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Does Health Insurance Cover Breast Pumps

Buying A New Pump And Paying Out Of Pocket

Tricare & Breast Pump Coverage

This is the most obvious answer if your pump isnt covered, you may have to buy one yourself.

If youre planning on exclusively pumping or pumping while at work, its a good idea to get a double electric breast pump.

Below are a few that are on the less expensive side that work well for many people in our Facebook group:

How Pumps For Mom Can Help

Pumps for Mom make it easy to get your insurance breast pump. Just fill out our qualification form to see what breast pumps are covered by your specific insurance, and one of our Maternity Products Specialists will help guide you through the rest of the process. If you need a prescription or any other documentation, our team will let you know, and then your insurance breast pump will be on its way! Remember that payments and coverage options are different depending on your plan and product, but our expert team will help answer any questions.

How To Get A Breast Pump Covered By Your Insurance :

When you get to the Edgepark website youll be prompted to input your state of residence and your insurance provider. With that information, Edgepark will immediately provide you with a list of covered breast pump options. You select your preferred pump and then complete the order form.Edgepark will verify your insurance coverage and request a breast pump prescription from your doctor.

You get a brand-new breast pump shipped directly to your door, with free shipping included.

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Does Kaiser Give Free Breast Pump

Kaiser Permanente Health Plan Members There Are 3 Easy Steps to Receive Your Breast Pump at No Cost Through Your Insurance Benefit. #1 SELECT your specific Kaiser insurance plan. The breast pump available to you depends upon your insurance coverage. #2 ORDER your preferred breast pump and accessories.

What Breast Pump Will Insurance Cover

Lansinoh® Smartpump 2.0 Breast Pump

Every health insurance plan has a unique set of guidelines for breast pump coverage. If you have specific questions regarding which breast pumps will be available to you at no cost, the best place to begin is our Qualify Through Insurance form.

There may be differences such as:

  • which type of breast pump is covered
  • the duration of payment on rental pumps
  • when a breast pump can be shipped to you .

However, most insurance companies do cover one breast pump with each pregnancy, and you can often qualify for this benefit up to one year postpartum.

Thats where we come in! Aeroflow Breastpumps can help you get a name-brand, top-quality breast pump through insurance. We work with most major health insurance providers, and can also provide a breast pump through most Medicaid plans.

For specific information about what your insurance provides, check out these coverage guidelines or give us a call at 1-844-867-9890.

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Does My Health Plan Cover Breast Pumps

Who is this for?

Blue Cross Blue Shield of Michigan and Blue Care Network members under age 65.

Breast pumps are considered durable medical equipment, or DME. Most Blue Cross Blue Shield of Michigan plans cover DME along with breastfeeding support, supplies and counseling. Some plans available through large employers may not cover DME. Heres how to find out if your plan covers breast pumps.

When Do I Need To Order A Breast Pump

Different insurance plans cover breast pumps at different times in your pregnancy. Some plans may ship your breast pump to you several weeks out from your due date, while others only cover the pump within a few days of your due date. Most moms tend to order their breast pump around the 30-week mark, which leaves plenty of time for insurance, processing, shipping, and delivery, so youre ready to pump when your little one arrives. If you have already given birth and are just now considering breast pumping, you may still be able to get a breast pump through insurance. Many insurance plans continue to cover the cost of a double electric breast pump through the first year after birth.

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What If Insurance Companies Violate The Law

While Obamacares coverage of breastfeeding equipment, support, and counseling was a groundbreaking insurance benefit, breastfeeding provisions under the ACAs essential benefits requirement has not been consistently enforced. Two studies out of the NWLC found scores of cases in which insurance policies failed to comply with the ACAs breastfeeding coverage requirements or restricted coverage in ways that undermine the intent of the law.8

In other instances, as detailed in the report, the federal guidance detailing coverage standards fall short of what women need to breastfeed successfully.9 So, what can you do if your plan fails to comply with legally-mandated breastfeeding health insurance benefits? Lets take a closer look at what to look out for.

Some insurance plans have put limits on coverage in violation of ACA provisions. Noncompliance took the following forms:

  • Only covering lactation counseling within two months of delivery
  • Not covering a breast pump until after the baby is born and
  • Not allowing women to obtain breastfeeding services out-of-network without out-of-pocket costs when in-network services were not available.

