Fees & Insurance

 

I am a International Board Certified Lactation Consultant (IBCLC) and my services should be covered by your health insurance, or employee benefit plan, in full, with no copay. It's often complicated. I will do my best to help you get the lactation care you need.

Payment is required to reserve an appointment. 

Insurance pre-approval, cash, check, credit card, Venmo, PayPal, and Flex/HSA cards are all accepted forms of payment.​ Payment links are provided in your Intake package.

 

Aetna

 

I am in-network with Aetna. You can book up to six appointments with your current Aetna insurance card. You will be responsible to cover any charges Aetna chooses not pay.

 

Blue Cross, Anthem, Cigna, UHC and some other plans

 

BCBS, Anthem, Cigna, UHC and some others can be pre-approved for two or more consults. Apply at this link to find out if your plan participates in The Lactation Network program. 

https://go.lactationnetwork.com/NewBabyNewPaltzLTD 

Fees

 

If not covered by insurance, payment links are provided in your Intake package. I will give you a Superbill that you can submit to your insurance for reimbursement.

  1. Home Lactation Consultation, 90 minutes -- $300 per session

  2. Office Lactation Consultation, 90 minutes  -- $200 per session

  3. Telehealth Lactation Consultation, 90 minutes -- $150 per session

  4. Short Session, phone, video or office -- $40 per 15 minutes. ‘Quick Questions’, Follow-up appointments, and  small problems are scheduled in short sessions.

Far, Far, Away Land

 

I do make Home Visits in Far, Far, Away Land. My office is in Highland, NY and I will travel up to 90 minutes. My Travel Fee is $30 for 31-45 minutes, $50 for 46-60 minutes and $80 for 61-90 minutes of driving. Use Google Maps for reference.

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.

Reimbursement

Even if your insurance is not pre-approved, fees are reimbursable by most plans, except Medicaid plans. I will give you a Superbill that you can submit for reimbursement.

You will be reimbursed in-full, or in-part, depending on your plan. To find out what coverage your plan offers, call the customer service number on the back of your insurance card and inquire about "Lactation Consultation benefits."

 

Often, your insurance company will tell you a lactation consultant must be "in-network" and you will find that their in-network consultants only work in hospitals, or there are none in the area. You can be reimbursed if you "request an exception" to see a lactation consultant "out-of-network" who will come to your home. This has been effective with Emblem and CDPHP.

 

Be Persistent.

Expect to get conflicting information and answers from your insurance company. They prefer to not pay claims because they are in business to make a profit for their shareholders. If they can delay you, they know you will give up, and their company's profit goes up.

 

Make notes and take names. Parents who are persistent with insurance companies are often reimbursed after a few calls, and/or escalating a complaint to a supervisor. 

 

Cancellation

Appointments can be canceled or rescheduled at no charge, when 24 hours notice is given. Reserved appointments will be refunded when cancelled more than 24 hours in advance and will be refunded, except for a $100 cancellation fee, with less than 24 hours notice. 

Gift Cards

Gift Cards are available for those you love. Paper or electronic/email delivery.

01

I am in-network with Aetna. Proceed to Step 2 and "Request an Appointment."

 

For BCBS/Anthem PPO and Cigna PPO, click the button above, fill out the application to be approved for lactation visits, with no out-of-pocket cost to you.

02

I offer lactation consultations 7 days a week.

 

Initial consultations are 90 minutes. Followup appointments between 15-90 minutes.

Please let me know your lactation challenges and your availability on the linked form. It is HIPAA compliant and secure.

03

In-Home: $300

Office: $200 

Telehealth: $150

 

$40 per 15 mins for:

  • Quick Questions: 15 mins

  • Followup Appointments:  15 - 90 mins

 

$50 travel fee if you are more than 31 minutes from my office.