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Company FAQs

Lactation Consultant FAQs

What are the qualifications of your lactation consultants?

Our lactation consultants are healthcare professionals certified as International Board-Certified Lactation Consultants (IBCLC), who specialize in the clinical management of breastfeeding. IBCLC certification requires thousands of hours of experience and training in anatomy, physiology, sociology, psychology or counseling, child development, nutrition, and medical terminology. IBCLCs have a unique body of knowledge and skill to provide breastfeeding and lactation care in routine and high-risk situations. The availability of ICBLCs increases breastfeeding rates, which, in turn, improves the health outcomes of the community, nation, and the world.

The IBCLC is the only certification that requires clinical experience in lactation as a pre-requisite to becoming certified. The IBCLC certification requires renewal through education or examination every 5 years. The Centers for Disease Control and Prevention (CDC) and the US Surgeon General consider IBCLCs as integral to the quality of breastfeeding management.

Who provides board certification for lactation consultants?

How can you verify an IBCLC?

You can go to the Public Registry for the International Board of Lactation Consultant Examiners to verify an IBCLC. IBLCE updates the online registry two times a year, in January and July.

Telehealth FAQs

What is telehealth?

Telehealth is a rapidly evolving and growing field in healthcare where clinical information and services are delivered using telecommunications technology.

Is telehealth safe?

Yes. Telehealth has been clinically proven to be a safe and cost-effective means of providing medical care when used under expert-developed guidelines and best practices. The American Telemedicine Association (ATA) has produced a series of standards, guidelines, and best practices for healthcare providers to ensure that they are using telehealth responsibly.

The ATA is an excellent resource for those wishing to learn more.

What is the distinction between telemedicine and telehealth?

While some have parsed out unique definitions for each word, ATA treats “telemedicine” and “telehealth” as synonyms and uses the terms interchangeably. In both cases, we are referring to the use of remote health care technology to deliver clinical services.

Do private insurance plans usually cover telehealth services?

More than 30 states and the District of Columbia require that private insurers cover telehealth the same as they cover in-person services. Many other insurers cover at least some telehealth service–and many more have expressed interest in expanding their telehealth coverage. To find out if your insurance company covers our telehealth services, please contact us and we will inquire on your behalf with your benefits manager.

Nest Collaborative FAQs

How can Nest Collaborative lactation consultants help you?

At Nest Collaborative our lactation consultants provide breastfeeding support for parents and parents-to-be, anywhere, anytime. Nest Collaborative is a collection of IBCLCs who conduct online, video appointments to help guide parents through the breastfeeding process–from beginning to end.

In using telehealth through telecommunications technology we provide lactation support for prenatal and postpartum parents that addresses many lactation concerns including pain, milk supply, latch, positioning, pumping and storage concerns, and return-to-work planning. Additionally, we can effectively assist with other concerns as they relate to breastfeeding such as sleep, mood changes, maternal self-care, and more.

Check out our website for a further breakdown of all the Services and Expertise we can offer you.

When is the best time to call a Nest Collaborative lactation consultant?

You should call a Nest Collaborative lactation consultant prenatally and/or just after your baby arrives. Many of our clients call about general concerns or for advice, but we also offer moral support and encouragement and can help you work through some very specific issues such as:

  • Your baby isn’t gaining weight.
  • Your breasts or nipples just hurt.
  • Your baby has special needs.
  • You have twins or triplets.
  • You had breast or nipple surgery, breast implants, or a mastectomy.

At Nest Collaborative we know breastfeeding can be challenging, so we are here to help. Book an appointment today.

Do you prescribe medications?

Our lactation consultants do not prescribe medications. For lactation-related concerns that may necessitate pharmacological therapy, we work directly with your medical providers to assist you in getting the appropriate care, if authorized by you directly.

How do you set up a consultation with a lactation consultant?

At Nest Collaborative, we’ve put together a seamless process that allows you to set up a consultation all from the comfort of your home. It works like this:

  • You schedule an appointment online, directly from our website, selecting your preferred provider, date, and time.
  • You provide your insurance information in our secure patient portal, and our team confirms all information.
  • You receive an email confirmation and an invitation to complete your registration.
  • You complete your questionnaires at least 1 hour prior to your visit.
  • You prepare for your consultation finding a well-lit, private, and comfortable space with a good WiFi connection to share your concerns with one of our consultants.

What can you expect during your consultation?

During your virtual appointment, your lactation consultant addresses the concerns you identify as most important and creates a plan that works for you. She also collaborates with your primary care team to keep everyone in the loop.

What do you mean by a virtual appointment?

A virtual appointment means all your healthcare is delivered via live two-way audio/video telecommunication technology from the comfort of your home. You don’t need to drive anywhere.

What if there are connection problems?

We recommend that you always use the most reliable method available to you to access the internet. WI-FI is preferred over cellular, and a wired network is preferred to wireless, though most high-speed wireless connections are sufficient.

If you lose connectivity, try to reconnect. If a connection cannot be established, your consultant will call you at the phone number listed on your account. Alternatively, you can try reaching your consultant by calling our main line at 888-598-1554.

If at any time during a telehealth visit, regardless of connectivity issues, you suspect you or your child is having an emergency, call 911 immediately.

Does Nest Collaborative take insurance?

Yes, many states mandate FULL coverage of lactation services via telehealth for MOST health insurance carriers, with no copays or deductibles. If we determine that your health insurance plan doesn’t cover our service, we will let you know prior to confirming your appointment. Discounted rates are also available if your plan will not cover our service.

