How do I get my breast pump covered by insurance?

how to get your breast pump covered by insurance

woman washing breast pump covered by insurance holding baby

Let’s get one thing about babies out of the way: the cost of all of their accessories adds up fast. But we’ve got good news for you. There’s a good chance that your insurance company will cover the cost of a breast pump if that’s one of the items on your list. We’ve rounded up all the info you’ll need to know to get the cost of your breast pump taken care of by your insurance provider.

Steps to get a breast pump covered by insurance

  1. Visit the Insurance Lookup Tool and fill out the required fields (your state and payer).
  2. Click “apply” to find out which pumps are covered by your insurance provider.
  3. Select your preferred breast pump supplier and click “apply now” to go to their qualify form.
  4. Fill out the form (you’ll need to have your insurance information handy for this).
  5. The supplier will provide you with a list of pumps that are covered by your insurance; pick the one you want from the list and complete the order form.
  6. The supplier then verifies your insurance. You’ll need a prescription to get the cost of your pump covered, but don’t worry! If you don’t have a prescription yet, the breast pump supplier will contact your healthcare provider to get one for you.

And that’s it! Your brand spankin’ new breast pump will be delivered straight to your door. Just keep in mind that insurance companies differ on when they’ll deliver your pump. While some will send the pump your way prior to your due date, others make you wait until your baby’s expected arrival.

mom unpacking breast pump from bag

Do I need a prescription to get a breast pump?

That all depends on how you plan on paying for it.

If you’re paying for your breast pump directly, you do not need a prescription. You can buy your pump online or in-store wherever breast pumps are sold.

If you want insurance to cover the cost of your breast pump you will need a prescription. If you don’t have a prescription from your doctor already, the supplier you are getting your breast pump from will fax a request to your care provider for the prescription. You can also request a prescription for yourself and send in a photo of the document.

What kind of breast pump will Medicaid cover?

Most state Medicaid plans will cover a personal use standard electric pump or manual pump. Hospital-grade breast pumps are generally not covered. Unfortunately, some state Medicaid plans will not cover the cost of a breast pump. If your plan does not cover a breast pump, we’d recommend contacting your local WIC office to find out if they have a breast pump program. The Special Supplemental Nutrition Program for Women, Infants, and Children is dedicated to improving the health of nutritionally at-risk women, infants and children, and may have resources available to help you get your hands on a breast pump.

How often does insurance cover a breast pump?

Most insurance plans will cover one pump with each new pregnancy under the Affordable Care Act. You can often qualify to receive coverage for a breast pump up until one year postpartum. As previously mentioned, the delivery date of your breast pump will depend on your insurance provider (while some will send the pump during your pregnancy, others won’t have it sent until your baby’s due date). In addition, there may be differences in coverage, depending on your insurance provider. For instance, coverage may vary on things like a manual versus an electric pump and the duration of renting a pump.

It’s worth noting that some health insurance plans may also provide coverage for breastfeeding support, counseling and equipment, in addition to maternity essentials like belly bands and postpartum support garments like this one. The Motif Medical Insurance Lookup Tool will help you figure out which of these items are covered by your provider.

I’m overwhelmed. Can you just tell me which pump to get?

There are tons of different pumps out there that’ll get the job done, which can make it tricky to narrow things down. Consider the Luna from Motif Medical. It’s quiet, lightweight, has easy-to-use settings and enough power for efficient and comfortable milk removal. There’s even a backlit LED screen to eliminate fumbling around during night pumping. A recent study found that 5 out of 6 moms said the Luna gave them “more milk in less time” than the leading pump brands, and 9 out of 10 moms preferred it over their current pump.

motif luna breast pump

When should I order my breast pump through insurance?

Generally, you can get your breast pump at any time during pregnancy and up to one year postpartum. Again, this will depend on your insurance provider. Many insurance companies will allow you to order your breast pump as early as week 30 in your pregnancy. Having your pump shipped on the early side is ideal since it allows you to have a chance to look over those instruction manuals before you’re in the throes of breastfeeding. However, other insurance companies won’t ship out breast pumps until the baby’s due date. This is a bit of a bummer, but a free pump’s a free pump, so you won’t hear us complaining.

woman pumping breast milk with a breast pump while sitting in front of laptop

Did you know you could get your breast pump covered by insurance? Do you have any tips on how to make the process even quicker and easier? Tell us in the comments!

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