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Lactation Consultant Visit

As part of our breastfeeding services we offer thorough personal lactation consultant visits that can take place in the home, office, and through our HIPPA compliant virtual platform. Because we personally take a full history, the first lactation visit can lasts up to two hours. 

Find out more about the benefits breastfeeding can have for you and your baby!

What to expect at your visit:

  • Your consultant will take a complete health, prenatal, birth and feeding history.
  • An Assessment of the breast that includes milk expression, appearance of the mother and her breast before and after feeding, and any other pertinent issues.
  • Observation of the feeding in which the consultant watches the baby for pre-feeding behaviors, response to the feeding, assessment of the latch, and ability to transfer milk.
  • A pre- and post-feeding weight will be taken to measure the volume of the intake at the breast. (Home or Office only)
  • Help with positioning.
  • An oral assessment of baby’s mouth to check for any pertinent issues. (Home or office only)
  • If you are pumping, we will help with pumping techniques, pumping schedules, and checking that flanges are the correct fit and your pump is in good working order.
  • Answer any questions that the breastfeeding family may have.
  • A written care plan will be developed by the consultant with the breastfeeding families’ input to help reach breastfeeding goals and resolve any issues.
  • Documentation of the visit including a summary of the care plan will be provided to the family and  shared with the families’ other health-care providers.

What to expect at a prenatal Consult:

Our prenatal visits can be done at your home, in our office or through our HIPPA compliant virtual platform.

  • A complete health history of the mother.
  • An assessment of the breast. (Home or Office only)
  • The golden hour and getting the best start to breastfeeding.
  • What to expect the early days home with a baby.
  • Knowing baby is getting enough milk.
  • Getting the best latch and practice positioning with both mother and baby comfortable.
  • Hand expression.

Benefits of a home lactation consultant visit:

There are many added benefits to a having a lactation consultant visit in your home. You are not required to leave your house with a new baby, and we bring everything to you. We can also work with you in your preferred nursing nook teaching you how to get the best experience in your personal space. Rest assured our office is your “home away from home” and we will do our best to make you comfortable. We have a reclining chair and even a futon to help parents achieve their best breastfeeding position.

The Cost of your lactation consult:

*A credit card is required on file for ALL of our patients.*

Aetna, Humana, and Tricare Humana 

We are in network with Aetna, Humana, and Humana Tricare and you will have little to no out-of-pocket cost for our services. It is your responsibility to check with your insurance company to ensure that you are covered for lactation services. Even though your insurance company may tell you that you are covered at 100 percent, it is possible that some plans may assign you a patient responsibility of co-insurance, co-pay, or towards your deductible. There may be additional fees for weekends, afterhours, and travel fees that insurance does not cover.

Please be aware that with Aetna in-network coverage excludes plans through Allied Health. Also telehealth may not be covered by some plans, and the full amount of the consult or co-payments/co-insurance/deductible may apply.

Tricare Humana patients will be covered for in office services only. When booking please make sure to choose the Tricare-Humana (office only) option.

BCBS, Cigna, MultiPlan, PNOA, and VA CCN

Now in network with Lactation Network:

The Lactation Network (TLN) is our billing partner for some BCBS, Cigna, MULTIPLAN, Provider Network of America (PNOA), and VA CCN. If your insurance chooses to work with TLN, you will be guaranteed unlimited visits, unless otherwise notified by TLN that there are changes. You will be able to see one of our consultants at little to no out of pocket cost to you. Travel fees for home visits will apply and a telehealth fee will apply for virtual visits, please see below for pricing details. You do not need to fill out this survey if you have Aetna or Humana. We are in network providers. If your card has the MultiPlan or the PNOA logo, regardless of the carrier (unless Aetna or Humana), you can apply for coverage.

Cigna patients, please be advised that while TLN is working hard to participate with Cigna patients, unfortunately, there have been some changes to the way Cigna works with TLN. The turn around time for your approval may take more than 48 hours, and there will be no Cigna approvals during a weekend. We apologize for any inconvenience. If you would like to schedule and do a self-pay visit while waiting to see if you are approved, we will refund your payment if approved.

United Healthcare Commercial (including UHC, UMR, All Savers, Oxford Health Plan, and Surest.)

In-network through TLN for Commercial members with UnitedHealthcare in 49 states (Hawaii pending) for in-person consultations only, this can be for in-home or in-office visits. Travel fees for home visits will apply.

Referrals will be required for HMO plans. Patients will be responsible for getting referrals from
their PCPs, this could delay your coverage approval. If your plan requires a referral, you can
help expedite the process by obtaining a referral from your doctor prior to submitting your information to TLN.

TLN’s coverage does not include UHC plans in the public sector, such as Medicare and
Medicaid.

Please complete this brief survey to see if you are covered by LN.

Once you have completed the survey, you’ll receive back an email from LN. If you are determined to be in their network, please proceed with booking your home, office or virtual consultation (Plus $35 convenience fee for virtual visits).

Out of Network:

If you are not covered with Lactation Network, we will charge a deposit and submit an out of network claim as a courtesy on your behalf.

We do recommend calling your insurance company and asking for a GAP exception before your visit. Under the affordable health care act, lactation is a covered service. (Read more here)

How to apply for a GAP exception from your insurance provider, read more here.

Cost of services:

  • A credit card is required on file for ALL of our patients.
  • Office Consult: $150*
  • Follow-up Office: $125*
  • 60-Minute Follow Up: $75 (Existing Patients Only, includes a weighted feed and latch check or a pumping and flange fitting consult)
  • Home Consult: $250* – cost includes travel up to a 15 mile radius, there will be additional fees for extended travel. 
  • Follow-up Home: $225* (travel fees are the same)
  • Extended Travel (16-20 miles) – Additional $35
  • Extended Travel (21-25 miles) – Additional $70
  • Extended Travel (Anything over 25 miles please call to discuss)
  • Initial Virtual Consultation up to 2 Hours: $150*
  • Follow-up Virtual Consultation up to 2 Hours: $125*
  • Additional fee for afterhours visits (5 PM and beyond)/weekends/holidays: $25
  • Additional fee for twins or multiples: $25
  • Lactation Network Travel fee: $65 (within 15 mile radius)
  • Lactation Network work Virtual Fees: $35 per visit
  • Visits cancelled less than 24 hours: 50% of the cost of the visit total**
  • Visits rescheduled less than 24 hours: Will be a $50 reschedule fee**
  • Failure to return intake forms at least 4-hours before your visit will result in cancellation of your appointment and a fee of 50% of the cost of the visit total**

**Please be aware that when scheduling these appointments, we are blocking off two hours of a consultants time, if your appointment is cancelled last minute, it can be difficult to fill that opening, resulting in missed work and pay for our consultants who have worked diligently to prepare intake, verify insurance, etc. to prepare for your appointment.**

Please call if you don’t find an appointment time that works for you, in some cases we offer same day appointments for our breastfeeding services.

*Refundable deposit depending insurance reimbursement.