insurance filing

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).


service area

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!


RESOURCES

medical insurance reimbursement

expressing milk/breastpumps:

Common challenges:

helpful breastfeeding links:

general breastfeeding resources

Book recommendations:

  • 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 Resources:

WIC Resources:

  • New Hanover County
    Norma Escobar IBCLC, RLC
    910.798.6542
    910.798.6657

  • Brunswick Co. (Brooke Rhyne)
    910.253.2878 (Shallotte)
    910.253.2288 (Bolivia)
    910.253.2877 Jill (Leland)

  • Onslow Co.
    910.989.3954

  • Pender County
    WIC Director, Maureen Hubbard: 910.259.1294.
    BF Coordinator/IBCLC, Melanie Boullion (available Tuesday-Thursdays): 910.270.5103