Insurance and fees
If you have one of these plans:
Excellus BCBS PPO Other Blue Cross Blue Shield PPO Anthem BCBS PPO Cigna PPO Humana PPO/POS Any Plan with Provider Network of America logo
Please submit your insurance information to my billing partner, The Lactation Network. If you are preapproved through The Lactation Network, or TLN, you are covered for at least 6 visits at no out-of-pocket expense. Both in-person and telehealth visits are covered. Please verify your coverage below, before scheduling your visit.
If TLN can’t bill your isurance plan, or you have insurance other then those listed above, I will accept your payment at the time of your consultation. I will then provide you with a receipt including billing codes needed when you seek reimbursement.
My fees are all HSA/FSA eligible expenses. I accept HSA cards, credit/debit, check or cash.
My self pay client fees are:
Initial Visit: $200
Follow up Visit: $175
Please don’t let financial difficulties defer your form seeking help. A limited number of discounted visits are available as needed.
I don't quality for a free lactation visits through Lactation Network, can I still seek reimbursement from my insurance?
The Affordable Care Act of 2012 requires most health insurance companies to cover “breastfeeding support, supplies and counseling” in conjunction with each birth. This means that most insurance companies should cover a home visit from an IBCLC.
Although I can’t charge your insurance directly, I will provide you with a “superbill” to submit to your insurance for reimbursement. I can not guarantee you will be reimbursed since each insurance plan is different. I recommend you call your insurance provider in advance of our appointment to check your plan’s reimbursement policy and ask about seeing an out of network lactation consultant.
This toolkit will provide much-needed information about the laws, how to talk to your insurance resentative and steps to take to receive reimbursement. I encourage you to contact your insurance company to ask about the coverage and to seek authorization. Toolkit
You might be wondering if the Lactation Consultation is too pricey. Consider reading this article by Best for Babes. Article