We do not provide breastfeeding advice to non-established clients. We believe it is not safe or appropriate to provide counseling and support without first assessing the whole picture in person.
We require a 24 hour notice for cancelling your appointment. We have a lot of mamas who desperately need appointments. When you give us 24 hours notice, we can fill your appointment slot with a mama in need.
Insurance and Payment
Before scheduling your appointment, please verify that we are in network with your insurance company:
You can find your insurance contact information on your ID card.
ICD codes: 99205, 99215
When you call your insurance company, provide them with The Birth Center’s NPI number 1902975659. This number is needed in order to receive the correct reimbursement information. The codes that we will bill are 99205 for a first visit and 99215 for follow up visits. (Do not ask for lactation coverage use the codes provided above).
** For Aetna patients: Please be aware that Aetna will cover up to 6 lactation visits with no copay for the mother. However, the baby is subject to a specialist copay and/or deductible.
Important Questions for You to Ask Your Insurance Company
- Is my policy in network with the NPI provided?
- What is my coverage for the following codes 99205 and 99215?
- With these codes (99205, 99215) will I be subject to a deductible, copay or coinsurance?
- You will also want to find out the coverage for both mother and baby as they can be different:
- Are we in network with this insurance?
- Are those codes reimbursable?
- Will copays and deductibles apply?
Both the mother and baby are charged the same fee- $234.00 for the initial visit and $208.00 for follow up visits. Therefore totals for the initial visit for both mother and baby are $468.00 and follow up visits would be $416.00. This is the total before any insurance payment, allowed amount, deductible, copays and coinsurance.
What is a copay?
A copayment or copay is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service.
What is a deductible?
In an insurance policy, the deductible is the amount paid out of pocket by the policyholder before an insurance provider will pay any expenses.
Why are there two copays for my visit?
We evaluate and support both the mother and baby therefore we charge two copays. We spend a significant amount of time that could extend up to an hour and a half evaluating and providing care for you and your baby.