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, but I will do my best to help you get the 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 does not pay.

 

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

 

BCBS, Anthem, Cigna, UHC and some others can be pre-approved for six 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. You will receive a Superbill that you can submit to your insurance for reimbursement.

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

  2. Telehealth Lactation Consultations, 90 minutes -- $150 per session

  3. Office Lactation Consultations, 90 minutes  -- $150 per session

  4. Phone, video or office Short Session -- $30 per 15 minutes. Follow-up, small problems and ‘quick questions’ are scheduled in short sessions.

Lactation Packages 

3 session In-home Lactation Consultation Package, $750 (must be used within one year.)

Request an appointment and you will be invoiced.

One Year Unlimited Support 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.

Reimbursement

If your insurance is not pre-approved, fees are reimbursable by most plans, except Medicaid plans. You will receive a Superbill to 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 they have 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 persistant 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. Reservations will be refunded when cancelled more than 24 hours in advance but will be not be refunded 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. Go to Step 2 and "Request an Appointment."

 

For BCBS/Anthem PPO and Cigna PPO, click the button above,  fill out the application and be approved for six or more 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.

You can share your situation, and your availability on the linked  HIPAA compliant secure form.

03

In-Home: $300

Office (New Paltz): $150 

Telehealth: $150

 

$30 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.