The Lactation Network covers lactation visits in full for many.

Check Insurance Coverage Here

I believe that lactation support is a worthy investment for your family. Formula can cost up to $600 a month, while breastfeeding is lower cost feeding method. And after witnessing the recent and concerning formula shortage in this country, I am sure you can agree that the comfort of breastfeeding, is invaluable. For those who are formula feeding, the peace of mind that comes with improved infant feeding is priceless.

I do not currently participate in-network with any insurance plans. However, I am happy to provide the following resources to help guide you through the processes of receiving a reimbursement.  

The Lactation Network covers visits for many.

Check Your Insurance coverage Here

Payment is due at the time of service. I am private pay, but your visit may be covered through the lactation network.

I accept cash, checks, credit cards and HSA and FSA cards. A travel fee applies for home visits outside of a 5 mile radius from 29466. A cancellation policy applies for any appointments canceled with less than 24 hours notice. 

What if I need to cancel my appointment?

You may cancel your appointment up to 24 hours in advance of your appointment via the booking widget. I also offer virtual visits as an alternative.

Superbill

At parents request, I offer superbills.  If you’d like to submit a claim for out-of-network reimbursement, I will provide you with a statement, which you can send to your insurance company. 

You are entitled to reimbursement for lactation services through:

Affordable Care Act

The 2010 Affordable Care Act states that insurance should cover: “comprehensive lactation support services (including counseling, education, and breastfeeding equipment and supplies) during the antenatal, perinatal, and postpartum periods to ensure the successful initiation and maintenance of breastfeeding.”  

This means that unless you have a health insurance plan that is “grandfathered in,” your insurance company must pay for lactation support for the duration of breastfeeding (not just while you’re in the postpartum ward at the hospital).

Preauthorization

You may improve your chances of reimbursement if you request preauthorization for lactation support from insurance prior to submitting your claim.  

Lactation Support Referral

It may also be helpful to obtain a referral for lactation support from your baby’s pediatrician or from your obstetrician.

Out-of-Network Exemption

Also included in the Affordable Care Act is the Out-of-Network Exemption or Network Gap Exemption. This states that “if a plan or issuer does not have in its network a provider who can provide the particular service, then the plan or issuer must cover the item or service when performed by an out-of-network provider and not impose cost-sharing with respect to the item or service.”

If your insurance does not participate in-network with any lactation consultants within a reasonable distance, you may petition to receive lactation services at an in-network rate. Be sure to apply for this exemption prior to our visit otherwise the claim will be processed as out-of-network. You should also request several visits as this is typically only a one-time temporary exemption.

To complete this request, you may be asked for the following information:

·      Provider Name:

·      NPI #

·      EIN #

·      Provider Address:

·      Provider Phone:

·      Diagnosis Code:

·      Procedural Codes:

·      Date range of requested lactation support:

OR CONTACT ME FOR REFERRAL FORM

When speaking to an insurance representative on the phone, always note his/her name, date, and reference number of the call so that you can refer back to it if necessary.

NEW BENEFITS FOR BREASTFEEDING MOMS TOOLKIT

 For more information about the types of lactation support insurance plans are required to cover, please download the National Women’s Law Center Breastfeeding Toolkit. This great resource will help you better understand the lactation support you are entitled to, as well as a script to use when calling your insurance company to inquire about coverage.

If you have any questions during this process, you can call the National Women’s Law Service directly at 1-866-PILL4US or email them at pill4us@nwlc.org. text goes here

Travel fees apply to home visits if its beyond a 15 minute drive from the north mount pleasant public library / Mt pleasant costco

Travel fees are as follows:

• 0-15 minutes- None

• 15 - 30 Minutes - $40

• 30 - 45 minutes - $90

• 45 - 60 minutes - $190

This summary provides key points from our privacy notice, but you can find out more details about a of these topics by clicking the link following each key point or by using our table of contents below to find the section you are looking for.

What personal information do we process? When you visit, use, or navigate our Services, we may process: personal information depending on how you interact with us and the Services, the choices you make, and the products and features you use. Learn more about personal information you disclose to us.

Do we process any sensitive personal information? We do not process sensitive personal information.

Do we receive any information from third parties? We do not receive any information from third parties.

How do we process your information? We process your information to provide, improve, and administer ou Services, communicate with you, for security and fraud prevention, and to comply with law. We may also process your information for other purposes with your consent. We process your information only when we have a valid legal reason to do so. Learn more about how we process your information.

In what situations and with which parties do we share personal information? We may share information in specific situations and with specific third parties. Learn more about when and with whom we share your personal information.

How do we keep your information safe? We have organizational and technical processes and procedures i place to protect your personal information. However, no electronic transmission over the internet or informatio storage technology can be guaranteed to be 100% secure, so we cannot promise or guarantee that hackers, cybercriminals, or other unauthorized third parties will not be able to defeat our security and improperly collect access, steal, or modify your information. Learn more about how we keep your information safe.

What are your rights? Depending on where you are located geographically, the applicable privacy law may mean you have certain rights regarding your personal information. Learn more about your privacy rights.

The easiest way to exercise your rights is by submitting a data subject access request, or by contacting us. We will consider and act upon any request in accordance with applicable data protection laws.

Want to learn more about what we do with any information we collect? Review the privacy notice in full.