Self-Pay

If the lactating person is covered by BCBS of Massachusetts, Mass General Brigham, Harvard Pilgrim, or Tufts, I am an out-of-network provider and you should book a consult as a Self-Pay client. Typically, these major plans will reimburse you 100% for an unlimited number of consults, see Reimbursement Information, below, for details. If you are covered by Aetna, United, or Cigna, I am likely in-network with your plan, please follow the appropriate link for details.

If you are covered by ANY other insurance plan not listed above, you are also a Self-Pay client, reimbursement rates vary.

  • Typically, the 4 major Massachusetts insurance companies (BCBS of Massachusetts, Mass General Brigham, or Harvard Pilgrim, or Tufts) will reimburse families 100%: you self-pay for the consult and then request reimbursement using the provided superbill. As a complimentary service for my clients, I will file your out of network claim to your insurance payer on your behalf if you have one of these 4 listed MA-based insurance companies.

    Lactation care is mandated to be covered under most insurance plans per the Affordable Care Act but the companies vary in terms of how they approach the mandate. I encourage you to call your insurance company and ask about their policy and process regarding reimbursement (not coverage) of lactation support for an out-of-network provider. I cannot guarantee reimbursement.

    I also accept HSA/FSA cards; contact your HSA/FSA company directly to verify coverage.

  • All In-Home Consults are subject to a $50 Home Visit Convenience Fee. The price listed when booking your consult is inclusive of this fee. You can avoid this fee by booking an Office Consult.

    For families in the grey shaded towns on this map, there will be an additional $50 Extended Travel Fee that is ineligible for insurance reimbursement.

  • MassHealth plans are usually NOT eligible for reimbursement. Discounted services available for families participating in WIC or covered by Medicaid/MassHealth (please contact me directly to use this service).