WHY HIRE AN IBCLC?
INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT is an important distinction because it represents the only credentialed lactation professional. An IBCLC has received training, accrued hundreds of hours of clinical experience, and passed an exam to become a certified health professional.
INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT is an important distinction because it represents the only credentialed lactation professional. An IBCLC has received training, accrued hundreds of hours of clinical experience, and passed an exam to become a certified health professional.
Catherine saved me! My daughter was in the NICU when she was first born and received formula feedings, but I really wanted to breastfeed. She gave me options and helped me forward. Catherine intuitively knew what I needed. CHRISTIE R.
AETNA IN-NETWORK VISITS
Fully covered office or telehealth lactation visits on most Aetna plans. You must always check your coverage with Aetna to ensure your plan covers my services. AETNA provides in-network coverage to most plans with up to 6 visits, but it's up to you to know your own benefits in your plan. I've served Aetna clients nationwide.
OUT OF NETWORK REIMBURSEMENT
Hopefully, you've probably already checked out my appointments page and seen the prices. Maybe you thought, Holy Moley, what the heck?! Keep in mind that you can be partially or totally reimbursed from your insurance company and that's up to you to determine. The price is inline with my level of expertise, education (which is significant to earn the board certification for lactation consulting) as well as all the time I spend on your care. I offer a bespoke service. Initial consultations are 90 minutes and follow ups are 60 minutes. What other health professional provides that level of time and attention? Our value is high and if you live in this metro area then you know that's the price of a super nice dinner or a massage at a spa, but with a lactation visit you get compassionate, expert help you feed your baby and peace of mind - both are priceless, imho.
FEE SCHEDULE
Fully covered office or telehealth lactation visits on most Aetna plans. You must always check your coverage with Aetna to ensure your plan covers my services. AETNA provides in-network coverage to most plans with up to 6 visits, but it's up to you to know your own benefits in your plan. I've served Aetna clients nationwide.
OUT OF NETWORK REIMBURSEMENT
Hopefully, you've probably already checked out my appointments page and seen the prices. Maybe you thought, Holy Moley, what the heck?! Keep in mind that you can be partially or totally reimbursed from your insurance company and that's up to you to determine. The price is inline with my level of expertise, education (which is significant to earn the board certification for lactation consulting) as well as all the time I spend on your care. I offer a bespoke service. Initial consultations are 90 minutes and follow ups are 60 minutes. What other health professional provides that level of time and attention? Our value is high and if you live in this metro area then you know that's the price of a super nice dinner or a massage at a spa, but with a lactation visit you get compassionate, expert help you feed your baby and peace of mind - both are priceless, imho.
FEE SCHEDULE
HOW DO I GET STARTED?
Online scheduling is fast and easy
If you need more information before scheduling, message me with your questions.
WHAT ABOUT OUT OF NETWORK?
A coverage gap exception is a preemptive waiver from a healthcare insurance company that allows a customer to receive medical services from an out of network provider at an in network rate.
You request a coverage gap exception when you know your insurance company covers lactation benefits, but you don't believe that the insurance company has in network providers that can provide those benefits. You make a case that your insurance company cannot provide the necessary treatment.
Pre-authorization is when you request your insurance company for an in-network coverage of your benefits with an out-of-network provider.
In either case, request coverage for at least 3-6 visits because breastfeeding management can take more than one appointment and is an evolving process.
This process happens BEFORE you book an appointment.
WHAT ABOUT SELF-PAY WITH A SUPERBILL AND INSURANCE REIMBURSEMENT?
If you'd rather not call your insurance company, you can always self-pay and use the superbill I supply to garner reimbursement. A superbill is an itemized form, used by healthcare providers, which details services provided to a patient.
If they deny your claim, you resubmit it. When speaking to your insurance carrier for reimbursement, have your written benefits statement handy, take note of you who speak to, escalate to a supervisor or case manager if necessary and if all else fails you can make a complaint to NJDOBI or your local state board.
There is a script for calling your insurance carrier on page 8 of the Toolkit New Benefits for Breastfeeding Moms: Facts and Tools for Understanding Your Coverage under the Health Care Law
Online scheduling is fast and easy
If you need more information before scheduling, message me with your questions.
WHAT ABOUT OUT OF NETWORK?
A coverage gap exception is a preemptive waiver from a healthcare insurance company that allows a customer to receive medical services from an out of network provider at an in network rate.
You request a coverage gap exception when you know your insurance company covers lactation benefits, but you don't believe that the insurance company has in network providers that can provide those benefits. You make a case that your insurance company cannot provide the necessary treatment.
Pre-authorization is when you request your insurance company for an in-network coverage of your benefits with an out-of-network provider.
In either case, request coverage for at least 3-6 visits because breastfeeding management can take more than one appointment and is an evolving process.
This process happens BEFORE you book an appointment.
WHAT ABOUT SELF-PAY WITH A SUPERBILL AND INSURANCE REIMBURSEMENT?
If you'd rather not call your insurance company, you can always self-pay and use the superbill I supply to garner reimbursement. A superbill is an itemized form, used by healthcare providers, which details services provided to a patient.
If they deny your claim, you resubmit it. When speaking to your insurance carrier for reimbursement, have your written benefits statement handy, take note of you who speak to, escalate to a supervisor or case manager if necessary and if all else fails you can make a complaint to NJDOBI or your local state board.
There is a script for calling your insurance carrier on page 8 of the Toolkit New Benefits for Breastfeeding Moms: Facts and Tools for Understanding Your Coverage under the Health Care Law
YOUR RIGHTS UNDER THE LAW
The National Women's Law Center has developed a toolkit called New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law.
The National Women's Law Center has developed a toolkit called New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law.
Breastfeeding support is considered preventative and by law is a covered, but every plan differs and you need to know your own benefits.
OTHER INSURANCE VISITS
For all other insurance plans, I am considered an out-of-network allied health provider and you will pay me at the time of booking.
We can arrange a gap exception in some cases to cover the visits. This is done BEFORE booking an appointment. Read about strategies to use your insurance benefits for lactation coverage here
Self Pay Clients: Book me. Pay upfront and I will provide you with a superbill to submit to your insurance. Check with your individual provider to determine reimbursement eligibility for lactation care.
If you aren't sure what's the best choice for you reach out.
For all other insurance plans, I am considered an out-of-network allied health provider and you will pay me at the time of booking.
We can arrange a gap exception in some cases to cover the visits. This is done BEFORE booking an appointment. Read about strategies to use your insurance benefits for lactation coverage here
Self Pay Clients: Book me. Pay upfront and I will provide you with a superbill to submit to your insurance. Check with your individual provider to determine reimbursement eligibility for lactation care.
If you aren't sure what's the best choice for you reach out.
