Frequently Asked Questions

Fourth Trimester Doc accepts patients whether they have insurance or not and regardless of their insurance plan.  We are considered out-of-network so do not participate in any insurance plans. We cut out the middle man as they limit the way in which we are able to provide the care that we feel you deserve.  We provide you with a superbill so you can submit the claim yourself or use Reimbursify to help you submit. We find that most people are able to get a significant portion of the payments reimbursed as they usually meet their deductibles with the birth of their child. In addition, all of our postpartum, lactation, and newborn services are considered preventative care so many insurance carriers cover most of the cost after you have met your out-of-network deductible.  We recommend calling your insurance company to discuss your specific contracted coverage.

Another option is we are also contracted with The Lactation Network who bills insurance for about half of our costs (this portion has no cost sharing so that portion is completely covered and does not go towards your deductible).  If going this route, we charge just $985 for the full 4th Trimester package or $197 per visit for the physician fee (within a 20min drive radius, if additional drive time is needed, there will be a higher fee).  TLN pays for the lactation consultant level portion of the visit.  As physicians, we also charge the physician fee for each of our visits to cover our medical expertise, diagnosis, prescription and lab recommendations, more complex decision making, our expenses for physician level malpractice coverage, e-prescribing, and physician licensing fees.  Using this approach you will get the most advanced level of care at a fraction of the cost. To see whether your insurance covers the lactation consultant level portion of the cost through TLN, you can put your info in here.