Will your insurance cover lactation consulting?
Most lactation consultants offer their services on a cash-only basis. Here at Briarvista Pediatrics, however, we are happy to be able to provide these services often for very low or no cost to you. When seen in our office for a lactation consultation, both mom and baby are patients. Therefore, there will be two separate visits booked on our schedule, two separate notes documented in our charting system, and two different submissions to your insurance plan.
Insurance companies usually do cover the services of a lactation consultant as part of routine well-baby visits. In addition, new health care legislation allows for expanded coverage of lactation concerns.
However, the visit(s) may have separate copays and/or be subject to separate deductibles or coinsurance rates. Please see our Health Insurance 101 page for more information on these charges, as “covered” does not always mean “free.” Please note that most newborns have not met their deductible yet, although the mother usually has after delivery.
Most of our visits will be billed as “office visits” and not “consults,” unless a referral is received from another provider first. Please check our list of contracted insurance plans.
If a frenulotomy is performed (tongue-tie revision), our policy is to collect $300 upfront for the procedure as well as keep a credit card on file. If your insurance covers the procedure, you will be issued a refund.
If either mom or baby is out-of-network or uninsured, we are still happy to see you. Please see our financial policies, and a list of our contracted insurance plans.
If you have questions about coverage, it’s wise to contact your health insurance provider.