Apparently breastpump coverage is required under Obamacare! — The Bump
2nd Trimester

Apparently breastpump coverage is required under Obamacare!

I saw this on NPR's website just so, so I called my health insurance company and they said rental's and purchases were covered if I used this one specific group. I am pumped! Apparently this new part of the ACA just went into effect after the new year? Hooray! I have mine from DD#1 but I wanted to rent a hospital grade and that is not cheap!

 

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Re: Apparently breastpump coverage is required under Obamacare!

  • Some plans will only cover a manual, but most seem to be doing more than the bare minimum.
  • Be sure to call the company that your insurance contracts through.  I called, and there is a waiting list and they will only register you for a pump if you're 30 days from your due date.  Also, they only have 3 models to choose from.  It's nice to save $300 though!
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  • Mine only covers a manual.
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  • I heard about this a couple of weeks ago! Definitely will have to look into it! Thanks for the reminder :-) 
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  • Mine only covers a $50 reimbursement for a pump.  I was so bummed when they told me that.  I thought they had to cover the full cost of an electric one.  :(
  • Here's another thing: your insurance provider may give you a listing of 100 companies in your area that provide them. You can call & call...half of the businesses are closed, and the other 48 stopped providing breast pumps. It's been a big, fat, pain in the A$$ for a lot of people.

    For a lot of the companies, the breast pumps never get returned, people leave/move, and the company ends up eating the costs, and overall it hasn't panned out as a good deal for them, so they just stop handling that equipment. 

    But, yes, in theory, it's great. 

  • I called and my insurance said that my "plan" doesn't cover it. Is it required by law or not? I have very good insurance which covers everything so I don't get it. 

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  • imagekimmarie1105:
    I called and my insurance said that my "plan" doesn't cover it. Is it required by law or not? I have very good insurance which covers everything so I don't get it.nbsp;


    I'd press the issue. The legislation took effect August 2012. My plan renews in July, so I won't be eligible until July 1st 2013. Maybe you're in the same boat. However, some plans, if they were in place prior to March 2010, might not be required to cover pumps under the Affordable Care Act. I would talk dates with your insurance company to see if either of these issues apply to you. If it's the first situation, you might have some coverage if you wait until your plan renews; if it's the second, there might not be much you can do :
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  • imagekimmarie1105:
    I called and my insurance said that my "plan" doesn't cover it. Is it required by law or not? I have very good insurance which covers everything so I don't get it. 

     I am in the same boat as you.  We have very good insurance through my husband's (large) employer and my H just called them tonight.  They won't cover the cost of pumps until Jan 2014.  I guess they have a special pass until then.  I am bummed to say the least :(  However, I am very thankful for such good insurance otherwise!

  • imagekimmarie1105:
    I called and my insurance said that my "plan" doesn't cover it. Is it required by law or not? I have very good insurance which covers everything so I don't get it. 

     I have Aetna, and according to their website, if your plan is "grandfathered," they don't have to cover the breast pump under most conditions. That means there is a way for insurance companies to weasel out of providing you with a pump.

     http://www.aetna.com/cpb/medical/data/400_499/0421.html

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  • Mine will only cover a single electric which will not work once I am back at work.
  • imagerochella:

    imagetokenhoser:
    Some plans will only cover a manual, but most seem to be doing more than the bare minimum.

     

    My plan will only cover a manual.  I was incredibly disappointed.  

    Yup. Same here.

    Thankfully my friend offered for me to borrow hers. Of course, I'd buy new attachments and such. She has an Avent one so I guess I'd have to use those bottles at least to pump straight into them.  

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  • The title to this post is wrong. If you have a "private" insurance, then no Obamacare is not required.

     http://obamacarefacts.com/obamacare-facts.php

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  • imagesouthernmommie:
    The title to this post is wrong. If you have a "private" insurance, then no Obamacare is not required. nbsp;http://obamacarefacts.com/obamacarefacts.php


    I'm confused about what you're saying. Obamacare isn't a type of coverage, it's a dumb label for the ACA, with which private insurance companies are required to comply. They have i believe one more year to keep the grandfathered plans, but many mine included have already changed policies to comply with the mandate. So yes, all of those "things" set forth by the ACA apply to private insurers.
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  • imagesouthernmommie:

    The title to this post is wrong. If you have a "private" insurance, then no Obamacare is not required.

     http://obamacarefacts.com/obamacare-facts.php

     

    From the site you cited (http://obamacarefacts.com/obamacare-womens-health-services.php), I found the following:

    Women across America will benefit from the new provisions and protections in the Affordable Care Act (ObamaCare). As of Aug. 1st, 2012, or at their next renewal date, women will have access to a large number of preventative services which will be completely covered by the insurance companies. These services include:

    ? Well-woman visits.

    ? Gestational diabetes screening that helps protect pregnant women from one of the most serious pregnancy-related diseases.

    ? Domestic and interpersonal violence screening and counseling.

    ? FDA-approved contraceptive methods, and contraceptive education and counseling.

    ? Breastfeeding support, supplies, and counseling.

    etc...

    So, according to that site, private insurers will eventually have to provide for breast pumps.  

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  • I have yet to hear a success story with this. Either the company provides only manual or the rental companies they contract with for electrics don't have any available.  I'd love to hear any success stories. 

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  • imagekellyrn9956:
    I have yet to hear a success story with this. Either the company provides only manual or the rental companies they contract with for electrics don't have any available. nbsp;I'd love to hear any success stories.nbsp;


    I know quite a few people who have gotten them, including two of my coworkers.
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  • imagekellyrn9956:

    I have yet to hear a success story with this. Either the company provides only manual or the rental companies they contract with for electrics don't have any available.  I'd love to hear any success stories. 

    I have a regional HMO and they cover the Ameda Purely Yours. It must be purchased at a place associated with the hospital. I haven't gone yet but I have several friends that have and it was an easy process for them. They went, picked it up and it was directly billed to the HMO. I have an old policy that has not renewed but I have already called and its already covered on my "grandfathered" policy. I have a Medela Freestyle from when I had my daughter so I'm going to call this week to see if instead of getting an new pump, I can get new tubing... We will see if that happens!

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