Cash Pay Fees

Full payment is required for lactation consultations and is due in order to book your appointment unless alternative arrangements have been made in advance, for instance, you are experiencing financial hardship and you have been in touch with the office about making alternative payment arrangements.

 

Payments may be made electronically using a credit card or funds transfer. Jen Kowal IBCLC and Milkwell use SquareUp to process payments. SquareUp meets the high standards of HIPAA and the banking industry for security and privacy with regard to financial transactions. However, SquareUp may send, automatically or per your request, email or text message receipts that reveal personal health information such as the date and type of lactation visit. You do have the right to refuse payment via SquareUp at the time of booking and instead pay via automatic bank fund transfer, cash or check due prior to the scheduled appointment. If you decline online payments, you will need to reach out so your appointment can be booked manually and payment arrangements can be made. This will result in delays. Credit card on file is still required per practice policies.

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A credit card on file is required for cash pay appointments and is due in order to book your appointment. We have a ZERO REFUND POLICY so if you schedule the wrong appointment type and pay for it,the fee cannot be refunded but will be credited towards other services.  For example, if you book a cash pay visit and pay for it and then later decide to utilize insurance benefits your paid visit will not be refunded. ​

 

Cancellations of less than 24 hours will result in a charge of $150.  Please provide more than 24 hours notice when cancelling or rescheduling your visit to avoid the fee.   

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Clients are responsible for all charges associated with any past and/or future visits with Milkwell. Milkwell will charge credit cards on file for outstanding balances. Milkwell will attempt to contact clients prior to processing said payment via phone and email.  If client fails to pay the outstanding invoice(s), within 24 hours of the visit, Milkwell reserves the right to process the payment via stored credit card. 

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You will be provided with a superbill suitable for you to submit to your insurance. The superbill (which will also serve as a payment receipt) will be coded appropriately to the level of service provided during the visit. You agree to pay Milkwell/ Jen Kowal IBCLC  prior to or at the time of the visit (cash, check, credit card). 

Milkwell does not provide refunds.  You may reschedule any cancelled appointment for a future date up to 90 days from the originally scheduled date. 

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In order to be reimbursed by insurance, some policies require pre-authorization. Call your insurance carrier and request an "in-for-out" meaning in-network coverage for an out-of-network provider, and/or a Gap exception; ask the insurance company to cover the services as in-network to fill the "gap" they have in their own network by not actually having any in-network lactation consultants.   Request your insurance cover numerous visits because often we need to follow up to continue to improve feeding and comfort. Please see our blog post about GAP EXCEPTIONS. All of the information you will need to complete this documentation is provided in this blog.  Our office is not able to complete these forms for our clients.

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Please note that reimbursement for self-pay clients is not guaranteed. You are fully responsible for the out of pocket fee up to the amount of the cash pay fee regardless of how much insurance ends up reimbursing you. If you are concerned about reimbursement, please call your insurance carrier for more information.  If your insurance carrier deems us as in network providers, you may not be reimbursed by your insurance company for any fees you've paid out of pocket.  Be sure you have confirmed our in network status with your carrier.​​​