“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
MASKS REQUIRED AT ALL TIMES
AN INTAKE FORM REQUIRED TO BE SUBMITTED PRIOR TO YOUR CONSULT DAY FOR EVERY APPOINTMENT
51 NEWARK STREET, SUITE 404C, HOBOKEN - ELEVATOR BUILDING WITH THREE STEPS TO GET IN
IT IS YOUR RESPONSIBILITY TO CONFIRM YOUR LACTATION COVERAGE WITH AETNA. SOME AETNA PLANS MAY ASSIGN A PATIENT RESPONSIBILITY WHICH WILL BE CHARGED TO YOUR CARD ON FILE. COVERED DOES NOT MEAN COST-FREE.
YOU ARE RESPONSIBLE FOR INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU AND YOUR BABY
AETNA ASSIGNS A CO-PAY FOR TELE-HEALTH CONSULTS
YOU ARE RESPONSIBLE FOR IMMEDIATELY INFORMING US OF ANY INSURANCE COVERAGE CHANGES FOR YOU ADN YOUR BABY
ONCE YOUR BABY IS BORN, WE HAVE TWO CLIENTS AND WE WILL BE BILL YOUR INSURANCE FOR EACH OF YOU WHEN SERVICES ARE PROVIDED FOR BOTH.
AETNA BEFORE THE BIRTH CONSULTS
BEFORE THE BIRTH: Comprehensive consultation 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.
AETNA AFTER THE BIRTH CONSULTS
ONE BABY 75 MINUTES. TWINS UP 90 MINUTES. 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 have never lactated before. Aetna assigns cost share to all Telehealth consults.
ALL FOLLOW UP REQUIRES A SCHEDULED CONSULT
Aetna assigns a cost for tele-health. 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.
TELE-HEALTH DISCLAIMER: There are inherent limitations to a tele-health consultation because the provider will not be able to make an in-person physical assessment. There are potential risks to the technology used for tele-health, that are beyond the control of the provider, including interruption of connectivity, unauthorized access, and other technical difficulties with audio and or visual.
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 to ensure lactation coverage. Get a call reference number and write down the date.
After the birth, we have two clients, 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.
AETNA ASSIGNS CO-PAY FOR TELE-HEALTH CONSULTS
Even if Aetna says you are covered 100 percent, it is possible that some plans may assign you a ‘Patient Responsibility’ fee which will be charged to the card you have on file. We bill for both the parent and the baby. If your baby is not on your Aetna plan, you must pay a fee for each consult.
TELE-HEALTH DISCLAIMER
There are inherent limitations because a digital suckling assessment and a physical breast/chest can not be completed. Potential risks to the technology used for tele-health, are beyond the control of the provider, including interruption of connectivity, unauthorized access, and other technical difficulties.
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.