Q: What if mom and baby have different insurance carriers?

If we can't bill an insurer for either the parent or baby , you’ll need to pay a non-covered patient fee: $80 for the parent and $60 for the baby. If we can bill insurance for both patients, you might also pay extra if the plan : Doesn't cover lactation visits billed to the baby's plan. Puts a cap on the number of visits and you've used them all up for either the baby or the parent. Adds copays, coinsurance, or deductibles to the baby’s claim.

Q: Are there any other fees or charges I may have for the visit?

There are some fees that are not covered by UHC, regardless of your plan. If we know that a fee will not be covered, these fees will be billed to the patient. Examples of non-covered services include the Home Visit Trip/Convenience Fee or a late cancellation or no-show fee. If you have chosen to have a home visit, our standard trip fee/convenience surcharge will be charged to your credit card following your visit. This fee is NOT billed or covered by insurance.

Q: Why do I need to provide a credit card before my appointment?

We require that all patients have a valid card on file to secure the booking of their initial visit. We will not schedule your appointment without having a valid card on file. * You are authorizing us to save the card on file and use it to process the following fees: Late cancellation / no-show fees Home Visit Travel Fee Copay/ Coinsurance / Deductible Non covered / denied services Non covered patient fee for mom or baby who does not have a billable insurance

Question 1

Is Bayou City Breastfeeding an in-network provider?

Accepted Answer

Yes, Bayou City Breastfeeding is in-network with most United HealthCare Plans.

Question 2

What is the difference between an in-network and out-of-network provider?

Accepted Answer

An in-network provider has a contract with your insurance company and agrees to provide services at a contracted rate, which is usually discounted. An out of network provider does not have a contract with your insurance company and may charge any rate for their services. Some plans cover out of network providers and other require you to see an in-network provider.

Question 3

What if mom and baby have different insurance carriers?

Accepted Answer

If we can't bill an insurer for either the parent or baby, you’ll need to pay a non-covered patient fee: $80 for the parent and $60 for the baby.

If we can bill insurance for both patients, you might also pay extra if the plan:

Doesn't cover lactation visits billed to the baby's plan.
Puts a cap on the number of visits and you've used them all up for either the baby or the parent.
Adds copays, coinsurance, or deductibles to the baby’s claim.

Question 4

Will I have any out of pocket costs?

Accepted Answer

Cancellation fees and travel fees for home visits are not billed to insurance. These are billed to the card on file within 24 hours of your appointment/ cancellation. We also see roughly $41.68 applied to baby's initial claim.

Question 5

Are there situations where my insurance won't cover lacatation visits?

Accepted Answer

United HealthCare does not cover the cost of virtual telehealth visits. These will be billed at our discounted cash pay rate of $125.

Marketplace plans and Oxford Health plans along with US Health Group plans do not cover lactation services. These plans will be billed at our discounted cash pay rates if they cannot be billed through our partner, The Lactation Network.

Question 6

Do I need to do anything for insurance coverage or get a referral prior to my visit?

Accepted Answer

We always encourage you to check if lactation is covered through your plan. You can search for "Lactation Specialists" by logging in to your UHC portal. You may have to expand the mileage to 50 miles to find us.

Question 7

Are there any other fees or charges I may have for the visit?

Accepted Answer

There are some fees that are not covered by UHC, regardless of your plan. If we know that a fee will not be covered, these fees will be billed to the patient. Examples of non-covered services include the Home Visit Trip/Convenience Fee or a late cancellation or no-show fee.

If you have chosen to have a home visit, our standard trip fee/convenience surcharge will be charged to your credit card following your visit. This fee is NOT billed or covered by insurance.

Question 8

Why do I need to provide a credit card before my appointment?

Accepted Answer

We require that all patients have a valid card on file to secure the booking of their initial visit. We will not schedule your appointment without having a valid card on file.

* You are authorizing us to save the card on file and use it to process the following fees:

Late cancellation / no-show fees
Home Visit Travel Fee
Copay/ Coinsurance / Deductible
Non covered / denied services
Non covered patient fee for mom or baby who does not have a billable insurance

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Policies for Clients with United Healthcare Insurance

Billing Policy