We’ve had the most amazing experience working with Rebeca Four! From our prenatal appointment (highly recommend doing this, first time mamas) to postpartum, I’ve been so impressed with the breadth of Bek’s knowledge. From advice on nursing and supply to tongue ties, Rebeca will set you up for breastfeeding success! She is a straight shooter and will give you all the tools to get where you want to be. She rocks. Thank you!!
— Lauren B. E., Hoboken


 

INITAL IN-HOME AETNA CONSULT

It is your responsibility to check with Aetna to ensure that you are covered for lactation services. Even though Aetna may tell you that you are covered without any co-pay or other expense, it is possible that for some Aetna plans you may be assigned by Aetna a ‘Patient Responsibility’ portion of the billable fee. You are RESPONSIBLE for prompt payment (whiten 5 days of receipt of notice from me) of any Payment Responsibility assignment and your choice to book an appointment with me indicates your informed agreement to pay this fee is it assigned and informed agreement to all terms of service and payment.

I will spend 1.25 hours with you doing a complete assessment and creating a written care plan to help you meet your infant feeding goals. The intake form must be completed and returned prior to your appointment.

If your baby is not on your Aetna plan you must inform me at the time of the booking of your appointment and you agree to pay the following fees for your baby: $75 for the initial consult and $50 for each subsequent follow up. Fees for your baby, when not on your Aetna insurance, must be paid at the end of each consult. If your baby is on your partner’s Aetna insurance, Aetna will apply the services to the baby’s deductible and after the claim is processed you will be responsible for paying me any and all amount that Aetna applies to the deductible.

If AFTER checking the available appointment times, you can not find a time that works text me at 201-657-1727 to check for any cancellation.

*Travel fee, NOT reimbursable by Aetna, may apply and must be paid at the time of scheduling your consult. Travel fee applies to every consult. CURRENTLY NOT TAKING NEW AETNA CLIENTS IN NYC.

$60 to Hoboken, Jersey City, West New York, Weehawken, Palisades Park, Secaucus, Cliffside Park, Fort Lee, Edgewater, Fort Lee, Bayonne.

$80 to Kearney, Nutley, Rutherford, East Rutherford, Hackensack, Lodi, Totowa, Bogota, Teaneck, Rochelle Park, Montclair, Englewood, Englewood Cliffs, Tenafly, Paramus, Dumont, Demarest, Closter, Alpine.

If you do not see your location listed, I probably do not travel there but ask me here. I reserve the right to change the time for appointments outside Northern Hudson County to ensure optimal delivery of services. You will be notified shortly after scheduling if a time change is necessary.

 

 

BABY-LED WEANING: INTRODUCING SOLIDS IN-PERSON CONSULT

1 hour in-home consult where we will discuss the developmental value of baby-led weaning and whether your baby is ready for solid foods by evaluating and discussing: is baby is developmentally ready both physically and in terms of gut readiness? The most appropriate foods to offer: nutritionally and developmentally. Creating the most conducive environment to develop optimal feeding behaviors. Normal gag reflex and normal infant response to new foods. SAFETY, SAFETY, SAFETY!!!! Includes 1 week text/email of basic follow up after the consult.

*Baby-led weaning is contraindicated for babies at risk of dysphagia, such as babies who have an anatomic disorder like a cleft palate, or a neurological disorder like developmental delay, hypotonia, oral hypotonia, or a genetic disorder that is contra-indicated for self feeding.

*Travel fee may apply if outside Hudson County and the neighboring areas. Travel fee applies for all NYC clients.

AETNA ESTABLISHED CLIENTS can use one of the 6 allotted consults for weaning support.

 

 

WEANING SUPPORT WHETHER WEANING FROM PUMPING OF NURSING

Weaning can often be a hard subject for lactating parents. The World Health Organization recommends exclusive breast or chest feeding for the first six months and then continuing to nurse along with complimentary (solid) foods for at least the first two years of your child's life or beyond.

Whatever your reason for weaning, I am here to help you. I will design an individualized plan to meet your specific needs and goals.

 

 

CANCELLATION POLICY

Appointments cancelled with less than 24 hours notice are subject to a $150 fee that is not covered by insurance. If you are rescheduling an appointment with less than 24 hour notice you must prepay the consultation fee during rescheduling. Cancellation fees are NOT eligible for insurance reimbursement.

 

 

PAYMENT POLICY FOR AETNA CLIENTS

Your claim(s) will be submitted to Aetna for payment. If Aetna applies any portion of the fees towards a deductible or otherwise charges a coinsurance payment, you will be invoiced and agree to pay for all outstanding charges that are not covered.

By scheduling your consult, you grant me permission to communicate with Aetna regarding the services provided to you and your baby(s).