Insurance and Fee Information
Consults typically last 1 and 1/2 hours and include a review of history, assessment of a feeding, teaching strategies to remedy any breastfeeding difficulties and a written Care Plan. Consult Fees include phone and email follow up as needed.
Most private insurers in MA will reimburse families for my consult fee. The fee can be paid at the time of the consult by cash, check or credit or HSA card. I provide a Superbill receipt with insurance codes which can be to submitted to insurance company or HSA plan for reimbursement.
Fee Schedule
Initial In Home Consult $300
Follow Up In Home Consult $225
Initial Telehealth Consult with Infant Scale Drop off $275
Initial Telehealth Consult w/out scale $225
Follow up Telehealth Consult $200
Individual Prenatal Consult $150
Combination Package - Prenatal Consult and First Week Home Visit $400
About Insurance Coverage
Breastfeeding education and support are included in the Women's Preventive Service provision of the Affordable Care Act. This means private insurers are to include lactation care among the preventive services available to women with no copay costs to families. At present most MA insurers reimburse families for out of network lactation services. Families pay (via credit card, check or cash) at the time of the visit and submit to their insurance company for reimbursement. I provide all clients with a Superbill Receipt which includes my National Provider Number, Tax ID and all other information required for insurance or healthcare spending account reimbursement.
At present Mass Health does not reimburse for my services.
Aetna and Unicare offer in network lactation consultants (IBCLCs), however I am not presently in network with either plan. To determine your plan's coverage and preauthorization requirements contact the member services department at your Health Insurance plan.
The National Women's Law Center has a Toolkit and other useful information regarding health insurance and breastfeeding.
At present Mass Health does not reimburse for my services.
Aetna and Unicare offer in network lactation consultants (IBCLCs), however I am not presently in network with either plan. To determine your plan's coverage and preauthorization requirements contact the member services department at your Health Insurance plan.
The National Women's Law Center has a Toolkit and other useful information regarding health insurance and breastfeeding.
© 2017 Maire MacLean, IBCLC
