Fees & Insurance

I am a International Board Certified Lactation Consultant (IBCLC) and my services should be covered in full, with no copay, by your health insurance, or employee benefit plan. It’s not always straightforward, but I will do my best to see that 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.

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Aetna

I am in network with Aetna. You can book an appointment with your current insurance card. I do securely hold your CC information to cover any charges Aetna does not pay.

BCBS PPO, Anthem PPO, Cigna PPO and UHC plans

BCBS PPO, Anthem PPO, Cigna PPO and UHC can be pre-approved for six or more consults. You can apply at this link to find out if your plan participates in this program. 

https://go.lactationnetwork.com/NewBabyNewPaltzLTD

Fees

  1. Home Lactation Consultations, 90 minutes — $250 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.

Packages 

3 session In-home Lactation Consultation Package, $650 (must be used within one year.)

One Year Unlimited Support includes Prenatal Breastfeeding Class, 3 in-home Lactation Consultations, unlimited phone, video and text messages and online support forum. $2400.

Reimbursement

If your insurance is not pre-approved, fees are reimbursable by most plans, except Medicaid plans. I give you 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. You can be reimbursed if you request an exception to see a lactation consultant “out-of-network” who will come to your home.

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 purchase.