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.
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.
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.
As part of the booking process, I will take your credit card information for my files. After each visit, I (or my biller) will submit a claim and, if not fully covered, will do 2 rounds of appeals. If your insurance does not properly cover your visit after these attempts, I will then use the credit card I have on file for you to pay for the remainder of the visit. Because lactation is supposed to be covered as preventative care, I encourage you to contact your insurance company (see below for suggestions) to discuss their lack of coverage. And, if your efforts result in the insurance company correctly paying me for the visit, I will of course reimburse your credit card.
OUT OF NETWORK
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.
As part of the booking process, I will take your credit card information for my files. After each visit, I (or my biller) will submit a claim and, if not fully covered, will do 2 rounds of appeals. If your insurance does not properly cover your visit after these attempts, I will then use the credit card I have on file for you to pay for the remainder of the visit. Because lactation is supposed to be covered as preventative care, I encourage you to contact your insurance company (see below for suggestions) to discuss their lack of coverage. And, if your efforts result in the insurance company correctly paying me for the visit, I will of course reimburse your credit card.
OUT OF NETWORK
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
Breastfeeding support is considered preventative and by law is a covered, but every plan differs and you need to know your own benefits.
TELL ME MORE ABOUT OUT OF NETWORK
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Option 1: Pay out of pocket and attempt reimbursement:
If you'd rather not call your insurance company, you can always 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 |
Option 2: Arrange a gap exception with your insurance
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. Pre-authorization is when you request your insurance company for an in-network coverage of your benefits with an out-of-network provider. 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. 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 and will require me to submit information to the insurance company. |
HOW DO I GET STARTED?
Online scheduling is fast and easy
If you need more information before scheduling, message me with your questions.
Online scheduling is fast and easy
If you need more information before scheduling, message me with your questions.
