
PAYMENT AND INSURANCE
Now offering lactation office visits at Byenveni Baby
12665 SW Hall Blvd, Portland, OR 97223
Please email me if you prefer a home visit. A travel fee will apply.
Home visits are limited and prioritized for families in the first 4 weeks postpartum.
Prenatal consult: $125
Postpartum consult: $200
Home Visit fee: $25-$75 (by mileage)
My services may be covered by your insurance plan! The following can be billed for lactation visits:
United Health Care (in network)
PacificSource (in network)
Aetna (in network)
Moda (in network)
Regence Blue Cross Blue Shield (in network)
Cigna (in network)
TriCare (virtual visits only)
Cash Pay Clients: Payment in full is due at the time of service. Prices reflect a 3% credit card processing fee - payments with cash or check are eligible for a 3% discount. Lactation services are covered under the Affordable Care Act and you can use HSA/FSA cards for payment. Depending on your health insurance coverage, some of my services may be eligible for reimbursement. Please contact your insurance provider directly to find out the coverage limitations for your specific plan. I will provide an invoice or “superbill” for you to submit directly to your insurance company to seek out-of-network reimbursement.
It is up to you to investigate your coverage and you are responsible for any charges insurance does not cover.
For those with financial circumstances that limit access to these very important services, please ask about options for a payment plan or sliding scale charge. Payment arrangement must be made prior to services being provided. Qualification will be determined on an individual basis.
Questions to consider asking your insurance carrier prior to your appointment:
What is my coverage for out-of-network Lactation services?
Is my provider required to be credentialed as an out-of-network provider for me to receive reimbursement? If yes, please let Robin know.
Does my insurance exclude home visits for lactation services (location code 12)?
Do I have a co-payment or is there a percentage of the bill I will be responsible for?
Does my plan require a deductible to be paid for the calendar year before the coverage begins? If so, what is the dollar amount?
Does my insurance plan only cover a limited number of sessions for each calendar year?
Is there a fax number I can use to submit therapy superbills (Robin will provide superbills to you)* If not, what address should be used?
Is there an additional form to be submitted with superbills?
* When submitting superbills to insurance please be sure to specify that you would like direct reimbursement.