Note that while most plans cover our visits at 100%, self-funded and Medicaid plans may not provide full coverage.

Currently, we are in-network with:

  • Blue Cross Blue Shield
  • Aetna
  • United Healthcare
  • Oxford Healthcare
  • Husky (CT)
  • Cigna
  • Johns Hopkins Healthcare (EHP)
  • Tricare (Prime and Standard)
  • Multiplan

How much is a visit?

Most commercial health plans cover our lactation visits at 100% with no co-pay and no deductible. This is provided under state and federal ACA mandates. For members of our contracted networks (as specified above), there are no out-of-pocket costs, and we will bill directly to your health plan.

Discounted rates are available for members of other networks or who are uninsured. The Standard Lactation Consultation Fee is $99 for a 50-minute session and $79 for Medicaid members.

Why do you need my credit card information?

All appointments require a credit card to secure your appointment and registration. Your card will only be charged if you fail to cancel or reschedule your appointment within 2 hours of your appointment. A $25 no-show fee will be charged to your card.

For direct pay clients who agree upfront to a discounted fee for service when their plan will not cover their visit, their credit card will be charged.

Do you accept HSA or FSA benefit credit cards?

Yes. You are welcome to use an HSA or FSA benefit credit card as supplied by your benefit provider to pay for services. We are an eligible health expense.

Why do you ask for my health history?

Access to yours and your baby’s health history greatly improves the effectiveness of the telehealth-based interventions we provide. The more we know about you and your baby ahead of the visit, the more individualized care we can provide.

Can another adult join me during the consultation?

Of course! We suggest you have a support person join you. Your consultant will confirm his/her presence is okay with you at the start of your visit.

Do you offer consultations in languages other than English?

Yes! We have IBCLCs that speak Spanish, Portuguese, and Urdu. Book with Oneida Segura, Jocelyn Milanes, or Patricia De Lima for Spanish, Patricia De Lima for Portuguese, and Maria Itani for Urdu.

I have an HMO, do I need a referral?

Yes, you will need a referral from your PCP but we will get it for you! We will put in the request for the referral once you book your appointment–and that appointment can still be booked for today if you like.

I have Medicaid, will my visit be covered?

Most Medicaid plans cover our visits, but you must have prior authorization which we can initiate once you book your appointment. If your Medicaid plan won’t cover the visit, we’ll let you know ahead of the visit, and can offer you a discounted rate of $79.

How do I book an appointment?

The fastest way to book an appointment is through our Book Now button! Select Choose by Time for the next available appointment or Choose by Consultant to read a quick bio of each of our lactation consultants!
Do you have questions before you want to book? Give us a call and one of our customer service team members can assist you: 888-598-1554 Otherwise, please visit our Breastfeeding Support section.

How can I Confirm/Cancel/Request another appointment?

If you are a client, you can respond back to the automated text message to either Confirm or Cancel your appointment.
To reschedule your appointment or request a follow-up appointment, call our main line 888-598-1554 or email our customer service team: customerservice@nestcollaborative.com

When can I be seen? 

We typically have same-day appointments available. If you have an urgent matter and do not see an appointment for that day, please contact customerservice@nestcollaborative.com or chat with us using the chat bubble in the lower right hand corner of the page, and we will do our best to get you seen as quickly as possible.

What is the Patient Portal?

All new clients will receive an invitation to register into their patient portal through our electronic health record platform- Charm EHR. Please check the email used when registering for your initial appointment. This patient portal gives you access to fill out your health history intake form, any follow-up appointment questionnaires and view your visit summary after your appointment with your consultant.
For returning clients, simply log back into the patient portal: https://phr.charmtracker.com/login

Questions about inducing Lactation: Is it covered by my insurance? Cost?

Generally, insurances will not cover this specific visit type if there is no baby present. You can certainly call your insurance to verify. 
Here at Nest Collaborative, we are happy to assist in inducing lactation and all of our lactation consultants are qualified to do so. The out of pocket cost for each visit would be $99 USD. 

Do I have to be present at the consultation or can my partner be in my absence? 

We do require the breastfeeding/chestfeeding parent to attend the consultation. We strongly encourage partners to join if they are available and interested, as they will also learn about breastfeeding and can help during the consultation if the breastfeeding parent has their hands full!

Can you support unique challenges such as PCOS, unique feeds/medically fragile, LGBTQ+I, Surrogacy, etc?

Our lactation consultants are all qualified to support special circumstances and would be more than happy to assist your needs!

Do I need a breast pump to be seen?

You do not need a breast pump during your lactation consultation. However, if you have questions about your pump or need help, we encourage you to have it nearby so we can assist as needed.

Late Cancellation/No Show Policy

At Nest Collaborative, we are committed to making it easy for you to focus on what really matters during this extremely tender time. We take care of you, so you can care for your baby. As soon as your active Insurance/Medicaid information is submitted to us, our services are available to you with no out-of-pocket cost (no co-pay, no deductible). For self-pay and uninsured families, we charge a discounted rate of $99/visit. If you are experiencing financial hardship, please contact our team ahead of your visit (billingsupport@nestcollaborative.com).

Out of courtesy to our consultants and families on our waitlist, please provide at least 24 hours notice if needing to reschedule or cancel. Changes made within 24 hours, and arrivals more than 15 minutes late, may incur a fee of $25.

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