Insurance, Fees and other
Frequently Asked Questions (FAQs)
Why Should I See an IBCLC?
Insurance and Fees
What is included with visits
What issues I help with
How I support pumping and bottle feeding (and more)
Why should I see an IBCLC?
International Board Certified Lactation Consultants (IBCLCs) offer the highest level of lactation and infant feeding care, and are an integral part of a family's healthcare team. Part of your healthcare team, and offering clinical care, IBCLCs have extensive training for lactation and infant feeding. From pregnancy to weaning, IBCLCs support parents to overcome challenges to successfully and comfortably breastfeed, pump and bottle feed. Visits are highly comprehensive and focus exclusively on you and your baby.
In-network with Aetna, Amerihealth,
United Health Care, and Independence Blue Cross
Many companies states that they provide a certain number of “covered visits”(sometimes they will say “free visits”). However both parent and baby are billed for the visits so it is important to know that there is a good possibility that you will have to pay for a portion of your visit(s), please see my insurance coverage page for more detail.
Lactation and infant feeding visits involve two patients, which means both are billed to insurance. If baby is not on the same in-network policy as the parent you will likely be responsible for a portion of the visit.
If you would like a good-faith-best-estimate prior to your visit please let me know (keep in mind, though, the final amount owed will be determined by your insurance after the visit).
Fees for Out-of-network insurance and other services
Initial Lactation Consultation - $300 (parent/baby), $350 (parent/twins).
$50 more per baby for triplets and up. Telehealth $40 less.
Follow-Up Lactation Consultation - $240 (parent/baby), $290 (parent/twins)
$50 more per baby for triplets and up. Telehealth $40 less.
Prenatal Consultation - $150 - telehealth or office.
Home visits are available on a very limited basis and only by request.
Out-of-network fees - $50 more for every category - Parent/baby - $350 initial, $290 follow-up; Parent/twins - $400 initial, $340 follow-up; $50 more per baby for triplets and up.
In-network visit travel fee - $50 (not reimbursable by insurance)
Military, Tricare, Medicaid, WIC discounts - please inquire
Scale rental ($25 per week)
Cancellation fees - Appointments cancelled with less than 24 hours notice are subject to a $50 fee. This fee is not covered by insurance. I will use the credit card on file to cover this fee. And/or an invoice (payable online) will be sent to you.
(all visits include 2 weeks of follow-up - see more info below)
Payment is taken prior to, or at the conclusion of, a visit (cash, check, credit card, or online payment services like Zelle, Venmo, etc). You will be provided with a detailed receipt to submit to your insurance (see more on insurance coverage below).
Insurance coverage and the law
Lactation visits are supposed to be covered as preventative care (other than some “grandfathered” policies) by Federal law (the Affordable Care Act/ACA), and by the State of NJ (see also the NJ Breastfeeding Strategic Plan). However - because many insurance companies do not effectively inform their clients (or sometimes their own representatives!) about lactation coverage, and because lactation insurance coverage is (unnecessarily) complicated, I have devoted another page to more comprehensively describe these issues - including your rights and how to fight for more coverage.
Preparing for your visit
Fill out pre-visit forms (links will be in your scheduling email)
If possible, arrive with baby not too “hangry” or too full when the visit starts.
Illness policy
Please monitor your health and reschedule if you are feeling unwell (I will do the same). I do not require anyone to wear a mask, but I’m more than happy to wear one if you prefer. I run a HEPA filter in my office.
Office visits
My office is very cozy - you will feel at home! I have pillows, blankets, flanges, and many other helpful items. But sometimes having your own stuff can be helpful too, so please bring anything that really want at the visit - this includes nipple shields, pumped milk, formula, bottles, your pump and flanges, baby’s favorite teethers and pacifiers, your favorite pillows, or anything you may use for lactation and infant feeding.
Telehealth visits
Have a computer and/or phone for video/audio at the same time (some people use both a computer and a phone - one for discussion and one for getting close-ups, better camera angles, etc).
If available, a support person is very helpful for baby care, better camera angles, etc.
Set up a comfortable area for you and your baby with good lighting (a flashlight sometimes helps too)
Have on-hand any items you use for nursing, bottle feeding, pumping, etc
Home visits
Home visits are very limited. When available, I can travel up to a 45 min radius from the Princeton area (see a full list of towns here). Home visits are billed at a higher price (see above).
Please do not spend any time cleaning your home before the visit! I totally understand how hard it is to take care of everything when you have a new baby (or really anytime - for example, my house is messy and my kids are older now!)
Videos you can send before or after visits
Close up of latch
how a baby drinks from bottle
how your flanges fit for pumping
or anything else you’d like me to see!
The most secure methods to send videos are by email (leslie@lactationsolutionsofprinceton.com), or save them to a Google Drive or DropBox and share with my secure email.
What is included with your visit?
All visits include 2 weeks of follow up by text, email or phone to continue your care plan. I may also send reports of our visit to your, and your baby’s, healthcare providers (obstetrics, midwifery, pediatrics, bodyworkers, tie-release providers, etc). Follow-up visits are always available and helpful for additional help, checking on progress, working on new ideas, and more!
What lactation and infant feeding issues can you help me with?
Personalized visits, lactation education and support for pregnant, new, and experienced parents. My areas of expertise include: latch and position, infant weight gain, breast/nipple pain, pumping, bottle feeding, bottle refusal, increasing supply, dealing with oversupply, balancing breast and bottle feeding, exclusive pumping, oral/body assessment for infant, tongue and lip ties (planning, assessment, healing), elimination diets, return to work or school, nursing strikes, re-lactation, introduction of solid foods, weaning, and much more.
Can I contact you with follow up
questions after a visit?
Definitely! Solving lactation issues is a dynamic situation - so follow-up is critical. Every visit includes 2 weeks of text, email or phone to work on the care plan relating to your visit. And, follow-up visits are helpful for furthering the plan and checking progress in-person, and working with new aspects of your lactation and infant feeding journey (from prenatal through to weaning).
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 unless it’s desired (which I’m happy to help with too!). That being said, for exclusive pumping, a baby struggling at the breast, painful latch, exclusive formula feeding, etc - then providing pumped milk or formula is of course incredibly important! Part of my assessment is to evaluate how a baby latches to a bottle and processes the complex interplay of sucking and swallowing. Very often babies having difficulty with breastfeeding also have some issues with bottle feeding (or tummy/GI comfort after feedings) and may have oral issues such as ties, swallowing dysfunction, or other concerns.
Where can I find more resources for
lactation and infant feeding support?
Extensive Resource pages - Latch, position, bottle feeding, pumping, podcasts, and more!
Referral pages - Doctors, Midwives, Doulas, Therapy, Infant Bodywork, Parent/Baby Activities, and more!