Policies, Fees, and What to Expect

We believe in transparency, so our fees are laid out with no surprise billing.
For a first time consult (parent and 1 baby), we plan for up to 90 minutes of in-home support with our IBCLC. Our initial consult self-pay rate is $200 and we provide a Superbill that you can submit to your insurance for reimbursement. Our consults do require a $50 deposit at the time of booking in order to confirm your appointment that will apply your service

Often, a follow-up visit may be necessary for more complex issues. Follow-up visits are reserved for families that we have seen in recent months and the self-pay rate is$175 for up to a 60-minute consult. If you are a repeat client with a new baby, please book an “initial visit”

With every set of multiples, we know there is more time needed to provide enough love for all. For consultations for multiples, we allot more time to be able to support all the babies at the breast. For this reason, we charge and additional self-pay rate of $50 for each additional baby that comes with an additional 30 minutes of our time.

Because of of our passion for what we do, we choose to provide support to an extensive service area covering San Antonio and the surrounding areas, to include Boerne, Bulverde, Hondo, Lytle, New Braunfels, and Seguin. This often means we are driving 45min to an hour between each appt.

To ensure we can continue providing in-home lactation care across the wide service area we cover we collect a $50 Travel/Admin Fee for initial visits. This fee helps us bring compassionate, personalized support directly to your doorstep.

The Travel/Admin Fee acts as a non-refundable deposit and is due at the time of booking. For follow-up visits, this fee is reduced to $25 per visit.

As part of our cash-pay discount, this fee is waived for cash-pay customers. (deposit still applies)

Lactation is unique in that we have TWO separate patients that we have to assess and chart. Which means we bill insurance for both the lactating parent and baby. If baby is on a different insurance plan, we will assess if we can bill for baby. In the case that we are not in-network with the baby’s plan, a $75 “out-of-network” fee may apply to cover the baby’s portion of care.

Dawna is directly in network with United HealthCare and can accept Aetna and Cigna through third-party partnerships. Check our Insurance Page for more details on how to qualify

We personally understand the unique challenges faced by families that are on Medicaid. As a result, we are happy to offer to a discount on services for those families who receive Medicaid of 30% off initial visits and 25% off all follow-ups or prenatal visits. When booking your visit, simply inform us that you have Medicaid and we will confirm at the time of visit. Please note, the $50 deposit will still apply.

Our cancellation policy is designed to ensure the efficient scheduling of appointments and honor the commitment of our practitioner. We often have families reaching out in desperation and want to see everyone in a timely manner. A deposit of $50 is required to secure your appointment as it helps us ensure that we can allocate the necessary time and resources to provide you with the best possible lactation support. This deposit is non-refundable unless you cancel more than 48 hours in advance. We do understand, however, that sometimes unexpected things come up. For appointments scheduled within 24-48 hours, you may contact us to reschedule and your deposit will be transferred to the new appointment. This option may only be utilized once without a new deposit and the deposit is non-refundable if the rescheduled appointment is subsequently canceled. Once your appointment is within 24 hours, the deposit is non-refundable and your card on file may be charged a $50 cancellation fee, except in the case of a true emergency.

If we have an emergency come up on our end, we will make every effort to reschedule to another time or refer you to another trusted IBCLC. If we are not able to do so for any reason, we will absolutely refund your deposit!