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

Initial Home Consult

$335 (Out Of Network) + travel fees to Bayonne and outside Northern Hudson County.  See below for location and rate specifics. 

$35 TRAVEL FEE FOR AETNA CLIENTS FOR EVERY CONSULT IN HOBOKEN + JERSEY CITY PAYABLE AT CONSULT. NOT COVERED BY AETNA.

ALL INTAKE, CONSENT AND INSURANCE FORMS MUST BE COMPLETED AND RETURNED BEFORE THE CONSULT.

1.5-2 hour lactation and feeding evaluation in your home, including:

  • Suckling, oral anatomy, and latch assessment for baby

  • Breast exam

  • Milk transfer check with digital infant scale

  • Comprehensive health and feeding history

  • Written care plan at time of consult and a report for pediatrician within 48 hours

  • Superbill to submit to your insurance and or an invoice for flex spending health accounts

  • Out Of Network Clients: 1 week text basic follow up based on your care plan via secure text or email

  • Aetna Clients: 3 days of text basic follow up based on your care plan, after that we can schedule a follow up under the 6 consults covered by your plan

  • 25% discount on the follow up visits

  • 30-minute phone follow ups, for established clients, for basic care $50

  • Email/text support available after the initial, included, follow up period for CURRENT ACTIVE CLIENTS ONLY: $10 per week, $28 for 4 weeks or $60 for 12 weeks

  • AETNA HOME CONSULTS ARE 90 MINUTES!

    To schedule a consult if you are on your your phone click on the appropriate option right below and if you’re on your computer click on the appropriate option on the right.

    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 cancellations

ALL INTAKE, CONSENT AND INSURANCE FORMS MUST BE COMPLETED AND RETURNED BEFORE THE CONSULT.


Follow Up Home Consult

$251.25 (Out Of Network follow up consults 25% off) + travel fees to Bayonne and outside Northern Hudson County.  See below for location and rate specifics. 

1.5 hour lactation and feeding follow-up in your home for established current clients only

To schedule a consult if you are on your your phone click on the appropriate option right below and if you’re on your computer click on the appropriate option on the right.


Phone Follow Up ONLY for Established Clients

$50 Out of Network, must be pre-paid at the time the appointment is scheduled

  • This appointment can only be booked if we have agreed to it because you are an established client that has been seen in person at least twice.

  • This type of appointment is to go over pumping concerns, production questions, volume of feeds for baby, and other such concerns that do not require an in person assessment for a dyad (parent and baby) that have already been assessed at least two times in person.

  • The appointment time is 30 minutes

    To schedule a consult if you are on your your phone click on the appropriate option below and if you’re on your computer click on the appropriate option on the right.


Prenatal HOME Consult

$245 (Out of Network) + travel outside Northern Hudson County including to Bayonne. See below for location specifics. 

Prepare for breastfeeding before your baby arrives with a 90 minute in-person visit covering:

  • How birth practices affect lactation

  • How milk production works

  • Positions for breastfeeding

  • Anticipating common concerns and challenges

  • How to get started after birth and once you get home

  • What supplies to buy

  • What supplies to pack for the hospital

  • How to assemble, operate and optimize your pump

  • 30-minute prenatal phone follow ups available for $50

  • 10% discount on the initial home visit

    To schedule a consult if you are on your your phone click on the appropriate option below and if you’re on your computer click on the appropriate option on the right.


Prenatal PHONE Consult

$165 (Out of Network)

Prepare for breastfeeding before your baby arrives with a 75 minute phone. Includes everything as the in person prenatal consult except for the hands-on breast exam.

To schedule a consult if you are on your your phone click on the appropriate option below and if you’re on your computer click on the appropriate option on the right.


In-Person Prenatal + Initial Consult Out of Network Discount Package

$456 (Out of Network) a $132 savings! + travel fees outside Northern Hudson County.  See below for location specifics. 

DISCOUNT PACKAGE for a PREPAID Prenatal + 1 Initial Post Birth Consult

  • All of the services of the prenatal in person consult and the initial post birth consult (see above)

  • 1 email follow up after the prenatal consult to answer any questions prior to the birth

  • Regular 1 week text/email follow up after the post birth consult

  • Regular discounts apply to any post birth follow up consults: 25% for follow up consults.

    To schedule this package if you are on your your phone click on the link below and if you’re on your computer click on the link on the right.


Baby Led Weaning Introducing Solids

$245 (Out of Network) + travel fees outside Northern Hudson County.  See below for location specifics. 

1.5 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:

  • If 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

  • Normal infant response to new foods

  • SAFETY, SAFETY, SAFETY!!!!

  • 1 week text/email follow up after the consult

    To schedule a consult if you are on your your phone click on the link below and if you’re on your computer click on the link on the right.

    *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.


Weaning Support Whether You Are Weaning Off of Pumping or Nursing or Both

$55 Option One $95 Option Two

  • 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. Though two years may seem like a long time to some two years is actually shorter than the average child nurses in most other countries around the world according to global statistics.

  • Whatever your reason for weaning, I am here to help you.

  • I will design an individualized plan to meet your specific needs and goals.

  • After completing an initial questionnaire and a 20 minute phone call, I can offer you one of two options:

  • Option One($55) is a comprehensive written plan based on our conversation.

  • Option Two ($95) is a comprehensive written plan, based on our conversation, and two weeks of email or text answers to your questions along the way to ensure any appropriate changes to the care plan and to make sure you avoid any challenges at the end of lactating experience. Email and text support is available from Monday through Friday 10AM to 6PM.

    To schedule a consult if you are on your phone click the appropriate option below and if you’re on your computer click on the appropriate option on the right.


Travel Fees

  • +$35 to Hoboken, Jersey City, Bayonne, Kearny, Nutley, Clifton, Rutherford, East Rutherford

  • +$45 to Hackensack, Lodi, Totowa, Bogota, Teaneck, Montclair, Englewood, Englewood Cliffs, Tenafly

  • +$50 to Paramus, Dumont, Demarest, Closter, Alpine

  • +$95 to Battery Park City, Tribeca, Westside up to 50th street

  • 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.

  • Travel fees are NOT eligible for insurance reimbursement.

 

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 Out of Network/Self-Pay Clients

  • Each client is responsible for all fees associated with each consult.

  • Non Aetna members (self-pay clients): payment is due at the end of each consult. Payment must be submitted via cash, check or Venmo. Fees are non-refundable. A $35 processing fee will be assessed for any checks with insufficient funds. By scheduling your consult, you grant me permission to communicate with your insurance company regarding the services provided to you and to your baby(s).

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

 

Insurance Information

  • President Obama signed the Affordable Care Act (ACA) on March 30, 2010. Under this law, insurance companies, unless you have been notified that your plan was grandfathered in, must cover lactation services as preventive care.

  • I have prepared an entire page with source that you can find here.

 

Aetna Members

 

  • 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.

  • 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 $40 for each subsequent follow up. Fees for your baby, when not on your Aetna insurance, must be paid at the end of each consult.

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