“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!!”
AETNA CONSULTATIONS
WE ARE NOT IN NETWORK WITH MEDICAID, NJ FAMILY CARES PLANS
WE DO NOT BILL AETNA FOR BABY FOR DEFAULT COVERAGE. BABY MUST BE ADDED TO THE LACTATING PARENT’S AETNA INSURANCE. IF YOU ARE NOT ADDING THE BABY, WE WILL NOT BILL FOR BABY AND YOU WILL HAVE TO PAY A FEE FOR EACH CONSULT FOR THE BABY’S PORTION OF THE SERVICES.
AN INTAKE FORM IS REQUIRED TO BE SUBMITTED IMMEDIATELY AFTER BOOKING YOUR INTIAL CONSULT
AN INTAKE FORM IS REQUIRED 24 HOURS PRIOR TO ALL FOLLOW-UP YOUR CONSULTS
ELEVATOR BUILDING WITH THREE STEPS TO GET IN
IT IS YOUR RESPONSIBILITY TO CONFIRM YOUR LACTATION COVERAGE WITH AETNA. ANY PATIENT RESPONSIBILITY WHICH WILL BE CHARGED TO YOUR CARD ON FILE.
YOU ARE RESPONSIBLE FOR INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU AND YOUR BABY
ONCE YOUR BABY IS BORN, WE BILL YOUR INSURANCE FOR EACH OF YOU WHEN SERVICES ARE PROVIDED FOR BOTH. AETNA NOW ASSIGNS COST SHARE FOR YOUR CHILD(REN)’S CLAIMS.
DUE TO CHANGES THAT AETNA HAS MADE, WE NO LONGER OFFER TELE-HEALTH FOR AETNA CLIENTS
EVEN IF AETNA TELLS YOU THAT YOU ARE COVERED FOR FREE, AETNA NOW ASSIGNS COST SHARE FOR YOUR CHILD(REN)’S CLAIM FOR THEIR PORTION OF THE SERVICES. THEY NOW ONLY COVER SIX CODES, NOT SIX CONSULTS. EACH CONSULT IS TWO CODES PER CLIENT.
WE ARE NOT IN NETWORK WITH MEDICAID, NJ FAMILY CARES PLANS
AETNA BEFORE THE BIRTH CONSULTS
BEFORE THE BIRTH: Comprehensive consultation providing an individualized plan for milk production or formula preparation and nursing, depending on your personal goals. You will understand how much to feed your baby no matter the type of milk you choose, latching, if and when to supplement and or pump in the early days. We will also measure your nipples to help size you appropriately for your pump flanges to ensure more effective and optimal milk removal.
WE ARE NOT IN NETWORK WITH MEDICAID PLANS. WE ARE ONLY IN NETWORK WITH COMMERCIAL PLANS
AETNA AFTER THE BIRTH CONSULTS
IF YOU HAVE QUESTIONS ABOUT YOUR CHILD(REN), THEY MUST BE PRESENT DURING THE CONSULTATION. IF YOUR BABY(IES) IS/ARE NOT ON THE LACTATING PARENT’S POLICY, YOU MUST PAY A FEE PER CONSULT. IF ONLY YOUR BABY IS COVERED AND NOT YOU, YOU MUST BOOK A SELF-PAY CONSULT.
AFTER BIRTH INITIAL OFFICE CONSULT: whenever possible the initial after birth consult should be in person for the most optimal assessment. If you truly can not make it in person then contact us here to arrange for a tele-health booking. Comprehensive lactation and feeding assessment to assess latch, production, pump equipment and usage, oral restrictions like tethered oral tissues, health history that can impact production, clogged ducts, mastitis, over production, nipple pain or damage, bottle feeding, safe formula preparation. We also provide expert support for exclusive pumping, exclusive formula feeding, inducing lactation or re-lactation.
AETNA RELACTATION AND INDUCING LACTATION CONSULTS
RE-LACTATION OR INDUCING LACTATION: a comprehensive consultation to either support re-lactation, if you have weaned from lactating, or to support induction of lactation, if you did not stimulate lactation after the birth or if you did not carry the pregnancy of your child.
