Surprised that all I had to do was go through one of my insurance company's approved vendors ---- ordered the Medela Pump in Style Advanced and they will bill insurance directly
. Insurance covered the pump itself (motor), bottles, and shields. I upgraded to the tote (with the cooler and extra bottles) for $83 AND could use my flex spending (pre tax) card! (I have the PISA backpack from DS1 but needed new tubes, bottles, etc. -- that would almost be as much as what I paid for everything brand new).