Insurance covered breast pump

samanthak2525 · May 2014

I remember reading a post about this before but couldn't find it on my phone... Does anyone remember the website that you can order a breast pump and use your insurance to pay? Thanks!

miss.brittany · May 2014

My insurance covered one with my DD and surprisingly enough they cover one a year. So I'll probably take advantage of it again. I called my insurance company ahead of time to find out how it worked. I couldn't get it until my DD was born and then my midwife (or your ob/gyn) had to write a "prescription" for it and fax it to the insurance company. Then it came in the mail about 7 business days later. With my secondary insurance you still needed the prescription but then you called a special medical supply company they worked with and they let you pick between 2 or 3 and then you could go pick it up locally or it would be mailed. I went with the one my primary insurance offered because it was a high end medala just like what's regularly sold in stores.

So long story short, I would call your insurance company and ask them how you get a covered breast pump to see
how it works for them.

heatherjeanp · May 2014

I called my insurance co any to ask I my policy covered a pump. It does. The way mine works is that any time within 30 days of giving birth I can go to a Target pharmacy, show my insurance card, and get it on the spot. There are other locations I can get one, but I forget where. Sao if I were you I'd call your insurance company and ask.

Megcha0812 · May 2014

https://yummymummystore.com/ This may be the site you're referring to?

megaroo64 · May 2014

I also used the site that @megcha0812 linked- but every insurance is different. If you call, they will tell you exactly how their policy works.

meggiev123 · May 2014

Agree with PPs. My insurance (cigna envoy) let me purchase at Target and reimbursed me, but I know each company is different so you should definitely check on their specifics.

ScientistLibrarian · May 2014

I asked my insurance and they gave me a list of websites of supply companies that I can order from for it to be 100% covered. Definitely ask.

samanthak2525 · May 2014

Yes that's it megcha0812 !! And thanks everyone!

MrMrsandBaby · May 2014

Call your insurance to confirm...mine only covers in-network DME suppliers so I can't use that website.

Lindy1724 · May 2014

Definitely call to get all the details because my insurance will only reimburse for a manual breast pump up to $28, better than nothing I guess but those are important details to know before making a purchase:). Good luck!!:)

kgrisham18 · May 2014

My insurance doesn't cover one

We're grandfathered in to an old policy. I guess it's supposed to change next January but that doesn't help me too much.

Justabean3 · May 2014

This website is covered by mine and they are a medical suppliers

https://breastpumps.aeroflowinc.com

ScientistLibrarian · May 2014

FWIW, the yummymummy store is covered as in network DME with my insurance

it may be for you too!

WonkersMagoo · May 2014

I plan to get mine via insurance, but my friend that just gave birth advised me to start looking into it sooner rather than later since, per usual, insurance crap takes longer and is more of a pain in the butt than you expect.

MuffinMom14 · May 2014

My insurance told me, due to law, they must cover 100% as long as I use an in-network provider. So, I'm wondring if it varies state-by-state, hearing stories of only covering up to certain percentages now. They made it sound like it wasn't THEIR policy, but law. I know someone who had a baby 3 months ago that only got up to $150, so it must have just changed. That said, I can't find the pump everyone recommends (freestyle), so I have to go with the In-style, but it seems pretty close.

Justabean3 · May 2014

SPurp13 said:

My insurance told me, due to law, they must cover 100% as long as I use an in-network provider. So, I'm wondring if it varies state-by-state, hearing stories of only covering up to certain percentages now. They made it sound like it wasn't THEIR policy, but law. I know someone who had a baby 3 months ago that only got up to $150, so it must have just changed. That said, I can't find the pump everyone recommends (freestyle), so I have to go with the In-style, but it seems pretty close.

I'd didn't just change again it is still the new Obama Care policy. The problem is a lot of policies are grandfathered or they cover the retail percent and not the markup of the company. It is different still for basically every insurance.

like this is what Aeroflow sent me:

Here are the pricing for each breast pump per what your insurance will cover

17070PMW	Ameda Purely Yours without Bag	$0
Y4613	Tomy	$0
10-0056	Hygeia Q	$25
57081	Medela PNSA Starter	$25
17084	Ameda Purely Yours w/ Backpack	$75
57062	Medela PNSA Backpack	$155
57063	Medela PNSA On-The-Go Tote	$155
57036	Medela Metro	$200
67060	Medela Freestyle	$250

then she sent me this when I asked so I pay such in such

That is for DME pricing, the breast pumps are covered under preventative @ 100% ( which uhc pays only $120)

makes no sense to me!! So I asked her if I wanted the Metro I pay 200.00 and she said yes... I am all kinds of confused.

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Insurance covered breast pump

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