In the comfort of your home, we will discuss your goals for feeding, assess both the you and your baby, answer questions about feeding and lactation, and create a plan for care with the family based on your goals.

I bring a sensitive pediatric scale for weight checks or, if feeding at your body, pre/post feeding weights to determine how much milk your baby is taking.

I take steps to make sure I am healthy and up to date on vaccines. I routinely wear masks, wash hands upon arrival and clean equipment with each use.

Visits are up to 90 minutes long.

Neighborhoods Served:

• Brooklyn

  • Prospect Heights

  • Park Slope

  • Carroll Gardens

  • Cobble Hill

  • Boerum Hill

  • Bed-Stuy (South of Myrtle, West of Utica)

  • Windsor Terrace

  • Sunset Park

  • South Slope/Greenwood Hts

  • Kensington

  • Ditmas Park

  • Midwood

  • Flatbush

  • Prospect Lefferts Gardens

  • Prospect Park South

  • Fort Greene

  • Clinton Hill

• Lower Manhattan

  • Union Square

  • Washington Sqaure

  • NOHO

  • SOHO (south of Spring and East of Varrick)

  • Little Italy

  • Tribeca (North of Worth and East of W Broadway)

  • Chinatown

  • Nolita

  • NoMad

  • Midtown South

**I also offer virtual consultations outside of these listed neighborhoods nationwide

Out-of-network (OON) cost for in-home visits:

• $350

**Visits covered by insurance have a $50 out-of-pocket in-home convenience fee.

The in-home convenience fee goes toward the extra time and expenses of traveling to patient’s homes with the necessary equipment needed to provide you with high quality care. This fee is due at the time of your visit.

** For expecting parents only

** Partners or people of support strongly encouraged to join as well.

2hr Lactation and Infant Feeding Class:

• All the ways babies can be fed

• Basic physiology and anatomy of lactation (how it all works)

• Normalcy surrounding infant feeding behavior in the first week

• Understanding what "good vs bad" latches look and feel like along with building confidence around positions

• Milk production and timeline

• How to know your baby is getting enough milk

• Breast/chest care and troubleshooting engorgement, clogged ducts, mastitis + other possible complications 

• Supplementation guidelines and normal infant intake needs

• Pumping, hand expression and storage

• Formula - differences in brands, storage, cleaning

• Ways partner/support person and family can support the lactating parent

• And much more!

Cost: $100

**I offer sliding scale for the group class for those with financial stress. When you pay my standard fees, you are supporting a fair, living wage aligned with my level of experience and education. When you pay with sliding scale, you are allowing your community to hold and support you. Both are acceptable ways of participating.

Private Virtual Prenatal Consultation (up to 1 hr):

• Thorough intake of medical history

• Discussion of feeding goals

• Education specific to your individual needs and goals and vital things to know on getting off to a good start

• Curated careplan based on the visit’s discussion with resources and referrals

• Discuss or schedule an in-home follow-up care consultation upon the arrival of you baby.

Cost: $200 out-of-network

Using HIPPA compliant software, I am able to connect with any family anywhere.

Great for folks who have questions about feeding or lactation, but don’t feel comfortable having someone in your home, can’t make it to an office, are unwell live outside of my service area or need advice on any of the following:

• pumping and flange fitting

• milk supply (over supply/low supply)

• weaning

• back to work

• solid foods introduction

• general feeding questions

• breast/nipple pain

• engorgement

• plugged ducts

• mastitis

• relactation or induced lactation

• bottlefeeding

It is ideal to have a partner or helper available to assist in achieving optimal camera angles.

Cost: $200 for out-of-network

How do telehealth visits work?

I will provide you with a video link to join me for the consultation. I use GoogleMeet as I have a HIPAA compliant agreement with them. If you prefer a different video call method, please reach out to discuss.

As with all visit types, I will discuss any pertinent health and feeding history and address your questions.

If you have pump questions, please have your pump and pump parts available to work with. I can size your flange and discuss pumping tips including pump settings.

If you are working on latching or feeding and can have a partner or support person present, it is extremely helpful as they can move the camera around and show different angles which is helpful in assessing latch at the body or bottle.

Telehealth consults are generally about 60 minutes long but can be shorter depending on how much there is to address. There is a 15 minute grace period for joining your telehealth consultation. If you have not joined in 15 minutes your consultation will be cancelled and the $75 cancellation fee will apply.

You’ll be pleasantly surprised at how much can be accomplished in a telehealth consultation.

AETNA, MERITAIN (& most other Aetna partners): Accepted. Confirm that Rachel Andre is showing up as “in-network” with your plan. For visits where both the lactating parent & baby are assessed, claims will be sent for both patients. Specialist co-pays/co-insurance may apply for infants and prenatal consultations. Aetna 1199 plans not covered in NYC.

UNITED HEALTHCARE (& most UHC partners including OXFORD FREEDOM, & UMR): Accepted. Confirm that Rachel Andre is showing up as “in-network” with your plan. For visits where both the lactating parent & baby are assessed, claims will be sent for both patients. Oxford Liberty and Oxford Metro plans are not covered.

ANTHEM/BCBS: Accepted. Confirm that either Rachel Andre or Cassandra Christopher is showing up as “in-network” with your plan. Anthem/BCBS may have patient responsibility portions such as co-pays and co-insurance for certain visit types. Please note: BCBS of Texas plans will NOT pay for both patients. We will send a claim under the lactating parent and invoice the out of network rate for baby if baby was assessed and cared for at your visit. 

CIGNA/OSCAR/GHI/OTHER PLANS: Out Of Network (OON).

Out-of-network (OON) cost:

• Private Virtual Prenatal: $200

• Prenatal education class: $100. Please note that this class is not covered by insurance. Sliding scale available for some. Please inquire.

• Home Visit: $300 + $50 in-home convenience fee paid directly to your IBCLC

• Telehealth: $200

**HSA/FSA accepted

**Credit card fees of 3.5% apply to all credit transactions.

**If your insurance denied your claim you will be billed the out of network (OON) rate.

****I offer sliding scale for the group class, GHI and Medicaid insurance plans, and for those with financial stress who do not have insurance. When you pay my standard fees you are supporting a fair, living wage aligned with my level of experience and education. When you pay with sliding scale, you are allowing your community to hold and support you. Both are acceptable ways of participating.

Barters equivalent to the value of service requested accepted as well upon discussion.