Will yourinsurance cover the cost? I am contracted with Aetna and Independence Blue Cross. (this includes Indepedence Administrators, Personal Choice and Keystone Health Plan East) I am able to bill them directly. Individual Plans may vary in coverage, but most Aetna plans cover 6 visits and most Blue Cross (specifically Personal Choice and Keystone Health plan East) plans cover unlimited number of visits. Horizon Bluce Cross of NJ allows two visits.
Some out of state Blue Cross Plans will also cover lactation, In those instances, I will accept a check in full payment from you, and hold it while I submit through the local Blue Cross. If Blue Cross pays for the visit, I will return your check to you. State assistance Aetna Better Health and Keystone Mercy plans do NOT reimburse my specialty.
Out of area convenience fee is $25 for consults beyond 15 miles one way.
This is NOT covered by insurance.
If this is our first time to meet:
The consult will probably last 30 min. Cost $75
If you would prefer pre and post feeding weights along with the consult, it will typically be at least 1 hour long. Cost is - $125.
Did you know that you may be able to get your pump provided free of cost by your insurance provider? Call your insurance provider for details and names of locations (DME, Durable Medical Equipment)
that they are affiliated with for breast pumps and accessories. Usually, the DME will do all the paperwork for you. See Questions page for more details about talking to your insurance provider..