Just wanted to share because I just read about this over the weekend- some breast pumps are now covered by insurance. I called my insurance company today and they told me I would be covered but there's only one specific brand covered and that is the Ameda Purely Yours but it is electric. I would have to pay out of pocket but then with a doctors script it would all be reimbursed. Anyone else's insurance covering or does anyone have any comments on that brand of pump? I've got some research to do I guess. Thanks for any thoughts!
I found a company online that works out the details with my insurance, premera blue cross. They get all of the authorizations and then ship it to me. I need to ask ob next appointment when I should order it.
I found a company online that works out the details with my insurance, premera blue cross. They get all of the authorizations and then ship it to me. I need to ask ob next appointment when I should order it.
They likely won't let you order it until at least 24 weeks or more. They won't want to pay $250 until they can be sure the pregnancy is viable.
My Pregnancy/Parenting BLOG TTC since 5/2011, BFP #1 12/3/11, M/C 12/7/11 @ 4wks 2d. Began seeing RE Sep 2012. October 2012 Metformin 1500 mg= ovulation on CD34 BFP#2 11/14/12 9DPO, EDD 7/26/13, DX Gestational Diabetes @14 wks, our angel born sleeping 3/24/13 @ 22wks 2d. BFP #3 7/4/13 8DPO EDD 3/22/14, DX Gestational Diabetes @14 wks. started insulin @16 wks. Our rainbow, born 3/19/14 @ 39wks 6d., we're so in love!
I was able to be reimbursed. I got an Ameda. The perk of most Ameda systems is that it is a closed system and all of the parts are removable and there is a slim to none chance of the milk touching the motor, so it can be 100% sterilized if you rent it/buy it used.
Mine didn't the first time around. . . but I believe they do now. I'm going to check the details when it gets closer and might get a 2nd~ one for home and one for work.
I have medical.mutual and they will cover 100 percent purchase of double electric Medela breast pump with doctor script and I can pick it up from my pharmacy
Warning
No formatter is installed for the format bbhtml
I work for a medical supplies company and insurance companies are legally obligated to cover the pumps but its at their discretion what brand, style, and in what time frame of when of they can be ordered. Example 30 days before or after your due date. Also just be aware that most manufactures have MAJOR issues. They were not expecting such an influx of orders and are having trouble keeping up with the demand. They are not giving out back order release dates, or how many will be coming out. Can you tell that I answer these questions a lot?
I ordered mine already and I have premera blue cross. The guy told me you could order it at any point during your pregnancy and I didn't have to pay anything at all.
Warning
No formatter is installed for the format bbhtml
I ordered mine already and I have premera blue cross. The guy told me you could order it at any point during your pregnancy and I didn't have to pay anything at all.
@parrishfam5 This is good to hear. We just got premera earlier this year.
If you don't mind me asking have you aid any co-pays for office visits or meds? I have not paid anything to date I was just curious if it was because of insurance or DHs employer.
OK with all this talk about breast pumps, STM...... What is a good brand to get for a pump. My insurance covers it, but was told the brand we are approved for is horrible, and we can try to get a better brand. What brand do you recommend?
I got a free Medela double electric pump (just like the pump in style advanced but it came in a different bag) free through Aetna last year. It had to be ordered through a durable medical supplier within 60 days of giving birth. It was a huge frustrating pain to order it because not many places had them and both the insurance company and the supplier were still learning the new law/terms (my son was born Jan. 6 and the new law went into effect in Jan. 1). It took about a month to come in but it was def. worth all the hassle to save the money. I used a Medela manual pump from the hospital until I received my free one and it took forever and was a pain. Our insurance will give you a new free one if you give birth again two years or more after the birth of your previous child or they will replace the parts (tubing, etc.) if you give birth before the two years.
Tricare will not cover a breast pump unless your child is a premie. So unfortunately, I do not get a free breast pump.
This. It sucks that the law doesnt apply to. gov. Health insurance. But also not really surprising...
I have Tricare Prime too and just looked today and wasn't the least bit surprised that they don't cover breast pumps unless you have a premie. It doesn't make sense to me that the government in willing to pay for formula through the WIC program when offering a low income family a breast pump could save the government so much money!
