Insurance, Fees and other
Frequently Asked Questions (FAQs)

• Why Should I See an IBCLC?

• Insurance and Fees

  • In-network - claims are submitted for you and you are only billed for patient responsibility

  • Out-of-Network - visits are paid for in advance, and a superbill is provided for you to submit.

    • More info for both in- and out-of-network on my insurance page

• Preparing for Visits

• More Info

In-network with Aetna, Amerihealth, United Health Care, Cigna
and Independence Blue Cross (but not other BC policies)

I will submit the claims for our visits(s). Even if your insurance tells you that you have a certain number of “covered” or “free” visits), it’s still possible that a patient responsibility will occur. In that case, I will bill you for that amount after the claim has processed. This can happen for a variety of reasons, such as (but not limited to):

• One patient being in-network, and one not-in-network

• Limitations in the number of covered visits

• Deductibles (especially earlier in the calendar year), Co-pays or Co-insurances

Please see insurance coverage page for more detail.

Fees for Out-of-network policies and other services

Payment is due prior to, or at the time of the visit(s). You will receive a superbill to submit for reimubursement - see below and my Insurance page for more info.

• Initial Lactation Consultation

  • $300 (parent/baby), $350 (parent/twins).

  • $50 more per baby for triplets and up. Telehealth $40 less.

• Follow-Up Lactation Consultation

  • $240 (parent/baby), $290 (parent/twins)

  • $50 more per baby for triplets and up. Telehealth $40 less.

• Prenatal Consultation - $150 - telehealth or office.

• Home visits are available on a very limited basis and only by request.

  • Parent/baby - $350 initial, $290 follow-up

  • Parent/twins - $400 initial, $340 follow-up

  • $50 more per baby for triplets and up.

  • In-network visit travel fee - $50 (not reimbursable by insurance)

• Military, Tricare, Medicaid, WIC discounts - please inquire

• Scale rental ($25 per week)

• Cancellation fees - Appointments cancelled with less than 24 hours notice are subject to a $50 fee. This fee is not covered by insurance.

(all visits include 2 weeks of follow-up by text and email - more info below)

Insurance coverage and the law

Lactation visits are supposed to be covered as preventative care by Federal law (the Affordable Care Act/ACA), and the State of NJ (see also the NJ Breastfeeding Strategic Plan). However - because many insurance companies do not effectively inform their clients (or sometimes their own representatives!) about lactation coverage, and because lactation insurance coverage is (unnecessarily) complicated, I have devoted another page to comprehensively describe these issues - including your rights and how to fight for more coverage.

Preparing for your visit

• Fill out pre-visit forms (links will be in your scheduling email)

• If possible, arrive with baby not too “hangry” or too full when the visit starts.

• Bring any bottles, toys, teethers, pump flanges, etc that are relevant to your situation (see more below).

Illness policy

Please monitor your health and reschedule if you are feeling unwell (I will do the same). I do not require anyone to wear a mask, but I’m more than happy to wear one if you prefer. I run a HEPA filter in my office.

Office visits

My office is very cozy - you will feel at home! I have pillows, blankets, flanges, Spectra pumps, and many other helpful items. Sometimes having your own stuff can be helpful too, so please bring anything that you want to have at the visit - this includes nipple shields, pumped milk, formula, bottles, your pump and flanges, baby’s favorite teethers and pacifiers, your favorite pillows, or anything you may use for lactation and infant feeding.

Telehealth visits

• Have a computer and/or phone for video/audio. If possible having both can be helpful for getting better camera angles.

• If available, a support person is very helpful for baby care, better camera angles, etc.

• Set up a comfortable area for you and your baby with good lighting.

• Have on-hand any items you use for nursing, bottle feeding, pumping, etc

Home visits

• Home visits are very limited. When available, I can travel up to a 45 min radius from the Princeton area (see a full list of towns here). Home visits are billed at a higher price (see above).

• Please do not spend any time cleaning your home before the visit! I know how hard it is to take care of everything when you have a new baby (or really anytime - for example, my house is messy and my kids are older now!)

Videos you can send before or after visits

• Latch

• Bottle feeding

• Pumping/flange fit

• Or anything else you’d like me to see!

• Please share by email (leslie@lactationsolutionsofprinceton.com), or save them to a Google Drive or DropBox and share with my secure email. I use Google Voice Text and it’s not a good format for sharing videos. If only texting is possible, we can use WhatsApp or Signal with a different phone number.

Will you work with me if I use bottles or supplementary formula?

Where can I find more resources for
lactation and infant feeding support?

Extensive Resource pages - Latch, position, bottle feeding, pumping, podcasts, and more!

Referral pages - Doctors, Midwives, Doulas, Therapy, Infant Bodywork, Parent/Baby Activities, and more!