Since the Affordable Care Act mandated most private medical insurance policies to cover lactation services, it can and SHOULD be a reimbursable expense at 100% with no cost-sharing. However, due to current legislation in NC, becoming “in-network” is extremely difficult for IBCLC’S. That said - We are not currently participating in any insurance plan directly or medicaid, due to the extensive amount of time that it takes to keep up with (for a small lactation practice like ourselves - there are just two of us!). We charge at the time of service, provide you with a superbill that has selected medical coding and cost of services breakdown, which you can then submit for reimbursement through your medical insurance provider(along with their specific claims form).
You can always call your insurance-provider prior-to scheduling to ask about coverage for lactation services. Check out the Insurance Reimbursement Section under the Resources listed below for helpful tools regarding the filing process (pages 6-8 of the NWLC toolkit link have a great script to use - it’s a little lengthy but has great info - as well as a list of questions to ask if a phone call is made).
Did you know? Currently, there are no “in-network” outpatient Lactation Consultant (IBCLC) Providers in New Hanover county! If your policy states that lactation services are covered - they should be paid at 100% and treated as in-network since the only providers available within 30 miles are considered “out-of-network”
We send a letter to any Medical Insurance Providers that contact us requesting additional information regarding a claim submission. You can view a copy of this letter here
cost of services
This can vary depending on complexity, what services you need, and where you are located. Our community prenatal breastfeeding class is free and open to anyone who would like to attend(offered every other month). All other in-person services including private individual and group classes, baby weight-checks, express-visits, virtual, initial, and follow-up lactation consults range from $50-$200 depending on duration/time-involved (specific to each appointment).
Do you live outside of the Wilmington area? Have no fear, we travel! Depending on distance, we will try our best to accommodate your family’s needs. That said, due to driving time and gas costs, there is a travel fee for in-home lactation consults located outside of a 10-mile radius ($.50 per mile each way over 10mi). Contact us to inquire about scheduling an in-home visit outside of Wilmington, we will do our best to accommodate every family looking for breastfeeding support!
medical insurance reimbursement
NWLC Resources Link
Returning to Work Toolkit - NC Breastfeeding Coalition
Aeroflow Breastpump Comparison Chart
Hand Expression video
Plugged Ducts & Mastitis
How to Use a Nipple Shield
Increasing Milk Supply:
helpful breastfeeding links:
general breastfeeding resources
Infant Risk Center: 806-352-2519 (Please consult your physician regarding medications taken while breastfeeding)
It ain’t easy - KellyMom
The Nursing Mother’s Companion: Revised Edition, Kathleen Huggins
Womanly Art of Breastfeeding, La Leche League International
For Working Moms:
Nursing Mother, Working Mother, Revised Edition, Gale Pryor and Kathleen Huggins
Local Support Groups:
New Hanover Regional Medical Center: Mother’s Milk Club
Meets weekly every Monday and also monthly on the 1st Sunday 11am-12:15pm @ 3rd floor lobby of Betty Cameron Women & Children’s hospital at NHRMC
910.667.5192 or 910.667.3933
Breastfeeding USA, Wilmington Chapter
Local Chapter Facebook Page
Meetings the 3rd Saturday of each month at New Hanover County Pine Valley Library
Text/Phone Support: Natalie Ward @ 910.679.6426
La Leche League
Local Chapter Facebook Page
Warm Line: 910.375.9555
Brunswick County La Leche League Leaders:
New Hanover County
Norma Escobar IBCLC, RLC
Brunswick Co. (Brooke Rhyne)
910.253.2877 Jill (Leland)
WIC Director, Maureen Hubbard: 910.259.1294.
BF Coordinator/IBCLC, Melanie Boullion (available Tuesday-Thursdays): 910.270.5103