Is breastfeeding difficult?

Loving Hands can help.

Services & Pricing

Hello, I am Jennifer Lisimachio. I am a registered International Board Certified Lactation Consultant (IBCLC). I see parents and babies in the comfort of my private office, located in Hoboken, NJ. I would love to help you and your baby.

During our time together:

• I will have the chance to get to know the unique relationship between you and your baby.

• We will talk about how things are going and your hopes for your breastfeeding relationship.

• I will have the chance to observe, encourage, educate, and – in partnership with you – develop a plan to help you get to your goal or as close to your goal as we can.

• I will tailor the visit to your particular situation.

• You will leave with a 48-hour care plan, in hand.

• You can contact me, for continued questions, via email/text message for 2 weeks after your initial consultation.

I am an in-network provider with Aetna and see clients with other carriers.

Not covered by Aetna?

It is important to note that according to the Affordable Care Act, as it currently stands, lactation services should be covered. The National Women’s Law Center developed a wonderful toolkit to assist families in filing for reimbursement.

I encourage you to use the script, found on page 8 of the toolkit, to call your carrier to discover how much they will cover. At the conclusion of our time together, you can pay via cash, check or credit card. I will provide you with a superbill to use when filing for reimbursement with your carrier – you can utilize the sample letter, found on page 11 in the toolkit to submit to your insurance.

 I offer the following:

• Prenatal - @ 36 weeks (90 min.) - $250

• Lactation support (90 min.)- $250

• Follow-up consultation (45 min.) - $125

• Back-to-Work (60 min.) - $225

How I can help…

• Prenatal preparation

• Painful breastfeeding sessions/latch issues

• Nipple pain/damage

• Breast pain

• Plugged ducts (if you suspect you have mastitis, please contact your PCP – I can meet with to help you get to the root of what might have caused mastitis in the first place, but cannot prescribe necessary medications to combat it)

• Positioning

• Baby that acts fussy at the breast

• Nipple shield usage

• Suspected tongue/lip tie - pre- and post-care

• Premature babies

• Sick infants

• Managing breastfeeding with multiples

• Inadequate milk transfer

• Supply concerns - low and over

• Supplementation - balancing breastfeeding & supplementation

• Milk expression

• Milk storage

• Using a breast pump

• Strategies for returning to work

Book an Appointment

Loving Hands can help. Schedule your appointment!

Contact Me

Have a specific question?

The best way is to complete my online contact form.

Loving Hands Lactation

258 Newark St.

#206 (Between Park and Willow)

Hoboken, NJ 07030

Payment Policy

PAYMENT POLICIES

You, the client, are responsible for all fees connected with your visit(s). Jennifer Lisimachio, IBCLC, RLC reserves the right to charge a fee for the cancellation of any appointment that is in less than 24 hours of the designated start time of said appointment. For missed appointments and/or failure to cancel your appointment within 24 hours of your scheduled visit, you may be charged a fee of $50.00.

Aetna:

Jennifer Lisimachio, IBCLC, RLC is an in-network provider with Aetna. It is your responsibility to call Aetna and confirm that your plan covers lactation services. If your plan covers lactation services, Jennifer Lisimachio, IBCLC, RLC will submit your claim directly to Aetna. If Aetna applies any portion to deductible or coinsurance for you or your baby/babies, Jennifer Lisimachio, IBCLC, RLC will send an invoice. By accepting the terms of this policy, you understand that you are responsible for paying all applied charges on said invoice. If your baby is not covered under your Aetna plan, there is a fee of $25 (per child) for the initial visit and $15 (per child) for each subsequent visit. Jennifer Lisimachio, IBCLC, RLC will give care to you and your baby/babies – all are considered clients of Jennifer Lisimachio, IBCLC, RLC.

