Breast Pump Insurance: Everything You Need to Know

Breastfeeding is the most natural way to provide your baby with the nutrients they need to grow and thrive. However, it’s not always easy or convenient to breastfeed, especially if you’re a working mother. That’s where a breast pump can come in handy. Fortunately, many insurance plans cover the cost of a breast pump, making it more accessible for mothers who need it. In this article, we’ll discuss everything you need to know about breast pump insurance.

What is Breast Pump Insurance?

Breast pump insurance is a benefit included in many health insurance plans. It covers the cost of renting or purchasing a breast pump for nursing mothers. This benefit was included in the Affordable Care Act (ACA) in 2010, requiring insurance companies to provide breast pumps and lactation support to their members at no cost.

Under the ACA, most insurance plans must cover the cost of a breast pump with no copay or deductible. This means that new mothers can get a breast pump for free or at a reduced cost, provided they meet the requirements of their insurance plan.

What Types of Breast Pumps are Covered?

Most insurance plans cover a range of breast pumps from manual to electric. The type of breast pump you’re eligible for will depend on your specific insurance plan. Some plans may only cover a manual breast pump, while others may cover both manual and electric pumps.

If you’re unsure about which type of breast pump your insurance covers, it’s best to check with your health insurance company.

How to Get a Breast Pump through Insurance

If you’re pregnant or have recently given birth and are covered by an insurance plan that includes breast pump coverage, you can contact your insurance company to find out how to get a pump.

In most cases, you’ll need to get a prescription from your healthcare provider for a breast pump. You’ll then need to find a supplier that’s within your insurance company’s network. Your insurance company may provide a list of approved suppliers, or you can search for one on your own.

Once you’ve selected a supplier, you can place an order for a breast pump. Your supplier will then contact your insurance company to verify your coverage and process the claim. You’ll typically receive your breast pump within a few days of placing your order.

How to Choose the Right Breast Pump

With so many different types of breast pumps available, choosing the right one can be overwhelming. Here are a few things to consider when selecting a breast pump:

  • Frequency of use: If you plan to use your breast pump frequently or exclusively, you may want to consider an electric pump for convenience.
  • Portability: If you plan to use your breast pump while on-the-go, a portable and lightweight pump may be a better option.
  • Comfort level: Look for a breast pump that’s comfortable to use and doesn’t cause pain or discomfort.
  • Cost: Make sure to choose a breast pump that’s covered by your insurance plan to avoid out-of-pocket expenses.

Frequently Asked Questions

Question
Answer
Do all insurance plans cover breast pumps?
No, not all insurance plans include breast pump coverage. However, most plans are required to cover the cost of a breast pump under the ACA.
Can I get a breast pump before my baby is born?
Most insurance plans require a prescription for a breast pump, which means you’ll need to wait until after your baby is born to order one. However, some plans may allow you to order a breast pump prior to delivery.
How often should I replace my breast pump?
Most manufacturers recommend replacing your breast pump every 1-2 years. However, if you notice any issues with your pump, such as decreased suction or discomfort, you should consider replacing it sooner.
Can I upgrade my breast pump?
If you’re not satisfied with your current breast pump, you may be able to upgrade to a different model. Contact your insurance company to find out if this is an option.

Conclusion

Breast pump insurance is a valuable benefit for nursing mothers. By taking advantage of this benefit, you can have access to a breast pump at no cost to you, making it easier to provide your baby with the best possible nutrition. If you’re unsure about your insurance coverage or how to get a breast pump, contact your health insurance company for more information.