Step 1: Call your insurance company
Under the Affordable Care Act, your health insurance must cover the cost of a breast pump. If you’ve had your current health care plan since before 2010 (the day the ACA was signed), your health care provider may not have to follow the ACA requirements for an “exempt” plan, but Otherwise, a pump must count as part of your covered plan. healthcare.
The first question is what type of pump your insurance will cover. most plans cover the cost of a double electric pump. a hospital grade rental pump may also be an option depending on your pumping needs (separated from baby, unable to breastfeed) your insurance provider may have qualifications for what type of pump they will offer you and when you can get it. Talking on the phone with a representative who can walk you through your options will help you find a plan that works for you.
step 2: ask the right questions
Different health insurance plans can vary when it comes to breast pump options. when you speak with the representative, know what questions to ask to get the details you need about your plan:
- Does it cover hospital grade rental, personal double electric pumps, or both? some hospital grade pumps are only available by rental.
- How long will a rental cover? some moms just need a pump to establish lactation, while others need a long-term setup.
- does it cover manual or electric pumps, or both? hand pumps tend to be lighter and can be used anywhere. dual electric models are more effective, so may be better for mothers who need to express milk every day to get back to work or school
- what dollar amount will it cover? prices vary, so it is necessary to know the coverage budget. high-tech pumps with many features can cost several hundred dollars.
- Do I need to order through a medical supply company you work with, or can I purchase a retail model and submit the receipt for reimbursement?
- Which durable medical equipment (DME) providers do you work with?
- what makes/models of breast pumps does it cover?
- Are additional pieces of equipment covered? To pump, you’ll also need flanges, tubes, bottles, and other storage supplies.
- what documents do you need from me to prove my eligibility? some insurance providers want to see a prescription from your doctor, while others just need to see that you are receiving maternity care.
- When can I get the bomb? you may be able to place your order as soon as you know your expiration date. In other cases, the insurance company may want you to wait up to 30 days before your due date, or even ask you to call when you are discharged from the hospital.
- noise: will a louder engine be a problem on conference calls, or is a little hiss okay?
- sucking: Some moms may find that they need a stronger suction or a higher number of sucks per minute to collect the milk supply they need. casual users may not care as much about maximum efficiency.
- portability: how much does the pump weigh? Will you need to be near a point of sale? How long do the batteries last, if the pump has them?
- Hands Free: Hand pumps, in almost all cases, require you to stand up and do the work yourself. a hands-free pumping bra could also be a great idea
Step 3: Research Pump Options If you’re covered for a breast pump, the next step is to choose the model that’s right for you. different pumps have their pros and cons, so take a look around and consider the factors that are most important to you:
ameda has several models available through insurance. Our Mya breast pump offers the reliable performance you need for everyday pumping in a compact size. It features a built-in rechargeable battery, an easy-to-read LCD display, quiet operation, and a closed-system pump kit. finally pumping without compromise.
step 4: buy your pump
Depending on your area and insurance plan, you can buy your pump in several ways.
One way to get a breast pump is to order one online. The major medical supply companies (DMEs) that most insurance plans work with have online forms you can fill out. then, they will ship the bomb right to your door. edgepark, bryam healthcare, 1 natural way, and aeroflow have easy-to-use websites just for ordering your pump. You can also call other medical supply companies to inquire about processing and shipping times.
If you have a physical medical supply store nearby, you may be able to walk in, see the models in person, and walk out with a breast pump on the same day. The same goes for people whose health insurance will reimburse for a pump they buy from any retailer. if you’re on bed rest or don’t have a store nearby that offers the pump you want, shopping in person may not work for you, but for many moms-to-be, going to a physical store can be a quick way to get your pump .
In a pinch, if you need a pump and insurance won’t send it until after the baby is born, ask the hospital or call a lactation consultant to rent a pump on a weekly basis.
Discovering insurance is never fun, but getting a free breast pump is worth it! use this simplified guide or share it with an expecting mom in your life to make preparing for a new baby that much easier.
Disclaimer: ameda strives to present you with accurate and helpful information about breastfeeding. This article may contain information and ideas that are not necessarily the opinions of ameda. it does not constitute medical advice. If you have any questions, please contact your healthcare professional.