FOLLOW UP POLICY FOR ALL SERVICES

NO HOME CONSULTS, OFFICE AND TELE-HEALTH, WHEN APPLICABLE, ONLY

YOU ARE RESPONSIBLE FOR INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU AND YOUR BABY

• Follow ups apply only to current established clients. If you have seen another provider and are seeing us for the first time you do not qualify for a follow up consultation. You must schedule an initial consultation if it is your first time seeing us with this particular baby. Initial consults are required for each birth.

• Any communication must take place through the secure client portal. You are required to accept the invitation to the portal in order to have any communication.

• There is no text messaging or phone call service available.

• The secure client portal is monitored Monday through Thursday from 10 AM to 4 PM and on Friday from 11AM to 2PM.

• All queries will be answered within 48 operating business hours from receipt of communication through the secure client portal.

• Answers to basic questions about your specific care plan provided for up to 3 days after your consultation for all Self-Pay, Aetna and UHC clients. All others require booking a follow-up. We offer tele-health follow up consults for Cigna, Sefl-Pay. For Anthem + BCBS clients approved by The Lactation Network there is a booking fee of $34 per tele-health consult and $88 per in person consult.

• AETNA CLIENTS: only have six CODES covered for parent only. Each consult is billed as two codes per client (baby and parent each) or we would have to cut our consults down to 15 to 20 minutes. Your child(ren) are no longer covered as preventive. The portion of your child(ren)’s claim will be assigned to deductible and will be due or if they have met their deductible they will be assigned a small cost share. All patient responsibility will be charged to your card on file. Book your follow up consult HERE.

• SELF PAY CLIENTS: have options for in-office and tele-health follow up. Find more information on self-pay follow up consultations HERE.

IT IS YOUR RESPONSIBILITY TO READ ALL OUR SCHEDULING, INSURANCE AND PAYMENT POLICIES

INSURANCE BILLING

YOU ARE RESPONSIBLE FOR INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU AND YOUR BABY

IT IS YOUR RESPONSIBILITY TO CHECK WITH YOUR INSURANCE COMPANY IF YOU ARE COVERED FOR LACTATION SERVICES. CHECK UNDER NPI 1457969412 OR 1710273859. GET A CALL REFERENCE NUMBER AND WRITE DOWN THE DATE.

ONCE YOUR BABY IS BORN, WE HAVE TWO CLIENTS THAT WE PROVIDE SERVICES FOR AND WE BILL FOR BOTH FOR EACH CONSULT. ANY CONSULT THAT INVOLVES ASSESSMENT, RECOMMENDATIONS AND A CARE PLAN FOR YOUR BABY AND YOU WILL BE BILLED TO YOUR INSURANCE FOR EACH OF YOU.

AETNA MEMBERS/CLIENTS

Even if Aetna tells you that you are covered 100 percent, Aetna has drastically changed their lactation coverage since March 2024. They no longer cover six consults. They now cover six codes, TOTAL! Each consult is billed as two codes which means you, the parent, will have a total of three consults. Every “free” class you took online has deducted from your allowed of six TOTAL codes per year. They are no longer covering your child(ren)’s services as preventive, which means that their portion of the consult will go towards deductible or if they have met their deductible it will incur a small cost-share. Any ‘Patient Responsibility’ amount will be charged to the card you have on file. If your card is not valid, you will be notified and if the invoice is not paid, there will be a $100 processing fee added and your account will be forwarded for collection services.

If only your baby is covered under Aetna and you, the lactating parent, are not covered under Aetna, you MUST book a self-pay consult. If your baby is not on the lactating parent’s Aetna plan you must book the baby not on plan appointment and you must pre-pay the appropriate fee for each appointment.

We do not offer tele-health for Aetna clients.

CIGNA MEMBERS/CLIENTS

If your baby is not under your Cigna plan, you will have to pay a fee for their portion of the services for every consult. If only your baby is covered under Cigna, you will need to book and pay Self-Pay.

UHC MEMBERS/CLIENTS

If your baby is not under your UHC plan, you will have to pay a fee for their portion of the services for every consult.

TELE-HEALTH DISCLAIMER

We only offer tele-health for Cigna, UHC, Self-Pay and Anthem + BCBS members approved through The Lactation Network. All tele-health consults are thirty minutes.

There are inherent limitations because a digital suckling assessment and a physical breast/chest can not be completed. Potential risks to the technology used for telehealth, are beyond the control of the provider, including interruption of connectivity, unauthorized access, and other technical difficulties.

CANCELLATION POLICY

Appointments canceled with less than 48 hour notice will be charged the FULL consult fee which is not covered by insurance. ALL fees for services are non-refundable and expire 60 days after the original purchase. The payment and no refund policy is SEPARATE from the cancellation policy. Refunds will NOT be issued once you book. Each client is responsible for all fees associated with each consult. Payment is charged at the time the appointment is scheduled. By scheduling your consult, you grant me permission to communicate with your insurance company regarding the services provided to you and to your child(ren).

Rental agreements: no refunds will be issued for any unused part of the rental terms. All equipment must be returned the day prior to the scheduled new charge in order to avoid being charged for a new rental term.

OFFICE CONVENIENTLY LOCATED AT 51 NEWARK STREET, SUITE 404 C, HOBOKEN

Providing in office lactation support to families in Hoboken, Union City, West New York, Weehawken, Kearny, Clifton, Rutherford, East Rutherford, Montclair, Fort Lee, Cliffside Park, Englewood, Closter, Alpine, New York City, Brooklyn and other surrounding areas Northern New Jersey