Non-Aetna:

If you do not have Aetna as an insurance carrier, the cost of an initial visit is $250. If you have more than one baby, the additional fee for each additional baby is $50 per visit. You can pay via credit card, cash or check – made payable to Jennifer Lisimachio, IBCLC, RLC. If you choose to use your Health Savings Account (HSA) or Flexible Spending Account (FSA) payment card, even if your payment goes through and is authorized at the time that Jennifer Lisimachio, IBCLC, RLC processes your card, there are times when payments are later denied for certain reasons. If your HSA or FSA payment is denied, Jennifer Lisimachio, IBCLC, RLC will send you an invoice and you will be responsible for payment, in full, using a different form of payment. The cost of a follow-up visit is $125 (there is an further $50 fee for each additional baby). Jennifer Lisimachio, IBCLC, RLC advises you to call your insurance carrier, prior to your visit to discover how much of your visit insurance company may cover. This script is particularly helpful when calling. When you do call, your carrier may want to know more about Jennifer Lisimachio, IBCLC, RLC’s credentials. They are as follows:

Jennifer Lisimachio, IBCLC,RLC

Npi #1417228750

Ein #45-4383226 (Tax ID)

Note that Jennifer Lisimachio, IBCLC, RLC cannot contact your carrier prior to your appointment, as Jennifer Lisimachio, IBCLC, RLC has not met with you to know your full situation.

At the conclusion of each visit, you will receive a superbill receipt that includes diagnostic codes associated with the time you spent with Jennifer Lisimachio, IBCLC. You can use this document, in conjunction with the letter that is found on page 11 in the toolkit developed by The National Women’s Law Center to submit your claim for reimbursement from your insurance carrier.

You agree that Jennifer Lisimachio, IBCLC, RLC can communicate with your insurance company to discuss circumstances surrounding the services provided to you and your baby/babies. Jennifer Lisimachio, IBCLC, RLC also has permission to communicate with your financial institutions – credit card company or bank –regarding any payment-related business. It is the responsibility of you, the client, to ensure that you have provided valid payment and insurance information.

HIPAA Notice

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

If you have any questions about this notice, please contact Privacy Officer, Jennifer Lisimachio, IBCLC, RLC (contact information below).

OUR OBLIGATIONS:

We are required by law to:

• Maintain the privacy of Protected Health Information ("PHI"),

• Give you this notice of our legal duties and privacy practices regarding health information about you,

• Follow the terms of our Notice of Privacy Practices that is currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION:

The following describes the ways we may use and disclose protected health information ("PHI") that is any information that identifies you. Except for the purposes described below, we will use and disclose PHI only with your written permission. You may revoke such permission at any time by writing to our practice Privacy Officer, Jennifer Lisimachio, IBCLC, RLC.

For Treatment. We may use and disclose PHI for your treatment and to provide you with treatment-related health care services. For example, we may disclose PHI to doctors, nurses, technicians, or other personnel, including people outside our office, who are involved in your medical care and need the information to provide you with medical care.

For Payment. We may use and disclose PHI so that we or others may bill and receive payment from you, an insurance company or a third party for the treatment and services you received. For example, we may give your health plan information about you so that they will pay for your treatment.

For Health Care Operations. We may use and disclose PHI for health care operations purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office. We also may share information with other entities that have a relationship with you (for example, your health plan) for their health care operation activities.

Appointment Reminders, Treatment Alternatives and Health Related Benefits and Services.

We may use and disclose PHI to contact you to remind you that you have an appointment with us. We also may use and disclose PHI to tell you about treatment alternatives or health-related benefits and services that may be of interest to you.

Individuals Involved in Your Care or Payment for Your Care. When appropriate, we may share PHI with a person who is involved in your medical care or payment for your care, such as your family or a close friend.

Research. Under certain circumstances, we may use and disclose PHI for research. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Before we use or disclose PHI for research, the project will go through a special approval process. Even without special information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, we are unable to obtain the person's agreement; (4) about a death we believe may be the result of criminal conduct; (5) about criminal conduct on our premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.

Coroners, Medical Examiners and Funeral Directors. We may release PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We also may release PHI to funeral directors as necessary for their duties.

National Security and Intelligence Activities. We may release PHI to authorized federal officials for intelligence, counter-intelligence, and other national security activities authorized by law.

Protective Services for the President and Others. We may disclose PHI to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or to conduct special investigations.

Inmates or Individuals in Custody. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release PHI to the correctional institution or law enforcement official. This release would be if necessary: ( 1 ) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) the safety and security of the correctional institution.

USES AND DISCLOSURES THAT REQUIRE US TO GIVE YOU AN OPPORTUNITY TO OBJECT AND OPT-OUT

Individuals Involved in Your Care or Payment for Your Care. Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your PHI that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment.

