FEES, PAYMENTS, INSURANCE
We offer 2 options to work with insurance companies. One of these two options will work for 80% of our clients.
OPTION 1: INSURANCE COVERAGE WITH THE LACTATION NETWORK
We contract with The Lactation Network, an organization that helps parents get the breastfeeding support they deserve, covered by their insurance. The Lactation Network is partnered with *some* insurance plans and guarantees 6 lactation consultations for clients who are pre-approved at no out-of-pocket cost to you (the patient/client). The Lactation Network handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed for this type of coverage and it takes only a minute of your time. In general, this does not work for Tricare, TennCare, or Federal plans; see below for another option.
GET PRE-APPROVAL QUICKLY with The Lactation Network
STEP 1: Schedule the appointment with your specific IBCLC *first*.
STEP 2: Click on the URL specific to the IBCLC you are scheduled to see, enter insurance card details there.
For Leah: https://go.lactationnetwork.com/LeahK.BrownIBCLC
For Kate: https://go.lactationnetwork.com/KateCropp
For Bess: https://go.lactationnetwork.com/BessGreevyLactation
For Nancy: https://go.lactationnetwork.com/NancyHinesly
For Heather: https://go.lactationnetwork.com/MiddleTennesseeBirthServices
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4 If you are *not* approved through Lactation Network, see Option 2 and Out Of Pocket Fees below.
We contract with The Lactation Network, an organization that helps parents get the breastfeeding support they deserve, covered by their insurance. The Lactation Network is partnered with *some* insurance plans and guarantees 6 lactation consultations for clients who are pre-approved at no out-of-pocket cost to you (the patient/client). The Lactation Network handles the paperwork and bills your insurance directly; our IBCLCs are not involved in the financial arrangements with your insurance provider. Pre-approval is needed for this type of coverage and it takes only a minute of your time. In general, this does not work for Tricare, TennCare, or Federal plans; see below for another option.
GET PRE-APPROVAL QUICKLY with The Lactation Network
STEP 1: Schedule the appointment with your specific IBCLC *first*.
STEP 2: Click on the URL specific to the IBCLC you are scheduled to see, enter insurance card details there.
For Leah: https://go.lactationnetwork.com/LeahK.BrownIBCLC
For Kate: https://go.lactationnetwork.com/KateCropp
For Bess: https://go.lactationnetwork.com/BessGreevyLactation
For Nancy: https://go.lactationnetwork.com/NancyHinesly
For Heather: https://go.lactationnetwork.com/MiddleTennesseeBirthServices
STEP 3: You and your IBCLC will receive an email confirming or denying your coverage within a few hours.
STEP 4 If you are *not* approved through Lactation Network, see Option 2 and Out Of Pocket Fees below.
OPTION 2: GET YOUR CONSULTANT "IN NETWORK" WITH YOUR INSURANCE
If you pay out-of-pocket, you may be able to get us added to your plan for a number of visits or months. Click on this file to learn more.
If you pay out-of-pocket, you may be able to get us added to your plan for a number of visits or months. Click on this file to learn more.
| ed_insurance_in_network.pdf |
OUT-OF-POCKET FEES (subject to change)
Initial office consultation $190
In-home mother/baby consultations $190*
Twin home/office consultations $250*
Telehealth consultations $150
Follow-up office visits $150
Prenatal Adoptive/Induced consults $150*
Bottle/Pump/Solid Foods/Weaning Consults $150*
Phone Consultations - up to 45 minutes $50
(*travel fee may apply for in-home visits based on your home location)
OUT-OF-POCKET PAYMENT & INSURANCE
Parents paying out-of-pocket: We do not file claims with your insurance company. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult; reimbursement is not guaranteed. See the file above for information on how to get your consultant "in network" with your insurance provider. You may also submit the forms to your health care spending account. 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 submitted for the lactating parent. This does not work for TennCare plans.
Initial office consultation $190
In-home mother/baby consultations $190*
Twin home/office consultations $250*
Telehealth consultations $150
Follow-up office visits $150
Prenatal Adoptive/Induced consults $150*
Bottle/Pump/Solid Foods/Weaning Consults $150*
Phone Consultations - up to 45 minutes $50
(*travel fee may apply for in-home visits based on your home location)
OUT-OF-POCKET PAYMENT & INSURANCE
Parents paying out-of-pocket: We do not file claims with your insurance company. We will give you the forms necessary to submit to your insurance provider for reimbursement of the cost of the consult; reimbursement is not guaranteed. See the file above for information on how to get your consultant "in network" with your insurance provider. You may also submit the forms to your health care spending account. 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 submitted for the lactating parent. This does not work for TennCare plans.
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.
