Let me answer your questions

Insurance covers support for lactating or pregnant parents and their infants (the dyad).

If you are interested in relactating (bringing back milk supply after weaning) or need guidance through the weaning process, those services are considered medically necessary and can often be billed through insurance.

Families using formula or bottle feeding without a lactation-related need are absolutely welcome, but it would be self-pay or sliding scale.

If you’re unsure what fits your situation, reach out to Chat with Cat — you don’t have to figure it out alone.

Sleep support is often woven into lactation care when feeding and sleep are closely connected — like frequent waking to feed, concerns about weight gain, or sleep disruptions linked to feeding challenges.

Insurance covers sleep support when it’s part of medically necessary lactation care, including support around:

• Feeding to sleep patterns
• Night wakings linked to weight or milk supply
• Sleep changes during weaning or relactating
  

If you’re seeking broader sleep support outside of feeding concerns, self-pay and sliding scale options are available.

Medical necessity includes reasons like:

• Preparing for breastfeeding or chestfeeding during pregnancy
• Support for latching, milk supply, or pumping challenges
• Pain during nursing or expressing milk
• Concerns about baby’s weight gain or feeding behaviors
• Relactating
• Gentle, guided weaning when challenges arise
• Bottle feeding issues when related to lactation issues (can include formula bottle feeding issues)
  

If you’re unsure if your needs qualify, schedule a Chat with Cat. I’ll meet you where you are, and we’ll figure out the best path together.

Insurance covers support for lactating or pregnant parents and their infants (this is called the dyad).

If you are interested in relactating (bringing milk supply back after weaning) or need support during the weaning process, these are considered medically necessary and are eligible to be billed through insurance.

Families using formula or bottle feeding without a lactation-related need are absolutely welcome, but it would be self-pay or sliding scale.

If you’re unsure which path fits your situation, reach out to schedule a Chat with Cat I’ll help guide you with care and clarity.

Not much!

For a home visit:

• Have a comfortable spot where you usually feed your baby.
• Gather any feeding tools you’ve been using (pump, bottles, nipple shields, etc.).
• A hungry (but not starving) baby is ideal — but don’t stress if timing doesn’t line up perfectly. Best case is baby will be ready to eat with in 15 minutes of the start of the visit. 
• A flat level spot for my scale if we are weighing baby and doing weighted feeds
• If the area we are going to be in doesn’t have a chair for me to sit, please move a chair in the room or give me a pillow for the floor.
  

For a virtual visit:

• A charged phone, tablet, or laptop.
• A helper (partner, friend, grandparent) can sometimes be handy to help adjust the camera if needed.
• Sometimes using the laptop as the primary view and then also using a phone to join the video chat with a different view.
• A cozy, quiet spot if possible — but real life happens, and that’s okay too!

The length of time depends on the type of visit.

• Initial home or virtual visits: About 60–90 minutes, depending on your needs.
• Follow-up visits: Usually 45–60 minutes.
  

I follow your baby’s rhythm — so if you need a feeding break, a diaper change, or just a moment to breathe, that’s part of the plan. Depending on scheduling I may have more time to work with you,

No rush. No pressure. Just real support.

Absolutely.

Virtual care can be just as powerful — and sometimes even more relaxed for families, especially in the early postpartum weeks.

If you’re concerned about whether virtual is the right fit for your needs, schedule a free Chat with Cat first, and I’ll help guide you to the best option.

Virtual visits are a beautiful and effective way to get support from the comfort of your own home — no matter where you live.

Through secure video, we can:

• Work on latch, pumping, feeding setups, and positioning
• Troubleshoot feeding challenges or supply concerns
• Make personalized plans for relactation, weaning, or sleep transitions
• Support bottle feeding, combo feeding, or feeding equipment adjustments

Bonus: Virtual appointments are often covered by insurance the same way as in-person

If you’re more than 40 minutes away, we might still have options!

Depending on the day and my travel routes, I may be able to accommodate visits in further areas (including some parts of Northern Virginia).

Just send me a quick message, and we’ll see what’s possible.

Sometimes. If you live in zip code 20878: there’s no travel fee.

Outside 20878:

• Travel fees are based on drive time (not distance) from Quince Orchard High School in Gaithersburg, MD, and range from $20–$90.
• HSA/FSA cards can often be used for travel fees.
• Sliding scale options are available if the travel fee is a hardship — just reach out and ask.

Yes!

I offer home visits for families within about 30–40 minutes of Gaithersburg, Maryland (zip code 20878).

Home visits are a wonderful option if you want:

• Hands-on support right where you and your baby are most comfortable
• Help with feeding setups, positioning, or your home environment
• A more relaxed, natural flow to your visit — no packing bags or rushing around

If you live outside my immediate area, I’m happy to check if we can make it work — or we can set up a virtual visit instead.