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
IIn Network with Aetna
I serve Aetna clients with breastfeeding and lactation services in my office in Montclair, New Jersey and nationwide via telehealth.
My services are covered as 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 with any providers including breastfeeding classes, short consults with your pediatrician or OBGYN. It's up to you to know your own benefits in your plan. You can call Aetna and ask how many visits are on your Lactation Visit Accumulator.
Be aware that some DMEs who sell pumps will also offer online lactation classes that will use up your breastfeeding benefits before you even see a lactation consultant. You must know your benefits before booking to avoid charges.
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.
Your insurance plan is a contract between you and your insurance company. If you want to know your coverage, please contact your insurance company. Most insurance plans require Out of Pocket costs for deductible, coinsurance and/or copayment, which may apply to a portion of our visit. Clients will be billed for any out of pocket costs after your insurance company has processed your claim. It behooves you to learn your deductible, coinsurance and copayment amounts for all medical services. Covered does not mean "paid in full". Learn your out of pocket costs to avoid surprises.
FEE SCHEDULE
IIn Network with Aetna
I serve Aetna clients with breastfeeding and lactation services in my office in Montclair, New Jersey and nationwide via telehealth.
My services are covered as 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 with any providers including breastfeeding classes, short consults with your pediatrician or OBGYN. It's up to you to know your own benefits in your plan. You can call Aetna and ask how many visits are on your Lactation Visit Accumulator.
Be aware that some DMEs who sell pumps will also offer online lactation classes that will use up your breastfeeding benefits before you even see a lactation consultant. You must know your benefits before booking to avoid charges.
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.
Your insurance plan is a contract between you and your insurance company. If you want to know your coverage, please contact your insurance company. Most insurance plans require Out of Pocket costs for deductible, coinsurance and/or copayment, which may apply to a portion of our visit. Clients will be billed for any out of pocket costs after your insurance company has processed your claim. It behooves you to learn your deductible, coinsurance and copayment amounts for all medical services. Covered does not mean "paid in full". Learn your out of pocket costs to avoid surprises.
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.
OUT OF NETWORK
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.
TELL ME MORE ABOUT OUT OF NETWORK
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.
TELL ME MORE ABOUT OUT OF NETWORK
Pay out of pocket and attempt reimbursement:
You pay me directly for my services and I will provide a superbill to use to apply for potential reimbursement from your insurance company. 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
You pay me directly for my services and I will provide a superbill to use to apply for potential reimbursement from your insurance company. 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
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.
