Services, Fees & Insurance Information

 

I see mothers and babies in my West Hartford office as well as in-home consultations.  I also provide private prenatal counseling and returning to work consults. Depending on the situation, I will do phone consultations. I appreciate your business, and want to make sure you get the best possible help. Sometimes a one-time visit is all that is needed, but for the best care, a follow-up appointment or two is often recommended.


Insurance: I am an “in-network provider” with Aetna only. You are responsible for calling Aetna before our consult to confirm that your visits will be covered, if not, you will be responsible for the cost of the visit. Prior to our first appointment, please call to find out exactly what type of coverage you are entitled to. It is likely to be six visits, with no charge to you. In addition, while the mother is generally covered at 100%, I will also usually bill for the baby as well depending on the situation, since the baby is an integral part of the breastfeeding relationship and I do take a full history of the baby, examine the baby, observe the baby breastfeeding, do test weights and incorporate the baby into the care plan. However, please understand that there is often a co-pay for the baby. If that is a case, I will send you a bill for what you are responsible for.  ConnectiCare will cover one visit within the first 3 months post-partum.  Although the Affordable Care Act mandates lactation coverage of six visits with a lactation specialist, Anthem, Cigna and others are currently not allowing lactation consultants to be in-network providers which is technically not in compliance with the ACA.  One day we hope they will realize that IBCLCs are the “gold standard” of lactation care.  Except for Aetna, fees are expected at the time of service (I accept cash, check or credit card), and I will provide you with paperwork to submit for reimbursement. Understand, however, that Anthem and others are likely to reject your claims, though some clients have gotten partial reimbursement. (Please see more below about insurance coverage and visit my Facebook page about tools to help you get reimbursed.) (More insurance information below)


If you have financial constraints, please mention this to me. I want to make sure you receive the quality care you and baby need. Together, we can figure out a payment plan or adjust the fee so that you can be seen.  No one will ever be turned away who cannot afford my regular fee but you are responsible for discussing this with me.


Keep in mind what other professionals such plumbers, music teachers, computer techs, etc. charge for their services (often well over $100 per hour) and that a year of formula feeding is close to $2000. Breastmilk is free, but solving breastfeeding problems can be complicated and requires the advanced, specialized training & knowledge of an International Board Certified Lactation Consultant (IBCLC).  We spend years training, studying and have specialized skills that others do not receive.


Gift Certificates always make a great “shower gift”!

To request a copy of my fees, please email me at susan@forresterlactation.com

or call (860) 255-8583.


Initial Consultation

I offer two types of consults: in the comfort of your home or at my office in the center West Hartford. The initial consultation is scheduled for 2 hours, although sometimes I will take longer to work through the more complicated issues. Twin consults take longer and thus will be charged more. The initial consultation fee includes a detailed, written care plan, a report to your physician and phone or email follow-up with you, as needed, until the problem is resolved or improved. I have a special scale so that I can weigh how much breastmilk your baby is getting at your breast. Occasionally, all that’s needed is a one-time initial consult.  However, it is suggested that you budget for at least 2 consults -- the first to assess and design a care plan for the first 24-72 hrs., and a follow-up to re-assess how things have progressed or changed. Many breastfeeding issues can take time and attention to resolve.


Follow-up Consultation

In some cases, one or more follow-up visits may be necessary to measure progress, improve latch, deal with new, but related issues, or provide confirmation of improvement (weight gain, milk transfer, etc.). On my care plan I may suggest that a follow-up appointment may be necessary but I will leave that up to your discretion. If, however, after the first week or two, the problem is not resolving and cannot be adequately addressed over the phone, I will suggest a follow-up consult to reassess the care plan.  (Fee is pro-rated in 15 minute increments.)


Phone Follow-up

I am committed to working with you to help you resolve the problem for which the initial consult was scheduled. I will make a phone call within the first 24-48 hours after the consult. After that, I will depend on you to call me when you have questions, concerns, or successes to report. The best time to call me is between 9 a.m. and 3 p.m., though if you have an urgent concern that cannot wait until the morning, please do not hesitate to call. If I do not answer the phone, please leave a message and let me know how late I can return your call. 

No Charge


Weight Check

This is a quick check on how your baby is doing. We will weigh the baby and do a quick update.  This typically takes 15-30 minutes and will be charged according to my hourly rate.


Phone Consultation

If we have not had a face-to-face consult and you have a quick breastfeeding-related question, I will be happy to briefly speak. If, however, a phone discussion is taking more than 10 minutes or you are a current client with a new problem or situation not directly related to the initial consult, that does not warrant a home consultation, we can schedule an official phone consult.


Prenatal Consultation

I will go over, in great detail, all the basics of breastfeeding and how to determine whether breastfeeding going well or not once you welcome your baby into this world. Prenatals are particularly helpful if prior attempts to breastfeed were unsuccessful or you have particular medical concerns that need to be addressed.  Prenatals typically last 2 hours.



Travel

If I have to travel more than 25 miles to reach your home, I charge a travel fee to cover gas and time.  Fee based on distance.