What happens at a consultation?
We start a consultaiton by taking some time for us to get to know each other. Then, we will take a thorough history of your pregnancy, birth, health history and nursing experience, and we will explore what difficulties you are currently going through. Most likely, We will be gently examining you and your baby. We would very much like you to feed your baby while we arethere, so we can both see what is happening. I will bring my pediatric scale with me and we’ll weigh your baby.
Most initial visits last about 1.5-2 hours. We'll be together until all of your questions are answered. We will discuss a care plan with suggestions or referrals to other providers (if necessary). We will send a full report to the baby’s pediatrician and/or your health care provider. If your health insurance is one that we accept, you do not have to do anything except bring your card. If not,
Includes 1.5-2 hour visit either in my office or (my schedule permitting, in your home) and full communication with your child’s pediatrician and/or your Midwife/Ob/Gyn. Phone/email follow-up included at no extra cost and is encouraged. Twins or multiples would be an additional charge.
Home visit convenience fee of $25*
and travel fee if you’re more than 15 miles from our location.
***Client is responsible for a cancellation fee of $50
if appointment is canceled in less than 24 hours of visit time.
Usually lasts 1+hour. We’ll review how your care plan is working for your family and reassess any breastfeeding concerns you may have. Phone/email follow-up included and encouraged.
You’ll have a personalized one-on-one visit and you’ll have an opportunity to get all your pressing questions answered and concerns addressed. We will do a breast exam and discuss prenatal hand expression, which can help you have more milk when your baby gets here. .
Sometimes I can answer a quick breastfeeding question but if the questions you have are more detailed and they can be discussed over the phone we can set up an official phone consult either for a half hour for one hour.
This is a quick check on how your baby is doing. We will weigh the baby and do a quick update. This wouldn’t include me staying for a feeding though. If that is needed, we’d change it to a follow up consult.
*Payment is expected at the time of the visit, unless I let you know that your insurance will be covering it.
I am in network with Aetna (including Duke), Cigna, UHC/UMR, Tricare (as a certified out of network provider).
and BCBS (not Blue Local, Blue Home, or Blue Value)
Some BCBS plans are HMOs or "grandfathered" plans that don't cover lactation visits. We can check your benefits before scheduling.
I accept cash, check, credit card, or paypal.
If your insurance doesn't cover lactation visits, I can give you a superbill for you to file with your insurance company for some or full reimbursement (policy depending).
Feel free to ask me more about this and how to go about getting preauthorization for your visits. Also, please know that I do not refund visit fees.
I am an in network provider with BCBS (not Blue Home, Blue Value or Blue Local), United Health Care, Aetna (including Duke Select and Basic), Cigna, Coventry, Tricare "certified out of network" (Tricare Prime requires a referral, Tricare Select usually doesn't but your deductible may apply).
Sometimes BCBS plans are "grandfathered" which means they don't cover lactation visits, but we can check your benefits and let you know in advance.
At this time, if you are covered by a different company, you can call the number on the back of your card (*You may need to escalate this to a supervisor) and ask for a "gap authorization" stating that there is no one in network as a lactation consultant within 30 miles of your home, and that you want preathorization to have my services covered. Here is a toolkit, which may help you with the language you need to call your insurance company.
Unfortunately, some companies are just not compliant with the Affordable Care Act (ACA) which says that lactation support should be provided to moms without cost sharing to them. If you are fired up that your insurance company is not compliant with the ACA, you can send a complaint to the state insurance commissioner. Here's the link:
If you have a plan that I am not in network with, and you're upset about not getting the lactation care covered by your insurance company, the insurance company needs to hear from YOU. I try to complain, but YOU are their customer and what you have to say has a lot more weight than my comments to them.
“Leslie was so helpful to me as a new first-time mom. She came to my home and was able to help me work with "real life" breastfeeding positions (i.e. side lying in bed, tummy to tummy, etc). She was warm, kind, relatable, intelligent, proficient and very available. I was able to text with her when the day or two afterwards baby and I were backsliding into a bad latch. She sent me videos and was just so helpful! She even referred me to another fantastic backup when she was on vacation and I had an emergency follow up need. So happy to have met her and thankful! ”
Kate S - Apex, NC
“Leslie is truly great at what she does and you can tell she loves helping mothers who need extra guidance nursing. Even though she was out of town when we reached out for her assistance, she returned our call that night and we set up a meeting the next day. The holistic breastfeeding support Leslie covered included mind, body and spirit, as well as a natural approach to my nipple discomfort
and latching issues. Every new mother needs 'The Village' and I'm so glad Leslie is mine! ”