LACTORA LLC
Payment Policy
Effective Date: January 1, 2025
Thank you for choosing Lactora LLC for your lactation consultation needs. This payment policy outlines the terms and conditions for Payment, Cancellations/No-show, Rescheduling, and Service Coordination Fees, ensuring compliance with HIPAA and Lactation Consultation guidelines. By scheduling an appointment, you agree to the following terms:
Payment Terms
1. Payment Requirement: Payment is expected at the booking of services, unless otherwise noted in writing.
2. Service Fees:
• Prenatal Consultation (60 minutes): $200
• Initial Lactation Consultation (60 minutes): $200
• Follow-Up Consultation (60 minutes): $175
• Additional time: $25 per 15-minute increments
• Service Coordination Fee: $125
• Multiples (Per Additional Infant): $75
Accepted payment methods includes electronic payments processed through Square. Prices are subject to change without notice.
3. Insurance Coverage: It is the client’s responsibility to confirm and manage insurance reimbursement for lactation consultation services. Lactora LLC does not guarantee insurance payment for services provided unless otherwise specified.
The Lactation Network
Clients referred through The Lactation Network (TLN) and approved under their coverage are subject to their specific agreements and the payment terms above may not apply. The payment terms above will apply in the event that all insurance-covered visits under TLN are exhausted. For any billing, Explanation of Benefits (EOB), or insurance-related questions, please contact The Lactation Network directly at care@tln.care to speak with their support team.
A message about TLN and how they operate:
"TLN is a separate entity than your insurance but you will have full coverage under TLN (100% covered, no out-of-pocket costs through visits for you ran through TLN) – You are approved for 6 visits right out of the gate to utilize as you wish.
TLN is different than typical providers and typical insurance claim procedures in that TLN will not show as “in-network” with your insurance and your IBCLC may not either. However, when TLN approves coverage they pay your IBCLC directly for visits and then submit to your insurance for reimbursement to at least recoup what TLN has paid the IBCLC for the visit already. From there if insurance denies the claim, we have a full team who goes back and forth with insurance adjusting coding, etc to again recoup what has already been paid for the visit.
Typically lactation care poses a lot of challenges for families, not allowing IBCLCs in-network at all and then families end up paying out-of-pocket and chasing insurance down for a reimbursement, doing that back and forth themselves. TLN saw this was not fair and under a law in the Affordable Care Act, lactation care is supposed to be preventative care (no deductible, co-payment, no out of pocket cost for families) yet insurance companies still made it very hard for families to actually use their insurance for lactation care. That’s where TLN comes in. TLN make this process seamless for families, and when we say you won’t receive a bill for any visits through TLN, we mean it!"
Claims for my care will be submitted directly to The Lactation Network - TLN (if approved prior to consult).
Service Coordination Fee
1. Service Coordination Fee: A non-refundable fee of $125 may be applied to in-home visits. This fee is not covered by insurance and the clients full responsibility.
2. Payment of Service Coordination Fee: The fee will be added to your invoice upon scheduling and charged to the credit card on file.
Rescheduling, Cancellation, & No-Show Policy
At LACTORA LLC we understand that unexpected changes can arise. To provide flexibility while maintaining fairness, we have the following policy for appointments rescheduled or canceled with more than 24 hours’ notice and if notice is provided within 24 hours of your appointment.
Rescheduling Policy
• Appointments may be rescheduled at no additional charge if a
request is made at least 24 hours prior to your scheduled time.
• Rescheduling requests received less than 24 hours before the
appointment may incur a Late Change Fee of $75, except in cases
of true emergencies.
Cancellation Policy
• Cancellations made with more than 24 hours’ notice will not incur
any fee.
• Cancellations made within 24 hours of the appointment may be
subject to a Late Cancellation Fee of $75.
No-Show Policy
If you do not attend your scheduled appointment, or arrive more than 15 minutes after your scheduled appointment and fail to notify us in advance, it will be considered a no-show.
• No-Shows: You will be charged a fee of $175, which will be charged
to the card on file, and must be paid before rescheduling.
Why This Policy?
Advance notice allows us to adjust our schedule and offer the appointment time to another client in need of care.
How to Reschedule or Cancel
• To reschedule or cancel your appointment, please contact us via
phone (301) 200-2059 or email support@lactora.com
• We recommend reaching out as soon as possible to avoid any fees.
Missed or significantly late appointments represent a cost to us, to you, and to other families–sometimes urgently in need of care–who could have been seen at the time set aside for you. To assist you in scheduling, LACTORA LLC sends reminder emails to you regarding appointments (for those not made on the same day).
Thank you for respecting our time and the needs of other clients. Your cooperation helps us provide exceptional care to every family we serve.
Agreement Acknowledgment
By scheduling and/ or attending an appointment with LACTORA LLC, you acknowledge and agree to the terms outlined in this Payment Policy. If you have any questions or concerns regarding this policy, please contact us prior to your appointment.
Thank you for trusting LACTORA LLC with your breastfeeding journey.