Ugh... Insurance Vent

Re: Ugh... Insurance Vent

• Daizy0628

  July 2013

  You might want to double check because I was under the impression that as of July 1st, insurance companies must provide a pump or assistance towards one. That's what my pharmacist told me...perhaps it's just my state.

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• heatherbrownm member

  July 2013

  I would call again and speak with someone else. I was given a different answer each time I contacted my insurance company. Mine ended up covering a double electric pump 100%.

  I hope you get your pump covered!
  

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• jackson290721 member

  July 2013

  Daizy0628:

  You might want to double check because I was under the impression that as of July 1st, insurance companies must provide a pump or assistance towards one. That's what my pharmacist told me...perhaps it's just my state.

  Pretty sure this isn't across the board yet/doesn't include grandfathered plans.  

  

  because it didn't fucking snow enough for me to build my own

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• siempreyo member

  July 2013

  NKaeding:

  Daizy0628:

  You might want to double check because I was under the impression that as of July 1st, insurance companies must provide a pump or assistance towards one. That's what my pharmacist told me...perhaps it's just my state.

  Most policies cover them now, but grandfathered policies are exempt.

   This is my understanding as well.  I called my insurance several times (was crossing my fingers I could find someone to give me good news) and after some additional research, etc learned that grandfathered plans still don't have to be covered, but this ends Jan 2014 (so no plans can be grandfathered any more).  A bit too late for me (I will go back to work in November), but maybe for some of us with July babies and Yay!  for future moms, but not for me 

  :-( 

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• Hilaboo86 member

  July 2013

  Daizy0628:

  You might want to double check because I was under the impression that as of July 1st, insurance companies must provide a pump or assistance towards one. That's what my pharmacist told me...perhaps it's just my state.

  
  
  I called to double check mine, it's effective as of January first through mine because that's when our plan reups. They also won't provide it late, because baby will already be here. Lame.

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• aiche Umm Ayoub member

  July 2013

  as of July 1st it's mandatory for insurance companies to cover breast pumps call back and ask for a supervisor
  

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• [Deleted User] member

  July 2013

  I called mine today. I have Anthem and it should be in the mail and on the way soon. Mine covered 100 percent and I ordered the Medela double. I hope the person you spoke with was wrong! I figure as much as I pay a month for insurance I should take full advantage.

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• Tara*N*Chris member

  July 2013

  aiche Umm Ayoub:

  as of July 1st it's mandatory for insurance companies to cover breast pumps call back and ask for a supervisor
  

  not true for mine, the policy is grandfathered in till jan 2014 . Boo 

  
  

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• Bmore721 member

  July 2013

  NKaeding:

  Daizy0628:

  You might want to double check because I was under the impression that as of July 1st, insurance companies must provide a pump or assistance towards one. That's what my pharmacist told me...perhaps it's just my state.

  
  
  Most policies cover them now, but grandfathered policies are exempt.

  
  This. The policy through my employer will partially cover a pump under certain situations, but the policy through DH's employer will not cover a pump or LC at all. Strange since his employer's policy is super awesome, and my policy usually sucks.

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• elyse05 member

  July 2013

  Maybe I'll call again.  I don't think it should be grandfathered in since DH's company changed providers in May of this year.  It's usually a pretty good plan so I was surprised too! 
  

  

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• BC&LM member

  July 2013

  You might want to call again because with all of the changes in the laws and policies recently I found that not all of the insurance representatives know what they are talking about. I called one time, and the lady I talked to said I needed my doctor to do an electronic preauthorization if I wanted a breast pump indicating the reason I needed it. This seemed wrong to me based on a recent press release on my insurance company's website saying that breast pumps are now covered 100 percent if purchased from an approved durable medical equipment supplier. Also, when I asked my doctor's office about doing the electronic preauthorization, they had no idea what I was talking about, saying they have only ever written letters to insurance companies regarding the need for a breast pump. I decided to call back, and the lady I talked to that time actually knew what she was talking about. She gave me the name of an approved supplier, and I called them to order the pump. I received it about four days later, and according to my insurance company's website, they already paid the supplier for the claim.

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