And while not illegal, the report also found insurance companies complicating the ability of new parents to breastfeed in legally permissible, albeit ethically questionable, ways:

  • Only covering the cheapest, inefficient manual pumps and
  • Including very few lactation consultants in their network, so as to be geographically inconvenient.

Q: I’m Having Trouble Using My Breast Pump And I Have To Go Back To Work In A Few Days Can You Help Me

Breast Pumps 101: How to choose the best one for you through Insurance

A: Yes. First, congratulations on practicing with your breast pump before you go back to work. It’s important to be comfortable pumping before you have to do it in an unfamiliar environment like work or school.

If you’re having trouble, you can call us toll-free at 800-994-9662, Monday through Friday, from 9 a.m. to 6 p.m. ET, to talk to a trained breastfeeding peer counselor in English or Spanish. A counselor can answer your questions about how to store pumped milk, teach you how to clean your breast pump, and give you tips to get the milk flowing when your baby isn’t there.

If you need more help with breastfeeding, ask your health insurance company for a list of providers who can provide lactation support. Most health insurance plans, including those in the Health Insurance Marketplace, must cover breastfeeding support and counseling for the duration of breastfeeding.

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Breast Pumps Through Insurance: What You Need To Know

Lets get one thing about babies out of the way: the cost of all of their accessories adds up fast. But weve got good news for you. Theres a good chance that your insurance company will cover the cost of a breast pump if thats one of the items on your list. Weve rounded up some of the most common questions around getting the cost of your breast pump taken care of by your insurance provider.

Do Insurance Companies Cover Breast Pumps

The Affordable Care Act requires insurance companies to provide a breast pump to new parents who plan to breastfeed free of charge, without a co-pay.

The Department of Health and Human Services issued the following guidance on what insurers are required to provide:

Your health insurance plan must cover the cost of a breast pump. It may be either a rental unit or a new one youll keep. Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when youll receive it .

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How To Get A Breast Pump After Youve Given Birth

Many new mothers are not aware that in most cases you are still eligible for a free electric breast pump under the Affordable Care Act postpartum. You can still get your insurance-covered breast pump after you’ve given birth!

Simply fill out the Qualify Through Insurance form to get started! Its the same process as if you were applying during pregnancy. In most cases, new mothers are eligible for a free breast pump through insurance from early in pregnancy to one year after birth. This is a good rule of thumb, however the exact period of eligibility will depend on your particular insurance plan.

How To Secure Your Insurance

Breast Pumps Covered By Health Insurance

At The Lactation Network, we work hard to make this process totally seamless for you. We are a Durable Medical Equipment provider, which means we provide public access to medical equipment and devices for in-home use. As real moms ourselves, we know you have a lot on your plate, so we make initiating the process of getting a pump super straightforward. You simply choose which breast pump you want, and we take it from there.

Not sure which breast pump is right for you? Take a quick quiz on our site to help you narrow in on the breast pump that best fits your lifestyle and needs. You can also send us an email or give us a call to talk through the different pumps and get some real-mom insights.

Our new checkout process makes securing your pump as easy as any add to cart online shopping experience. Simply select your state and your health insurance from the drop-down menu. We will show you the pumps that are included in your plan at no cost, as well as any pumps available for an upgrade fee. Click on a specific pump to read more details and then add the pump you want to your cart. If you choose a pump with an upgrade fee, no payment is collected until we confirm all the details with your insurance company.

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Contact Your Insurance Company

Since there are no standard guidelines, calling your insurance company is the best way to find specific details about your coverage.

I tell my patients to call their insurance company by their third trimester, says Lisa Paladino, a certified nurse midwife and international board-certified lactation consultant in private practice in Staten Island, New York.

In Paladinos experience, most insurance companies have a dedicated maternal child specialist who can explain the process and the coverage to which youre entitled. But start by calling the Member Services phone number on the back of your insurance card.

Consider Various Breast Pumps

If your insurance company offers several options, you will need to decide what kind of pump works best for you. Heres a brief overview.

  • Double-electric pumps: Electric pumps are designed to mimic the way a baby nurses, first with quick, short pulls to create a let down and then a longer pull, says Nicole Drury, a certified La Leche League leader in Northampton, Massachusetts. The double-electric is the most efficient type of pump since it lets you pump both breasts at once. But some women really dont like this setup, and feel like theyre hooked up to a machine, she says.
  • Single-electric breast pumps: You can only pump one breast at a time with this style, which can take longer. But some women like having the option of pumping one breast and letting the baby nurse on the other breast at the same time.
  • Battery-operated breast pumps: These pumps may be ideal when youre on the go. If youre traveling and dont have guaranteed access to an electrical outlet, you could pump in the car if you had to, says Drury. This pump might be right for you if portability is more important than speed.
  • Manual pump: Some women love this low-tech option, says Drury. Theyre super portable and I know a lot of moms who swear they get a lot of milk pumping manually, saying they can get really good suction and a long pull.

