How To Claim Your Free Breast Pump


Under the Affordable Healthcare Act insurance companies now must cover the rental/sale of breast pumps to all new mothers. Here is how to claim yours.

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Insurance Companies

Because all insurance companies are not the same, we looked at a few to see what the requirement was for obtaining a breast pump. Here is what was posted:

Aetna

“If your plan covers in network women’s preventive services at no cost share, you can get a breast pump from the suppliers below at no out-of-pocket cost. You will not pay any co-pay, coinsurance or deductible.

“Even if your plan does not cover women’s preventive services with no cost share, you can still get a breast pump from the suppliers [listed below] at an Aetna discounted rate.

The Women’s Preventive Health Breast Feeding Benefit includes:

  • a standard electric pump (non-hospital-grade) within 60 days of birth, once every three years, or
  • a manual breast pump within 12 months of birth, if you have not received an electric or a manual breast pump in the last three years, and
  • another set of breast pump supplies if you get pregnant again before you are eligible for a new pump.”

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Cigna

Does not cover breast pumps without conditions such that it is medically necessary to have one.

Tricare

Does not cover breast pumps (way to treat our military and the wives of military).

United Healthcare

“Q. Will breast-feeding equipment be covered by United Healthcare under the Women’s
Preventive Care Services Provision?
A. Yes. In addition to covering the cost of rental, United Healthcare will cover the purchase of a personal, double electric breast pump at no cost to the member. To rent or purchase breast pumps, members will be required to contact a network physician, hospital with durable medical equipment (DME) agreement or DME supplier.
The physician, hospital or DME supplier will bill United Healthcare directly for reimbursement. Members will not be able to purchase supplies, such as breast pumps, at retail and send the receipt for reimbursement.
Network double-electric breast pump providers:
Edgepark at 1-800-321-0591 or edgepark.com
Genadyne at 877-311-9711 or lucinacare.com

Network hospital-grade breast pump rental provider:
Apria at 1-800-277-4288 or apria.com (not available at all locations)
Genadyne at 877-311-9711 or lucinacare.com

Please note that the suppliers may change.

nuby breast pump1 300x247 How To Claim Your Free Breast PumpSteps to Take

Step 1. Contact your insurance provider and give them your policy information in order to find out what your plan covers. The company may offer a base model, but require you to pay for upgrades.

Step 2. Find out if the insurance provider requires you to use a specific vendor. Do not wait until you need the breast pump to contact the vendor. Many companies are experiencing a high volume of requests and you may be placed on a waiting list.

Step 3. Research all of the pumps that the vendor offers. Not every pump is the same. Compare pump phases, sound, weight of pump, storage options, adapters, accessories and if there is any out of pocket expense for you. (Some insurance companies are only covering the hand express models). Make sure you read reviews to see how other customers thought of the various models.

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Step 4. If your policy says that it isn’t covered due to the date in which you enrolled, find out when your renewal date is and go from there.

Let us know if your insurance company covers breast pumps!

 

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 How To Claim Your Free Breast Pump

About Karla Trotman

Belly Button Boutique is an online store that specializes in products of comfort and support for pre- and postnatal women. Started by owner Karla Trotman, after 2 difficult (successful) pregnancies. Nine months is too long to be uncomfortable. Connect with me on Google+







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