“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

Fed is necessary, informed and supported is best!™

CIGNA CONSULTS

YOU ARE RESPONSIBLE FOR READING ALL OUR POLICIES BEFORE AND AFTER BOOKING

WE ARE NOT IN NETWORK WITH MEDICAID, NJ FAMILY CARES PLANS

AN INTAKE FORM IS REQUIRED TO BE SUBMITTED IMMEDIATELY AFTER BOOKING YOUR INTIAL CONSULT AND 24 HOURS PRIOR TO FOLLOW-UPS

ELEVATOR BUILDING WITH THREE STEPS TO GET IN

ALL CIGNA IN PERSON CONSULTS REQUIRE A TELE-HEALTH FIRST THE SAME WEEK

IT IS YOUR RESPONSIBILITY TO CHECK WITH YOUR INSURANCE ABOUT YOUR LACTATION COVERAGE

CIGNA FOLLOW-UP POLICy: all questions require a scheduled TELE-HEALTH follow-up

CIGNA BEFORE THE BIRTH CONSULT

BEFORE THE BIRTH: Comprehensive education 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.

REQUEST CIGNA BEFORE BIRTH OFFICE CONSULT

CIGNA 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: 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. Because of the way that Cigna structures and limits payment on lactation services, you will need two visits to cover what is covered in a full initial assessment.

REQUEST CIGNA CONSULT - ONE BABY ON YOUR PLAN - tele-health + in-person THE SAME WEEK

CIGNA AFTER BIRTH IN PERSON CONSULT - BABY NOT ON PLAN $150

WE DO NOT OFFER CIGNA CONSULTS FOR TWINS

ALL FOLLOW UP REQUIRES A SCHEDULED CONSULT

ALL TELE-HEALTH CONSULTS ARE LIMITED TO THIRTY MINUTES

Cigna Follow-UP Consult Office - One baby on plan (REQUIRES A TELE-HEALTH FIRST)

Cigna follow-up office - baby not on plan $150 - 50 minutes

Cigna follow-up tele-health ONLY

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.

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.

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

Cancellations or rescheduling with less than 48 hours’ notice and no shows will be charged the full consult fee to the credit card on file that is not covered by insurance.

PAYMENT POLICY

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.

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