation, 90 minutes -- $175-275 per session
• Office Lactation Consultation, 90 minutes  -- $100-175 per session
• Telehealth Lactation Consultation, 60 minutes -- $75-125 per session
• Short Session, phone, video or office -- $20-35 per 15 minutes. ‘Quick Questions,’ Follow-up appointments, and small problems are scheduled using short sessions.

 

Lactation Packages 

3 session In-home Lactation Consultation Package, (must be used within one year.)
Request an appointment and you will be invoiced -- $700

One Year Unlimited Support Package includes Prenatal Breastfeeding Class, 3 in-home Lactation Consultations, unlimited phone, video and text messages and online support forum. -- $2700.

Request an appointment and you will be invoiced for your desired package.

Gift Cards

E-Gift Cards are available for those you love. Email delivery.

 

I accept the following forms of payment:

Insurance pre-approval, approved TLN contract, cash, check, credit card, gift card, Venmo, PayPal, and Flex/HSA cards. Please let me know your preference on the intake form. You will still need a debit/credit/HSA card on file.