If your insurance covers a breast pump, you'll typically need to choose between a manual, single electric, or double electric pump. The type of pump covered can vary depending on your insurance provider, so be sure to check your policy.
The American Academy of Pediatrics recommends a double electric pump for mothers who plan to express milk frequently, as it can be more efficient and comfortable to use. Insurance companies like UnitedHealthcare and Cigna often cover double electric pumps, but it's essential to confirm coverage with your provider.
Manual pumps are usually covered by insurance, but they can be more time-consuming to use and may not be as effective for frequent milk expression. Some insurance companies, like Aetna, may cover single electric pumps, but coverage can vary depending on the specific plan.
Insurance Coverage
Insurance coverage for breast pumps can vary depending on your specific plan and location. Most insurance plans cover the cost of a standard electric breast pump, but some may also cover manual pumps or upgraded models if deemed medically necessary.
Insurance coverage usually begins before birth or shortly after delivery, and you might need a prescription from your healthcare provider to get a pump. In-network providers can help ensure that your insurance covers the pump fully.
You may need to provide certain documentation, such as a prescription from your healthcare provider, proof of pregnancy or birth, and possibly other forms or information to process the insurance claim. This documentation can vary depending on your insurance plan.
Some state Medicaid programs also cover breast pumps for eligible beneficiaries. It's essential to check with your specific insurance provider to understand the details of your coverage.
Here are some common types of breast pumps covered by insurance:
- Standard electric breast pumps
- Manual breast pumps
- Hospital-grade breast pumps (for rent)
- Double electric breast pumps
- Single electric breast pumps
Keep in mind that the specific types of breast pumps covered by your insurance plan may depend on factors such as medical necessity, your healthcare provider's recommendation, and the policies of your insurance provider.
How to Order: A Guide
To order a breast pump, you'll first need to check your insurance coverage. Review your insurance plan documents or contact your insurance company to understand what types of pumps are covered and any requirements or limitations. You may need a prescription from your healthcare provider.
If your insurance requires a prescription, schedule an appointment with your healthcare provider to discuss your breastfeeding goals and any medical reasons why you may need a breast pump. They can then write a prescription for the type of pump that is most suitable for your needs.
You'll need to find out which suppliers or vendors are in-network with your insurance plan. Your insurance company may provide a list of preferred suppliers, or you can contact them directly to inquire about coverage. Working with an in-network supplier can help ensure that your breast pump is fully covered by insurance.
Here are some preferred breast pump providers and their contact information:
Once you've confirmed your insurance coverage and identified in-network suppliers, select the breast pump that best meets your needs. Consider factors such as pump type, portability, and features like double pumping capabilities. Your healthcare provider or a lactation consultant can offer recommendations based on your individual circumstances.
To place your order, contact the supplier with the necessary information and documentation, such as your insurance information and contact details. They will process your order and arrange for the delivery of your breast pump to your home or another specified location.
Costs and Suppliers
Partnering with reputable suppliers is crucial for getting your breast pump covered by insurance. Yummy Mummy and Aeroflow Breast Pumps are top suppliers who specialize in working with insurance companies.
You can rely on these suppliers to guide you through the process and ensure that you receive the pump covered by your insurance plan. Durable medical equipment (DME) providers like these can make a big difference in getting the support you need.
Insurance coverage for breast pumps can vary, but partnering with the right suppliers can help. These suppliers have experience working with insurance companies to get pumps covered.
Some breast pump suppliers can even help you navigate the insurance process and ensure that you get the pump you need.
Can I Purchase?
To purchase a breast pump, you can reach out to Blue Shield of California customer services to understand their breast pump benefits.
Blue Shield of California has specific information on breast pump benefits and claim submission processes.
Lactation Counseling
Lactation Counseling is an essential support system for new mothers. Many insurance plans cover lactation counseling services, including Aetna plans that cover up to six visits with a lactation consultant.
You may be eligible for lactation counseling at no cost to you, depending on your insurance plan. Most UnitedHealthcare plans include coverage for lactation counseling with a network provider.
