Bottle-Feeding, Refusal Assessment, & Management

If your infant is struggling with bottle acceptance or feeding efficiency, clinical evaluation and management can identify contributing factors and inform an individualized care plan.

Available: Office • In-Home • Virtual

Your Visit Includes:

  • Assessment of oral function + suck mechanics

  • Evaluation of bottle nipples, flow rate, pacing

  • Identification of feeding stress cues

  • Step-by-step introduction or re-introduction plan

  • Positioning + environmental strategies

  • Parent confidence coaching

  • A written plan

Common Concerns Addressed:

  • Bottle refusal

  • Inconsistent feeds

  • Clicking, leaking, gagging

  • Poor transfer despite trying multiple bottles

Emily Kaiser, IBCLC is Guiding Bottle Breakthrough™ Trained, providing specialized support for bottle refusal, flow overwhelm, slow bottle acceptance, and complex transfer challenges.

Self Pay Rates:

$125 (in-office)
$300 (in-home*)
$125 (virtual)

*Additional travel fees apply for in-home visits

Insurance:

We are in-network with most major insurance plans. In-network means lactation services can be processed through insurance, subject to plan-specific cost-sharing, deductibles, or coinsurance.

Self-pay rates are available for families without coverage. For more information, please visit the Insurance tab above.


Travel Fees for Home Visits:

Home visits are available for families who prefer care in the comfort of their own home. Travel fees are not covered by insurance or eligible for insurance reimbursement and are therefore the responsibility of the family. These fees reflect the time required for travel and the impact on appointment availability for other families.

Travel Fee Schedule

(Based on distance from our Bowling Green office- 1240 Warrior Lane)

  • 0–10 miles: $25

  • 10–20 miles: $50

  • 20–30 miles: $100

  • 30–40 miles: $150

  • 40–50 miles: $200

  • 50–60 miles: $250

For insurance visits: travel fees are due at the time of scheduling and are separate from any insurance-processed visit charges.