ILLNESS POLICY

We do not do consultations if we have, or have had within the previous 24 hours, a fever, respiratory symptoms like a cough or sore throat, if we have been diagnosed with a communicable illness, or if we have had known exposure to someone with any communicable illnesses.  

We sanitize our equipment before you enter the office. We sanitize our hands before you arrive and throughout the consult.

By agreeing to The Lactation Place’s illness policy you are confirming that you and no-one in your household, including your baby:

  • Has or have had, within the previous 24 hours, a fever higher than 99 degrees or any respiratory symptoms such as a cough, shortness of breath, or a sore throat

  • Has, or has not had within the previous 24 hours, any cold or flu-like symptoms 

  • Has not been diagnosed with any communicable diseases within the last 10 days

  • Has not had contact with a person with a diagnosed communicable illness within the last 10 days

You MUST contact us before the consult if any of the above noted symptoms develop prior to our scheduled home consult. We will switch to a telehealth consult.

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.

ANTHEM + BCBS MEMBERS/CLIENTS

It is your responsibility to check with Lactation Network to ensure that you are covered for lactation services. Every prenatal consult has a $35 booking convenience fee and every initial after birth consult has a $75 booking convenience fee both of which are due at the time of booking.

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