We offer virtual and in person lactation consults in our beautiful office in Bloomfield one mile from exit 151 on the GSP, Rt. 3 and Rt. 46.
BOOKING YOUR APPOINTMENT
We are a Teaching Practice
Our practice believes in elevating the profession and supporting the next generation of lactation consultants through the clinical supervision and hands on care required to sit the board exam. All members of our team are fully trained and experienced professionals. When scheduling with Jen Kowal you may see her and/or a trusted team member. We reserve the right to reschedule your appointment based on our availability.
VIRTUAL CONSULTATION
FEE SCHEDULE
Prompt Pay Discount
New Clients $200
Established Clients $175
Please be aware there may be some limitations to virtual consultations. If you are struggling with painful latch or need comprehensive evaluation, an in office visit may be better suited for your situation.
IN OFFICE CONSULTATION
FEE SCHEDULE
Prompt Pay Discount
Prenatal Visit: $200
Initial Visit: $325
Follow Up Visit: $200
We are currently out of network with all insurance except Aetna + Amerihealth.
We will provide you with a superbill to submit to insurance for your own reimbursement.
Policies
ALL CLIENTS
Please read regarding electronic payments.
A credit card on file is required for lactation consultations and is due in order to book your appointment.
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. You will need to reach out so your appointment can be booked manually and payment arrangements can be made. Credit card on file is still required per practice policies.
BILLING INSURANCE
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AETNA /Amerihealth clients: Jen Kowal is in-network with Aetna and AmeriHealth insurance companies which means we will submit your fees for Aetna’s consideration. It is imperitive that you check your policy for its coverage. If your policy does not cover lactation you will be responsible for the full payment up to the discounted cash pay fee. Aetna’s usual and customary allotment for each procedure code will satisfy your account; ultimately, each client remains responsible for full payment for services. Aetna clients can expect us to submit a claim for both the parent and the baby. If baby is on a different policy than the parent, the parent will be billed separately for the baby's share of the fee, $71.50.
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If your Aetna policy denies any part of the claim, Jen Kowal IBCLC and/or the practice biller will appeal the denial one time. If the claim remains denied or not paid in full as is usual and customary you are responsible for the balance only up to the cash pay fee. Milkwell may charge your card on file for any outstanding balance.
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If Aetna eventually pays, you will be reimbursed within 14 days. You are responsible for providing accurate insurance information and informing of any changes in your insurance status; if you do not have coverage at the time you are seen by Jen Kowal IBCLC, you will be responsible to pay at the practice's self-pay rates outlined above and you will be billed accordingly.
SELF-PAY
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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.
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Full payment is required for lactation consultations and is due in order to book your appointment unless alternative arrangements have been made in advance. Cancellations of less than 24 hours will result in a charge of $50. Please provide more than 24 hours notice when cancelling or rescheduling your visit to avoid the fee. Any refunds that may be issued will be minus the credit card service charge that we are charged by the credit card processing company.
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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 Jen Kowal IBCLC prior to or at the time of the visit (cash, check, credit card, or FSA).
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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.