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When Should I Order My Breast Pump Through Insurance

Generally, you can get your breast pump at any time during pregnancy and up to one year postpartum. Again, this will depend on your insurance provider. Many insurance companies will allow you to order your breast pump as early as week 30 in your pregnancy. Having your pump shipped on the early side is ideal since it allows you to have a chance to look over those instruction manuals before youre in the throes of breastfeeding. However, other insurance companies wont ship out breast pumps until the babys due date. This is a bit of a bummer, but a free pumps a free pump I suppose.

Did you know you could get your breast pump covered by insurance? Do you have any tips on how to make the process even quicker and easier? Tell us in the comments!

Which Breast Pumps Are Covered By Insurance

How to Get a Breast Pump Through Your Health Insurance // Free breast pump

Each insurance plan covers different breast pumps, so your insurance breast pump will likely depend on your unique coverage. Medela, Ameda, Spectra, and Lansinoh are some of the most commonly covered breast pump brands, and there are several breast pump options from each of these brands.

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How Do You Find Out What Breast Pumps Your Insurance Covers

The easiest way to do this doesnt involve talking to your insurance at all.

In most cases, you can work with a medical device company. They will contact your insurance, get a prescription from your doctor, and find out what youre eligible for.

If youre not sure whether or not you have coverage, you can fill out this form and find out.

Find Affordable Healthcare Thats Right For You

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How To Request A Breast Pump

To request a breast pump, call the phone number on your health plan ID card, or you may contact one of the national network providers below. You do not need a prescription to get a breast pump. Make sure to note that you will not be reimbursed for a breast pump purchased at a retail store.

If you contact a breast pump supplier directly, they may ask for your doctors name and phone number and the babys due date or the date the baby was delivered. The supplier may check this and other information with your doctor before the breast pump is ordered.

What Types Of Breast Pumps Are Covered Through Insurance

Are Breast Milk Bottles Covered Under Health Insurance? It ...

Each insurance plan covers different breast pumps, so your insurance breast pump will likely depend on your unique coverage. Medela, Ameda, Spectra, and Lansinoh are some of the most commonly covered breast pump brands, and there are several breast pump options from each of these brands. Most insurance plans cover the cost of a double electric breast pump, and in some cases, insurance may offer complete coverage of a breast pump even if you havent met your deductible. Talk with a Pumps for Mom expert or contact your insurance representative to see which breast pumps are covered by your plan!

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Q: I Want To Keep Breastfeeding When My Maternity Leave Is Over But I’m Not Sure When Or Where I Would Pump At Work What Do I Do

A: It might seem difficult to keep breastfeeding after you go back to work, especially if you’re not in an office but there are a lot of ways to make it work. And the law is on your side. The Affordable Care Act amended the Fair Labor Standards Act , which covers most hourly wageearning and some salaried employees. Many employers are required to help their employees who are nursing moms in two ways:

  • Workers must be given “reasonable” break time to pump for a breastfeeding child for one year after the child’s birth. The law recognizes that each woman has different needs for pumping breaks. Employers are not required to pay employees for the time they spend pumping, and many women use existing paid breaks to pump.
  • Women who need to pump or nurse must be given a private space. This space cannot be a bathroom.
  • To see whether you are covered under this law or if you have more protections under your state law, check out our website . There we have for all types of workspaces and about what you need.

    Contact Us When You Need To Get A Breast Pump Through Health Partners Insurance

    We want to help you get a breast pump through Health Partners Insurance that is best for you. Here at The Breastfeeding Shop, we believe that breast milk is the best source of nutrition for babies. But, some babies struggle with latching. And its good to have a breast pump and stored breast milk on hand just in case. If youre ever running late for a feeding, youll have it there. Or, you can share feeding duties with the help of pumped breast milk. Every mom and baby have their own needs. Our helpful breast pump service can make it easy to find the right breast pump for you. You may be wondering about the differences between a Spectra S1 and S2. Or, maybe you need Medela and EvenFlo comparison. Whatever your breast pump question is, give us a call.

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