ALL FOLLOW UP REQUIRES A SCHEDULED CONSULT
You are responsible for immediately informing us of any insurance coverage changes for you and or your baby.
CONSULTATION POLICY: Either our administrative assistant or a digital service will be live scribing every consult to ensure optimal record keeping and the expediency of delivery of care plans and physician reports. We are a teaching practice and during most consults will have a new IBCLC or intern present observing and participating. If you are not comfortable with a student participating, you must indicate it during the booking process. We reserve the right to reschedule your appointment based on availability with no students.
IT IS YOUR RESPONSIBILITY TO READ ALL OUR SCHEDULING, INSURANCE AND PAYMENT POLICIES
INSURANCE BILLING
YOU ARE RESPONSIBLE FOR INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU AND YOUR BABY
IT IS YOUR RESPONSIBILITY TO CHECK WITH YOUR INSURANCE COMPANY IF YOU ARE COVERED FOR LACTATION SERVICES. CHECK UNDER NPI 1457969412 OR 1710273859. GET A CALL REFERENCE NUMBER AND WRITE DOWN THE DATE.
ONCE YOUR BABY IS BORN, WE HAVE TWO CLIENTS THAT WE PROVIDE SERVICES FOR AND WE BILL FOR BOTH FOR EACH CONSULT. ANY CONSULT THAT INVOLVES ASSESSMENT, RECOMMENDATIONS AND A CARE PLAN FOR YOUR BABY AND YOU WILL BE BILLED TO YOUR INSURANCE FOR EACH OF YOU.
WE DO NOT BILL AETNA FOR BABY FOR DEFAULT COVERAGE. BABY MUST BE ADDED TO THE LACTATING PARENT’S AETNA INSURANCE. IF YOU ARE NOT ADDING THE BABY, WE WILL NOT BILL FOR BABY AND YOU WILL HAVE TO PAY A FEE FOR EACH CONSULT FOR THE BABY’S PORTION OF THE SERVICES.
AETNA MEMBERS/CLIENTS
Any ‘Patient Responsibility’ fee will be charged to the card you have on file. As of March 2024, Aetna is no longer covering six consults for the parent, instead they are covering six CODES. Each consultation incurs two codes, which effectively means the parent is covered for three consults. Covered does NOT mean free. Aetna no longer covers your child(ren)’s services as preventive which means they will assign cost share such as co-pay or deductible.
After the birth, we bill for each parent and baby. If your baby is not on the same plan as you, you MUST book the appropriate appointment with a fee per consult payable at the time you book. If only your baby is covered with these insurances and you, the lactating parent, are not covered, you MUST book a SELF-PAY consult.
Your claim(s) will be submitted to your insurance for payment. If your insurance applies any portion of the fees towards a deductible or otherwise charges a coinsurance payment your card on file will be charged for the patient responsibility amount. By scheduling your consult, you grant us permission to communicate with your insurance regarding the services provided to you and your baby(ies) and you agree to our payment policies.
WE DO NOT OFFER AETNA TELE-HEALTH CONSULTS
CANCELLATION POLICY
Appointments cancelled with less than 48 hour notice will be charged the full consult fee that is not covered by insurance. ANY fees for services are non refundable and expire 60 days after the original purchase. The payment and no refund policy is SEPARATE from the cancellation policy. Refunds will NOT be issued once you book. Each client is responsible for all fees associated with each consult. Payment is charged at the time the appointment is scheduled. By scheduling your consult, you grant me permission to communicate with your insurance company regarding the services provided to you and to your child(ren) and you agree to all our payment policies.
Rental agreements: no refunds will be issued for any unused part of the rental terms. All equipment must be returned the day prior to the scheduled new charge in order to avoid being charged for a new rental term.
OFFICE CONVENIENTLY LOCATED AT 51 NEWARK STREET, SUITE 404 C, HOBOKEN
Providing in office lactation support to families in Hoboken, Union City, West New York, Weehawken, Kearny, Clifton, Rutherford, East Rutherford, Montclair, Fort Lee, Cliffside Park, Englewood, Closter, Alpine, New York City, Brooklyn and other surrounding areas Northern New Jersey