
Insurance coverage for pump parts can be a lifesaver for breastfeeding moms, but it's not always a guarantee. Some insurance plans may cover the costs of pump parts, but it depends on the specific policy and provider.
Many insurance plans consider breast pumps a medical necessity, especially for mothers with medical conditions or multiples. This can be a huge relief for new moms who need to express milk regularly.
Some insurance plans may require a doctor's prescription for a breast pump, which can also cover the cost of replacement parts. It's essential to check with your insurance provider to see what's covered and what's not.
In some cases, insurance may only cover a certain number of pump parts per year, so it's crucial to understand the specifics of your plan.
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Insurance Coverage for Breast Pumps
Insurance coverage for breast pumps can be a bit confusing, but don't worry, I've got the scoop.
Many insurance companies cover replacement breast pump parts, which is a relief for moms who need them. These parts are typically shipped to you within the recommended replacement windows.
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Some insurance plans, especially those mandated under the Affordable Care Act, cover the cost of a breast pump, but this usually relates more to the pump itself than to extra replacement components.
If you have a Tricare plan, you may be in luck - they cover essential breast pump accessories, including standard power adapters, tubing, and replacement parts.
To understand your specific coverage, review your policy information or get in touch with your insurance company personally. It's also a good idea to inquire about each kind of part, such as valves, tubing, and membranes.
Some insurance plans, like Tricare, have specific limitations and restrictions on covered benefits, so be sure to ask about those too.
Here are some examples of covered breast pump supplies, according to the MHCP:
Tricare Coverage for Breast Pumps
Tricare's breast pump coverage is not limited to a specific manufacturer, brand, or model number, giving you more flexibility to find the pump that suits you best.
If you're a Tricare beneficiary, you can get three types of breast pumps: manual, standard electric, and hospital-grade pumps. Hospital-grade pumps usually require a prescription and need to be rented.
Some of the brands and models covered by Tricare include Lansinoh, Momcozy, Zomee, Elvie, Spectra, Ameda, Ardo, Evenflo, Freemie, Medela, Motif, and Willow.
Here's a list of some of the covered models:
- Lansinoh: Discreet Duo; 3.0 Lifestyle Set
- Momcozy: S12 Pro; M5 Wearable Double Breast Pump;
- Zomee: Z2 (hands free collection also available); Fit
- Elvie: Stride; Classic
- Spectra: S1 (upgraded kit also available); S2; Synergy Gold
- Ameda: Mya Joy Basic (upgraded kit also available)
- Ardo: Alyssa
- Evenflo: Advanced
- Freemie: Independence
- Medela: Freestyle; Pump in Style with Max Flow (upgraded kit also available)
- Motif: Luna (with battery also available); Aura
- Willow: Standard wearable breast pump; Willow Go
If you have a prescription, you can send it to The Breastfeeding Shop, and they'll contact Tricare to see if your desired pump is covered.
Tricare Covers Breast Pump Accessories
Tricare may cover essential breast pump accessories, breast pump kits, or replacement parts, which can be helpful whether this is your first baby or a subsequent pregnancy.
Examples of covered items include standard power adapters, tubing and tubing adapters, locking rings, replacement bottles, bottle caps, baby bottle locking rings, breast milk storage bags, valves/membranes, and breast shields/splash protectors.
Some Tricare-eligible benefits have limitations and restrictions, but you can get help understanding your specific plan from Tricare's customer service team.
You can get your breast pumps, supplies, and other insurance-covered maternity support items easily, as Tricare aims to make the process smooth and hassle-free.
Types of Breast Pumps via Tricare
Tricare offers coverage for three types of breast pumps: manual, standard electric, and hospital-grade. Manual and electric breast pumps can be purchased through Tricare, while hospital-grade pumps must be rented.
You have the flexibility to choose from various brands and models, including Lansinoh, Momcozy, Zomee, and Medela. However, some high-end pumps may require an upgrade fee.
Here are some examples of breast pump models that are available through Tricare:
- Lansinoh: Discreet Duo; 3.0 Lifestyle Set
- Momcozy: S12 Pro; M5 Wearable Double Breast Pump;
- Zomee: Z2 (hands free collection also available); Fit
- Elvie: Stride; Classic
- Spectra: S1 (upgraded kit also available); S2; Synergy Gold
- Ameda: Mya Joy Basic (upgraded kit also available)
- Ardo: Alyssa
- Evenflo: Advanced
- Freemie: Independence
- Medela: Freestyle; Pump in Style with Max Flow (upgraded kit also available)
- Motif: Luna (with battery also available); Aura
- Willow: Standard wearable breast pump; Willow Go
Keep in mind that Tricare may not fully cover all of these models, so it's best to send in your prescription to confirm coverage.
Frequently Asked Questions
How to get free replacement breast pump parts?
Check if your insurance covers additional breast pump parts at no cost through Aeroflow Breastpumps, who will notify you if eligible
Sources
- https://onewillow.com/blogs/all/everything-you-need-to-know-about-breast-pump-replacement-parts
- https://momcozy.com/blogs/breastfeeding/how-often-to-replace-breast-pump-parts
- https://www.aetna.com/cpb/medical/data/400_499/0421.html
- https://thebreastfeedingshop.com/tricare-free-breast-pump/
- https://www.dhs.state.mn.us/main/idcplg
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