Payment Policies
Insurance (in-network) clients: Claims for my care will be submitted directly to The Lactation Network (check your coverage here) and client might be eligible for home visits free of charge. If one of us (me or my baby) is on different insurance and therefore out-of-network for Golden State Lactation, IBCLC, I agree to pay $200 per visit after the initial $250 first time visit. Virtual visits are $150. I will receive a superbill for this amount and can submit for out-of-network insurance.
If I have different primary insurance that is out-of-network for Golden State Lactation, IBCLC, I understand that I must pay the full self-pay fee up front as a deposit. I will not be refunded for any amount either insurance applies to cost-sharing. I will only be refunded if and when Golden State Lactation, IBCLC receives payment directly from either insurance, and only for the specific amounts paid by my insurance(s). Golden State Lactation, IBCLC may keep any amount paid by my insurance(s) over and above the deposit I paid.
Golden State Lactation, IBCLC is providing care to me and to my baby or babies; together we are all the client of Golden State Lactation, IBCLC.
My initial visit includes 1 week of follow up support by messaging, email, or text. Continued support is available for a weekly fee of $50. These fees are elective and not eligible for insurance reimbursement.
If my location has a travel fee applied, I understand that this is not eligible for insurance reimbursement.
I am responsible to verify my own lactation benefits. Golden State Lactation, IBCLC can only see that I have benefits, they cannot see if I have any special circumstances that might prevent my insurance provider from covering services. If my plan denies coverage of lactation services after the claims have been submitted, I am responsible to pay at the self-pay rate. I understand I should refer to my plan benefits and call my insurance directly to verify lactation coverage.
Golden State Lactation, IBCLC may communicate with my insurance company in reference to the services provided to me and my baby or babies. Golden State Lactation, IBCLC may communicate with my credit card company or bank for any payment related matters. It is my responsibility to provide accurate and current payment and insurance information. I will update my credit card information as needed and am responsible for any costs and fees associated with my failure to provide updated information.
These policies apply to Golden State Lactation, IBCLC and its representatives.
Self-pay (out-of-network) clients:
If you request it Golden State Lactation will provide you 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 Golden State Lactation prior to the visit (credit card/cash/check).
Clients agree to pay Golden State Lactation $200 per visit after the initial $250 first time visit. Virtual visits are $150. I will receive a superbill for this amount and can submit for out-of-network insurance.
These policies apply to Golden State Lactation, IBCLC and its representatives.
Payments may be made electronically using a credit card. I 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. If you are not comfortable with this, payment may be made via cash or check instead.
Cancellation policy: I understand that I am responsible for all charges associated with this visit. If I cancel with less than 24 hours notice, my credit card on file will be charged in full. If you cancel your appointment with more than 24 hours a refund will be issued less the cost of the Square transaction fee (the fee to run your credit card) which is 2.6% + 10¢.