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Payment Options

Insurance

INSURANCE

Dr. Schecter is IN-NETWORK with the following insurance plans. IN-NETWORK claims will be submitted directly on your behalf.

  • AETNA (excluding Aetna Better Health/Aetna Medicaid plans)

  • MERITAIN

Please note that Breastfeeding Medicine consultations and tongue tie consultations involve both the breastfeeding parent and baby. One claim will be submitted for the parent, and a separate claim will be submitted for the child.

  • If parent and child are covered by different insurance policies, please inform the office so that we submit your claims properly.

  • If only the baby is covered by an in-network insurance plan, there will be a separate lactation fee for the parent. An insurance claim will be provided to submit for reimbursement.

 

Payment is collected at the time of service for any anticipated member responsibility (copay, co-insurance, deductible). 

 

REFERRALS

If your insurance plan requires referrals, you will need to request separate referrals for both parent and baby in advance of the visit.

 

NO SHOW AND LATE CANCELLATION FEE

Please note that new patient appointments that are missed or cancelled with less than 24 hour notice will incur a fee of $75.

Self Pay

SELF-PAY 

We are pleased to offer the following PROMPT PAY DISCOUNTS for payment in full at the time of service: 

FRENOTOMY CONSULTATIONS (tongue, lip, and/or cheek ties)

  • Frenotomy Appointments (tongue, lip, and/or cheek ties): $665. This includes the consultation, all releases, and feeding support immediately afterwards, as needed.

  • Tongue Tie Consultation ONLY: $220.  If an assessment is performed, and a release is not needed or recommended at the initial consultation. This appointment does not include lactation support.

 

BREASTFEEDING MEDICINE CONSULTATION: $420

* Out of network benefits will apply. You will be provided with a claim to submit for reimbursement.

* If you would like to contact your insurance company in advance regarding coverage of benefits, you will be asked to provide billing codes. The diagnosis codes used for tongue tie are: p92.5 and q38.1. The procedure code for frenotomy is 41010. 

NO SHOW AND LATE CANCELLATION FEE

Please note that new patient appointments that are missed or cancelled with less than 24 hour notice will incur a fee of $75.

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