Disaster Relief. We may disclose your PHI to disaster relief organizations that seek your PHI to coordinate your care, or notify family and friends of your location or condition in a disaster. We will provide you with an opportunity to agree or object to such a disclosure whenever we practically can do so.

YOUR WRITTEN AUTHORIZATION IS REQUIRED FOR OTHER USES AND DISCLOSURES

The following uses and disclosures of your PHI will be made only with your written authorization:

1. Uses and disclosures of PHI for marketing purposes; and

2. Disclosures that constitute a sale of your PHI.

Other uses and disclosures of PHI not covered by this Notice or the laws that apply to us will be made only with your written authorization. If you do give us an authorization, you may revoke it at any time by submitting a written revocation to our Privacy Officer, Jennifer Lisimachio, IBCLC, RLC, and we will no longer disclose PHI under the authorization. But disclosure that we made in reliance on your authorization before you revoked it will not be affected by the revocation.

YOUR RIGHTS

You have the following rights regarding Protected Health Information ("PHI") we have about you:

Right to Inspect and Copy. You have a right to inspect and copy PHI that may be used to make decisions about your care or payment for your care. This includes medical and billing records. To inspect and copy this PHI, you must make your request, in writing, to Jennifer Lisimachio, IBCLC, RLC. We have up to 30 days to make your PHI available to you and we may charge youa reasonable fee for the costs of copying, mailing or other supplies associated with your request. We may not charge you a fee if you need the information for a claim for benefits under the Social Security Act or any other state of federal needs-based benefit program. We may deny your request in certain limited circumstances. If we do deny your request, you have the right to have the denial reviewed by a licensed healthcare professional who was not directly involved in the denial of your request, and we will comply with the outcome of the review.

Right to an Electronic Copy of Electronic Medical Records. If your PHI is maintained in an electronic format (known as an electronic medical record or an electronic health record), you have the right to request that an electronic copy of your record be given to you or transmitted to another individual or entity. We will make every effort to provide access to your PHI in the form or format you request, if it is readily producible in such form or format. If the PHI is not readily producible in the form or format you request your record will be provided in either our standard electronic format or if you do not want this form or format, a readable hard copy form. We may charge you a reasonable, cost-based fee for the labor associated with transmitting the electronic medical record.

Right to Get Notice of a Breach. You have the right to be notified upon a breach or unauthorized release of any of your PHI.

Right to Amend. If you feel that PHI we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office. To request an amendment, you must make your request, in writing, to Jennifer Lisimachio, IBCLC, RLC.

Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of PHI for purposes other than treatment, payment and health care operations or for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing, to Jennifer Lisimachio, IBCLC, RLC.

Right to Request Restrictions. You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or health care operations. You also have the right to request a limit on the PHI we disclose to someone involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not share information about a particular diagnosis or treatment with your spouse. To request a restriction, you must make your request, in writing, to Jennifer Lisimachio, IBCLC. We are not required to agree to your request unless you are asking us to restrict the use and disclosure of your PHI to a health plan for payment or health care operation purposes and such information you wish to restrict pertains solely to a health care item or service for which you have paid us "out-of-pocket" in full.

If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment.

Out-of-Pocket-Payments. If you paid out-of-pocket (or in other words, you have requested that we not bill your health plan) in full for a specific item or service, you have the right to ask that your PHI with respect to that item or service not be disclosed to a health plan for purposes of payment or health care operations, and we will honor that request.

Right to Request Confidential Communications. You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you by mail or at work. To request confidential communications, you must make your request, in writing, to Jennifer Lisimachio. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. To obtain a paper copy of this notice, contact Jennifer Lisimachio.

CHANGES TO THIS NOTICE:

We reserve the right to change this notice and make the new notice apply to PHI we already have as well as any information we receive in the future. We will post a copy of our current notice at our office. The notice will contain the effective date on the first page, in the top righthand corner.

COMPLAINTS:

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact Jennifer Lisimachio, IBCLC, RLC. All complaints must be made in writing. You will not be penalized for filing a complaint.

Loving Hands Lactation Privacy Officer: Jennifer Lisimachio, jennifer@lovinghandslactation.com, (917) 312-5700

© J. Kathleen Marcus, Esq