Why Hire an IBCLC?​
An International Board Certified Lactation Consultant (IBCLC) is the only credentialed lactation professional, representing a significant level of expertise in breastfeeding support. IBCLCs undergo extensive training, accumulate hundreds of hours of clinical experience, and successfully pass a rigorous examination to earn their certification as healthcare professionals. SERVICES that I can help you with. 

CIGNA IN-NETWORK VISITS
​With Cigna's partnership with Wildflower Health, I offer personalized lactation support tailored to your individual needs, fully covered under your health plan. 

Before booking your appointment, please verify your Cigna coverage and eligibility through Wildflower Health by visiting Wildflower Health Coverage Verification.

Appointment StructureCigna members will begin with a 30-minute initial telehealth visit, followed by an in-person office visit within a few days.

You can expect:

• Two visits in the first week to get started on your breastfeeding journey.
• Four follow-up visits to help you achieve your breastfeeding goals, with additional appointments available as needed.

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AETNA IN-NETWORK VISITS
I am pleased to be in-network with Aetna, which has recently made some updates to its lactation coverage. My aim is to provide clear and helpful information to assist you in understanding how Aetna processes claims for lactation services.

Key Points to Understand

• Billing Codes: You have a limit of 6 billing codes per year, which means you can have 3 consultations since each one uses 2 codes (one for you and one for your baby).
• Online Classes: "Free" online classes from pump suppliers count toward your 6 billing codes.
• Out-of-Pocket Costs: Even if Aetna says they cover 100%, you might still have to pay some costs.
• "Covered" Doesn't Mean Free: Be aware of possible out-of-pocket costs, like deductibles, coinsurance and copayments. 

Understanding Your Coverage

• Review Your Aetna Benefits: Check your plan details before booking to understand your coverage.
• Claims Submission: I will submit claims and can appeal up to two times if needed.
• Remaining Balance: Any balance determined by Aetna will be charged to you.
• ​Out-of-Pocket Costs: Be aware of possible out-of-pocket costs, like deductibles, coinsurance and copayments. Just because something is "covered" doesn't mean it will be paid in full.

​Breastfeeding support is considered preventative and by law is a covered, but every plan differs and you are responsible to know your own benefits.

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OUT OF NETWORK 
If you choose to go out of network, you can pay directly for my services and attempt to seek reimbursement from your insurance company. I will provide a superbill—an itemized form detailing the services provided—to assist in your reimbursement claim.
If your claim is denied, you can resubmit it. When contacting your insurance carrier for reimbursement, have your written benefits statement ready, note whom you speak with, and escalate to a supervisor or case manager if necessary. If needed, you can file a complaint with the NJ Department of Banking and Insurance or your local state board.
​For more guidance, refer to the script for contacting your insurance carrier included in the Toolkit New Benefits for Breastfeeding Moms: Facts and Tools for Understanding Your Coverage under the Health Care Law

OUT OF NETWORK FEE SCHEDULE

• Initial Office Visit: $330 (90 minutes)
• Follow-Up Office Visit: $220 (60 minutes)
• Prenatal Office Consult: $250 (60 minutes)
• Office Pump Flange Fitting + Instruction: $330 (60 minutes)
• Initial Telehealth Visit: $300 (60 minutes)
• Follow-Up Telehealth Visit: $200 (45 minutes)
• Prenatal Telehealth Consult: $250 (60 minutes)

HOW DO I GET STARTED?
If you need more information before scheduling, message me with your questions.

BOOK AN APPOINTMENT