Frequently Asked Questions (FAQs)
Why should I see a private IBCLC?
An International Board Certified Lactation Consultant (IBCLC) is an integral part of a family's healthcare team - working with your doctors, midwives or other providers in your healthcare support system. An IBCLC possesses extensive training to provide clinical care in the management of lactation. From pregnancy to weaning, an IBCLC uses clinical skills and education to support parents to overcome physical and other challenges to successfully breastfeed.
While many families receive excellent care from LCs in the hospital, they often find that lactation issues change as milk comes in, as their baby grows, or for many other reasons. A home visit with an IBCLC focuses exclusively on you, and gives you the time and space for a full evaluation of you and your baby. This may include latch assistance, pumping techniques and much more. IBCLCs assist not only healthy babies, but critically ill and premature babies as well.
Do you take insurance?
Yes! Lactation Solutions of Princeton is in-network with both Aetna and Amerihealth. The vast majority of Aetna and Amerihealth policyholders are entitled to at least 6 fully covered lactation visits, which will be submitted for you. Please check with your insurance company to ensure that your policy has this type of coverage. For Aetna and Amerihealth policyholders, Lactation Solutions of Princeton will submit invoices for you as well as any appeals, if needed.
Cancellation fees - Appointments cancelled with less than 24 hours notice are subject to a $50 fee that is not covered by insurance. An invoice will be sent to you to cover the amount, and will be payable online.
fees for clients with insurance other than AeTna or Amerihealth
For clients with insurance other than Aetna or Amerihealth, payment is taken at the conclusion of the home visit and is payable by cash, check or credit card.
Initial In-Home Lactation Consultation (~2 hours): $240 (parent/baby), $265 (parent/twins) - Personalized visit to go over your health history, including pregnancy, labor and delivery as it relates to your breastfeeding questions and concerns - poor latch, slow weight gain, supply concerns, exclusive pumping, return to work/pumping planning, introducing solid foods, weaning and more.
Follow-Up In-Home Lactation Consultation (~90-120 minutes): $200 (parent/baby), $225 (parent/twins) - for previous clients that would like to have personalized follow-up care.
Prenatal Consultation (60-90 minutes): $125 - review of your health history as related to breastfeeding, and an overview of topics designed for getting breastfeeding off to the best start.
Other Consultations offered (inquire for pricing) - return to work planning, starting solids, weaning, and more. Any topic relating to your breastfeeding journey.
Cancellation fees - Appointments cancelled with less than 24 hours notice are subject to a $50 fee. This fee is not covered by insurance. An invoice will be sent to you to cover the amount, and will be payable online.
If you do not have Aetna or Amerihealth, you will provided with a detailed invoice including diagnostic codes to submit to your insurance to try for reimbursement. How you are reimbursed depends on your particular policy, but it is important to know that IBCLC visits should be covered by law (The Affordable Care Act) as a preventative service. For more information on how to discuss coverage with your insurance company, please read these excellent articles:
"New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law" by the National Women's Law Center.
"Ten Facts You Must Know About Insurance and Breastfeeding Support" by Renee Beebe, IBCLC
"How to Get Reimbursed for an IBCLC Home Visit" by Rachel O'Brien, IBCLC
(An update to Rachel's article here)
“Lactation Coverage and the Law” by Rebeca Four, IBCLC
what is included with your visit?
Your visit includes pre-visit emails, texts or phone call, a comprehensive home visit (initial visits are typically 2-2.5 hours, follow up visits 1.5 to 2 hours), 2 weeks of follow up by phone or email to continue the care plan, and reporting to your healthcare providers.
What breastfeeding issues can you help me with?
Personalized home visits, lactation education and support for pregnant, new, and experienced parents are available. Areas of specific expertise include latch and positional support, increasing supply, planning for breastfeeding/pumping while returning to work or school, aiding babies with slow weight gain, balancing breast and bottle feeding, helping a baby return to the breast after difficulties, exclusive pumping, introduction of solid foods, weaning, and much more. Help is available by phone, email, text and home visits to help families achieve their breastfeeding goals.
Can I contact you with follow up questions after a home visit?
Definitely! Solving breastfeeding problems is a dynamic situation which makes follow-up a critical component for your success. Each visit includes 2 weeks of follow up by email or phone to work on the care plan relating to your visit.
How should I prepare for a home visit?
Please do not spend any time cleaning your home before the visit! The best way to prepare for a visit is to fill out the health history and consent forms so that the consultant can have a good overall view of what led you to the appointment; and to schedule the appointment for a time when your baby is ready to nurse (not too hungry or too full). If any strategies have been discussed prior to the visit, it would be helpful to go over any resources suggested (such as any articles or videos) prior to the visit, and have practiced the techniques if possible.
Will you work with me if I use bottles or supplementary formula?
Absolutely! When breastfeeding is going well (latch comfortable, baby gaining weight), it is not necessary to use bottles. A baby must drink milk or formula to sustain growth and stamina, so for a baby struggling at the breast (or mother in pain), providing supplementary milk or formula can be important or even essential. And, depending on the situation, there are many reasons babies need, or parents would like to use, formula or pumped milk from bottles. In the process of working toward your breastfeeding goals, temporary or more sustained use of supplementary feedings can be explored for your baby. This can be with bottles, but other options are available as well. In fact, for babies that are drinking from bottles, part of the assessment of a baby's overall ability to feed is evaluating how they "latch" to a bottle. It is not uncommon for a baby that is having difficulty with breastfeeding to also show signs of difficulty with bottle feeding.
Will one visit solve all of my concerns?
It depends on what issues brought you to the visit. Some breastfeeding problems have quick solutions, and others require a more complex long-term solution. For some families, a home visit with follow up emails/phone calls is sufficient. For others, follow up visits are preferable, or even necessary in the days and weeks following the first visit.
Very often parents have new concerns that require support as they go through different stages of the breastfeeding journey. For those questions and concerns, we would schedule a follow up visit.
Where can I find resources for breastfeeding support in the first few weeks?
Check our Blog for more information and plenty of links!