Lactation counseling can be very helpful if you're experiencing challenges with breastfeeding, such as latching difficulties, pain, or low milk production. Your in-network ob/gyn or pediatrician may offer lactation support classes or counseling during an office or outpatient visit.
Breastfeeding might come naturally to some, but it's common to need help, especially at first. Contact your OB/GYN, pediatrician, or primary care physician to learn about lactation counseling services they offer.
National Providers and Shopping
If you're looking for a breast pump provider that works with your insurance, there are several national options to consider. You can contact Synapse Health at 1-888-336-9363 or visit their website through Optum Now for plans through an employer.
Some other national providers include Pumping Essentials, Edgepark Medical Supplies, Byram Healthcare, Aeroflow Healthcare, and AdaptHealth Patient Care Solutions. All of these providers cover all plans, making it easy to find one that works for you.
Here are some national providers and their contact information:
Top Suppliers and Products
If you're looking for a reputable supplier to help you navigate the insurance process, consider partnering with Yummy Mummy, Aeroflow Breast Pumps, or other durable medical equipment (DME) providers.
Aeroflow Breast Pumps is a top supplier that can guide you through the process of getting a breast pump covered by your insurance plan.
Yummy Mummy is another supplier that specializes in working with insurance companies to ensure you receive the pump you need.
Insurance-supported breast pumps are available from these suppliers, making it easier to get the equipment you need.
Optum Now Shopping
Optum Now Shopping is a great resource for those looking to purchase breast pumps. Many electric or wearable breast pumps at Optum Now may be fully covered by your benefits if you get your health insurance through work.
If you're ready to choose a breast pump, Optum Now is a good place to start. New in 2023, they offer a range of options that may be fully covered by your insurance.
National Providers
If you're looking for a reliable breast pump provider, you have several options to consider. National providers like Synapse Health, Pumping Essentials, Edgepark Medical Supplies, Byram Healthcare, Aeroflow Healthcare, and AdaptHealth Patient Care Solutions are all available.
You can contact Synapse Health at 1-888-336-9363 or visit Optum Now for orders. They cover plans through an employer.
Pumping Essentials can be reached at 1-866-688-4203 and covers all plans. Edgepark Medical Supplies is also available at 1-800-321-0591 and covers all plans.
Byram Healthcare can be contacted at 1-877-902-9726 and covers all plans. Aeroflow Healthcare is available at 1-844-867-9890 and covers all plans.
AdaptHealth Patient Care Solutions can be reached at 1-844-PCS-MOMS (1-844-727-6667) and covers all plans.
Here are some key national providers and their contact information:
Acceleron Breast Pumps can be contacted at 1-877-932-6327 and covers all plans except for members with Medicaid plans in AZ, CT, MA, ME, NH, NJ, PA, and RI.
Frequently Asked Questions
What week does insurance cover breast pumps?
Insurance typically covers breast pumps around 35-36 weeks of pregnancy. This is usually 30 days before your due date.
Can you get more than one breast pump free through insurance?
Typically, insurance covers one breast pump per pregnancy, and benefits usually expire one year postpartum. Check your primary insurance plan for specific details on breast pump coverage.
Does Blue Cross Blue Shield cover Elvie's breast pump?
Yes, Blue Cross Blue Shield covers Elvie's breast pump as part of its comprehensive coverage for breastfeeding mothers. Contact 1 Natural Way for more information on how to get started with your covered Elvie pump.
Sources
- https://www.blueshieldca.com/en/home/be-well/conditions-and-care-programs/breast-pump
- https://www.aetna.com/individuals-families/womens-health/breast-pump-coverage-and-breastfeeding.html
- https://www.eufy.com/blogs/baby/how-to-get-breast-pump-through-insurance
- https://lactationnetwork.com/blog/how-to-order-a-breast-pump-through-insurance/
- https://www.uhc.com/health-and-wellness/health-topics/pregnancy/breast-pumps
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