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breast pump and insurance

smalpotatosmalpotato
in 3rd Trimester
Anyone get their breast pump covered and needed a special code for insurance?  They said I need a HCPC or and L-code?  I'm not sure if that means I have to order from a medical supply company or what.  Most places are closed now and I don't want to wait until Monday to find out.  Maybe I'll call BRU and ask... hehe.
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Re: breast pump and insurance

  • McLovinfromHawaiiMcLovinfromHawaii
    Mine will have to be purchased through a medical supply company.
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  • LinzemacLinzemac
    Most people I have talked to (my insurance company included) ?you need a prescription in order for them to cover it. ?The script comes from the pedi. ?Good Luck
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  • rouge411rouge411

    Is it covered by insurance per doctor's orders or for a certain diagnosis, or just in general? I would check with your OB, but a HCPC or L-code is just a code for durable medical equipment. It'll be a 5 digit code. When I did a google search, I got:

    Breast pump: accessories, A4281-A4286 electric, any type, E0603 heavy duty, hospital grade, E0604 manual, any type, E0602
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  • rouge411rouge411

    Or check out this link:

    https://www.gotbreastpump.com/Is_Your_Breast_Pump_Covered_By_Insurance_Breast_Pumping_faqs.php

     

     

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  • smalpotatosmalpotato

    Thanks!  It sounds like I need a script but the guy from the insurance company didn't specifically say that.  He just said they're covered with a certain code and when I asked about the code he didn't really answer my questions, just told me I needed a code.  I think I'll try calling the insurance again on Monday and hopefully I'll get someone else!

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  • rouge411rouge411
    imagesmalpotato:

    Thanks!  It sounds like I need a script but the guy from the insurance company didn't specifically say that.  He just said they're covered with a certain code and when I asked about the code he didn't really answer my questions, just told me I needed a code.  I think I'll try calling the insurance again on Monday and hopefully I'll get someone else!

    He might be talking not just about a HCPC code, but a ICD-9 (diagnosis) code. I'd definitely call back and verify, and get a script from your doctor. Good luck!

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  • AndiGAndiG

    When I had my DS my insurance did cover the breast pump.  The pedi will give you a script ("latching issues" is usually the reason) - I didn't actually have any issues though.  I did have to get it at a medical supply store - but it was the Medela Pump In Style and I loved it (as much as one can love a breast pump).

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