FEES & INSURANCE
We are in-network with nearly all insurance companies!
OPTION 1: INSURANCE COVERAGE
Our IBCLCs are in-network with most insurance plans through our billing partner, MilkGuide. They handle the paperwork and bill your insurance. Coverage varies: some plans allow for 3-6 lactation visits, others allow unlimited lactation visits at no/low-cost to you. Your IBCLC will email you the insurance forms to complete, and you’ll receive confirmation. A travel fee may apply for home visits and isn't covered by insurance. Have questions? Email us. Our IBCLCs are happy to help!
STEP 1: Schedule an appointment with your IBCLC. Not sure who to see? Email us! Or call us at 855-905-2229 x3. We will help.
STEP 2: Fill out the insurance and consent forms sent to you as soon as you schedule.
STEP 3: You and your IBCLC will receive an email confirming your insurance coverage, usually within 24 hours.
STEP 4: If do not receive insurance benefits or have surpassed the number of allowable visits, see Option 2: Out Of Pocket Fees below.
For Leah click here
For Kate click here
For Heather click here
For Lakeshia click here
For Kelli click here
Bess is not currently accepting new clients.
Grace is not currently accepting new clients.
Nancy is not currently accepting new clients.
*Read more about our IBCLCs here.
Our IBCLCs are in-network with most insurance plans through our billing partner, MilkGuide. They handle the paperwork and bill your insurance. Coverage varies: some plans allow for 3-6 lactation visits, others allow unlimited lactation visits at no/low-cost to you. Your IBCLC will email you the insurance forms to complete, and you’ll receive confirmation. A travel fee may apply for home visits and isn't covered by insurance. Have questions? Email us. Our IBCLCs are happy to help!
STEP 1: Schedule an appointment with your IBCLC. Not sure who to see? Email us! Or call us at 855-905-2229 x3. We will help.
STEP 2: Fill out the insurance and consent forms sent to you as soon as you schedule.
STEP 3: You and your IBCLC will receive an email confirming your insurance coverage, usually within 24 hours.
STEP 4: If do not receive insurance benefits or have surpassed the number of allowable visits, see Option 2: Out Of Pocket Fees below.
For Leah click here
For Kate click here
For Heather click here
For Lakeshia click here
For Kelli click here
Bess is not currently accepting new clients.
Grace is not currently accepting new clients.
Nancy is not currently accepting new clients.
*Read more about our IBCLCs here.
OPTION 2: OUT-OF-POCKET FEES & REIMBURSEMENT
If your plan is not covered by Option 1 or you do not have insurance, you may be able to get partial or full reimbursement of your lactation consultation fees by submitting receipts to your insurance company. Reimbursement is not guaranteed in these cases. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult.
An order is not needed for our office, though you will want one in order to file with your insurance. Usually, the order is obtained from baby's care provider or your OB/Midwife and is for the lactating parent.
You will have a higher likelihood of reimbursement if you call your insurance company ahead of time to request a "Gap Exception" for the specific IBCLC that you are scheduled to see. Use the form below to guide you; your insurance company will ask for a variety of codes which are on that form. After the consultation we will give you the proper forms and receipts you will need to submit for possible reimbursement.
If your plan is not covered by Option 1 or you do not have insurance, you may be able to get partial or full reimbursement of your lactation consultation fees by submitting receipts to your insurance company. Reimbursement is not guaranteed in these cases. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult.
An order is not needed for our office, though you will want one in order to file with your insurance. Usually, the order is obtained from baby's care provider or your OB/Midwife and is for the lactating parent.
You will have a higher likelihood of reimbursement if you call your insurance company ahead of time to request a "Gap Exception" for the specific IBCLC that you are scheduled to see. Use the form below to guide you; your insurance company will ask for a variety of codes which are on that form. After the consultation we will give you the proper forms and receipts you will need to submit for possible reimbursement.
OUT-OF-POCKET FEES (subject to change)
Initial office consultation $200
In-home mother/baby consultations $200
Twin home/office consultations $250
Telehealth consultations $150
Follow-up office visits $150-200
Prenatal Adoptive/Induced consults $200
Bottle/Pump/Solid Foods/Weaning Consults $150
Phone Consultations - up to 45 minutes $75
*a $30 travel fee may apply for in-home visits based on your home location
Initial office consultation $200
In-home mother/baby consultations $200
Twin home/office consultations $250
Telehealth consultations $150
Follow-up office visits $150-200
Prenatal Adoptive/Induced consults $200
Bottle/Pump/Solid Foods/Weaning Consults $150
Phone Consultations - up to 45 minutes $75
*a $30 travel fee may apply for in-home visits based on your home location
| gap_exception_2024.pdf |
CANCELLATION POLICY
If you are unable to keep your scheduled appointment and cancel within 24 hours of the scheduled appointment time, you will be charged a fee of $75. Our consultants schedule only one client per appointment time period. Cancelled appointments are not only frustrating for our consultants, but also for other clients in need of our services. Call to cancel: 855-905-2229 and email the consultant with whom you are scheduled.
If you are unable to keep your scheduled appointment and cancel within 24 hours of the scheduled appointment time, you will be charged a fee of $75. Our consultants schedule only one client per appointment time period. Cancelled appointments are not only frustrating for our consultants, but also for other clients in need of our services. Call to cancel: 855-905-2229 and email the consultant with whom you are scheduled.
