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. I will check with your insurance, and let you know what you can reasonably expect from them. 

Occasionally, a company agent says they cover something, and then the claims department denies the claim. If this happens, I send you a bill for the services you received. I also give you a Superbill (receipt) so you can submit an appeal. Persistence often results in the claim being paid, eventually.

I'm sorry, but I am not a large company. I don't have a team of insurance billers. I spend my time helping mothers and babies, not chasing down itinerant insurance companies.

1. Securely upload your insurance information and cards here.

2. Please allow 2 business days for approval.

3. I book your appointment and send you a confirmation.

4. If you need to pay my travel fee, you will also receive an invoice for the travel charge.

The following plans generally cover my consults:

• Aetna

• Anthem/BCBS

• Cigna

• Tricare

• United Healthcare

• VA/CNN

 

Exceptions:

CDPHP

Pay out-of-pocket and send them your paid invoice. They are usually pretty good about reimbursing you.

Emblem

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. If you have a newborn that can feel like an eternity. Plan ahead or self pay.

MVP

MVP does not reimburse for lactation services. They have a decent virtual lactation consultant service.

Medicaid

I do not participate with any Medicaid plans. I do have a sliding scale.

I do offer home lactation consultations in Far, Far, Away Land and I will travel up to 90 minutes.

Self pay options

• 90 minute Initial appointment - $200

• 60 minute appointment - $150

• 15 minute quick question or followup - $40

Home visit travel fee:

• +$25 15 to 29 minutes from Highland
• +$50 up to 30 minutes from Highland.
• +$75 up to 45 minutes from Highland
• +$100 up to 60 minutes from Highland.
• +$150 up to 90 minutes from Highland.

• ‘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.

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. The appointment can be rescheduled at no charge.

Prepaid appointments will be fully refunded with more than 24 hours in advance.

If you are sick, please reschedule your appointment.

 

 

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.