Once Obamacare kicks in I think people are going to be really disappointed with the level of care that comes with no cost/low cost health care. :-/
Tricare will not cover a breast pump unless your child is a premie. So unfortunately, I do not get a free breast pump.
This. It sucks that the law doesnt apply to. gov. Health insurance. But also not really surprising...
I have Tricare Prime too and just looked today and wasn't the least bit surprised that they don't cover breast pumps unless you have a premie. It doesn't make sense to me that the government in willing to pay for formula through the WIC program when offering a low income family a breast pump could save the government so much money!
Once Obamacare kicks in I think people are going to be really disappointed with the level of care that comes with no cost/low cost health care. :-/
I'm not even going to get into ObamaCare but seems like we have similar views. It's not just Prime either, I'm on Reserve Select for this pregnancy since my husband is going to school (its the same as Tricare Standard) and I pay a monthly premium and its not covered. We also don't get a NT scan covered. I do know that most military families under E-5 pay qualify for WIC so I guess you could always get a breast pump that way if you want. I choose not to use WIC though.
Hi, I too have medmutual but I haven't been able to find a DME that carries the medela double electric breast pump. can you tell me the name of the pharmacy that carries it?
Re: Breast Pump covered by insurance
My Pregnancy/Parenting BLOG TTC since 5/2011, BFP #1 12/3/11, M/C 12/7/11 @ 4wks 2d. Began seeing RE Sep 2012. October 2012 Metformin 1500 mg= ovulation on CD34 BFP#2 11/14/12 9DPO, EDD 7/26/13, DX Gestational Diabetes @14 wks, our angel born sleeping 3/24/13 @ 22wks 2d. BFP #3 7/4/13 8DPO EDD 3/22/14, DX Gestational Diabetes @14 wks. started insulin @16 wks. Our rainbow, born 3/19/14 @ 39wks 6d., we're so in love!
Elonah [3], Bentley [1]
Also just be aware that most manufactures have MAJOR issues. They were not expecting such an influx of orders and are having trouble keeping up with the demand. They are not giving out back order release dates, or how many will be coming out. Can you tell that I answer these questions a lot?
Hope that helps!!
TTC since 2008
Dh:34, no issues. Me:31, Endo, slightly hypothyroid, deformed ovary, paracentric inversion.
4 Gonal-F, Cetrotide, HcG, Crinone +TI cycles= all BFN
Lap in 2012 to remove large unresolving cyst discovered endo and double lobed ovary.
6 Gonal-F, Cetrotide, HcG, Crinone IUI cycles= All BFN,
1st IVF w/ICSI- June '13 Antagonist: Gonal-F, Menopur, Ganirelix, HcG, Estradiol, Crinone= 7 retrieved, 4 mature, 1 unfertilized, 2 abnormally fertilized, 1 normally fertilized. 2DT of only embryo and our miracle BFP.
Our beloved baby boy was born sleeping Oct. 13, 2013 due to pROM/IC/Uterine infection.
2nd IVF w/ICSI- Feb. '14 EPP/lupron/antagonist: Estrace, lupron, HGH, Gonal-F, Menopur, HcG, PIO, lovenox, doxy/dex.=21 retrieved, 16 mature, 15 fertilized!! 5dt of 1 blast/ 6 frozen. BFP! Beta 1 9dp5dt:83.9 Beta 2: 11dp5dt: 145.2 Beta 3 14dp5dt: 497 Please be our sticky rainbow baby!
OK with all this talk about breast pumps, STM...... What is a good brand to get for a pump. My insurance covers it, but was told the brand we are approved for is horrible, and we can try to get a better brand. What brand do you recommend?
I'm not even going to get into ObamaCare but seems like we have similar views. It's not just Prime either, I'm on Reserve Select for this pregnancy since my husband is going to school (its the same as Tricare Standard) and I pay a monthly premium and its not covered. We also don't get a NT scan covered. I do know that most military families under E-5 pay qualify for WIC so I guess you could always get a breast pump that way if you want. I choose not to use WIC though.