Does Medicaid Cover Breast Pumps


I Am Covered By Medicaid And Another Insurance Plan Why Cant I Get My Insurance

Medicare Will Give You A Free Breast Pump

States require that Medicaid be used as your secondary insurance if you are covered by Medicaid and another insurance provider . If your primary insurance does not provide any coverage of a breast pump , you may be eligible to receive one through Medicaid.

The only exception is when a mom has Medicaid and TRICARE coverage. In such cases, Medicaid becomes the primary insurance.

Medicaids Breast Pump State

Medicaid is considered to be a federal-state partnership. While the federal government upholds certain standards, its up to the states discretion on how they would like to follow these standards. Due to this, the eligibility and parameters that surround Medicaid covered breast pumps can vary. Unfortunately, North Carolina Medicaid does not currently cover breast pumps. This is one of the only states with such extreme limitations and therefore, we recommend looking into The Special Supplemental Nutrition Program for Women, Infants, and Children for alternative support. There are a few local breast pump programs that can help. For information on other state coverage, contact your State Medicaid Agency.

It should also be mentioned that if you have a commercial insurance plan and a Medicaid plan, you will need to provide both. According to the federal and state insurance guidelines revolving around pregnancy-related care, your primary insurance needs to be billed before Medicaid.

Can I Get A Free Breast Pump Through Wic

WIC is a public nutrition program that provides support to low-income women, infant, and children who may be at risk for nutritional deficiencies. WIC programs help provide families with important nutrients and help support healthy behaviors through childhood.WIC can help provide a breast pump and breastfeeding support to families in need. When insurance doesnt cover a breast pump or in cases where you may not have insurance, many WIC offices have resources to provide a single-user manual or electric pump to mothers. If youve already delivered and are waiting for your free breast pump through insurance, WIC may be able to loan you a pump while you wait to receive your free pump through the mail.If youre attempting to receive a free WIC breast pump, they may ask to verify your insurance plan to ensure youre not eligible for a breast pump through your provider. If you are eligible through insurance, theyll help you submit a claim. If not, WIC can provide a loaner breast pump or a free breast pump to keep.Most WIC locations offer breastfeeding support to mothers throughout all stages of the nursing journey, from birth through the process of weaning your baby. Visit your local WIC office to find out what resources are available in your area.

Read Also: What Are The Qualifications For Medicaid In Michigan

Q: Will My Insurance Plan Cover A Rental Breast Pump What If I Want To Buy A New One Instead

A: Your health insurance company can tell you what specific types of breastfeeding equipment are covered under your plan. Some plans cover only rental pumps, and some plans cover new pumps but only specific types. Contact your health insurance company to find out what type of breast pump is covered.

Read Also: Does Medicare Or Medicaid Pay For Glasses

How Can I Get A Breast Pump Through Amerigroup

Does Medicaid Cover Breast Pumps? An Expert Offers Tips

Work with Pumps for Mom! Our Maternity Products Specialists make it easy for moms to get a breast pump through Amerigroup. Simply complete our qualification form, and our team will reach out to you and let you know which insurance breast pumps are included with your Amerigroup coverage. Plans vary from state to state and from person to person, so we will explain all of your options, including if any upgrade pumps are available. We can even reach out to your doctor to verify or request a breast pump prescription if your plan requires one!

Don’t Miss: Michigan Medicaid Income Limits 2020

Here Are Options For Finding A Breast Pump At A Low Cost

Looking to get a breast pump? There are a variety of ways to find a pump at low cost, like through your private insurance or Medicaid, your local hospital, and some WIC clinics. Some moms get to keep their pumps forever, and some moms rent their pumps while they are breastfeeding. Talk to your WIC clinic about which option is best for you.

Which Breast Pumps Does Medicaid Cover

Your pump options will depend on the supplier you choose, the state you currently live in, and your Medicaid plan. Dont shy away from comparing various suppliers and the breast pump options they have.

The types of breast pumps available include:

  • Manual breast pump this is a single-user pump and its ideal for occasional use or daily milk extraction.
  • Single electric breast pump this is also a single-user pump ideal for occasional use.
  • Double electric breast pump this is also a single-user, and its ideal for moms planning to return to school or work who intend to use it long-term. However, unlike single electric pumps, double electric pumps are suitable for use during short breaks.
  • Hospital-grade breast pumps this is a multi-user pump meant for both short and long-term use. Its recommended for postnatal moms who want to maintain their milk supply.
  • Each breast pump supplier has various brands and models. Some of the most common breast pumps covered by Medicaid include Signature Pro Double Electric Pump and the Smartpump 2.0 Starter Set. These breast pumps are moveable and lightweight, giving you a calm pumping experience at home and on the go.

    These pumps also have extensions and customizable suction settings so that you can match your supply to your babys feeding pattern, thereby ensuring that the baby is well-fed.

    Also Check: Medicaid Fraud Cases In Louisiana

    Breast Pumps And Insurance Coverage: What You Need To Know

    During National Breastfeeding Month in August, we heard lots of questions about breast pumps and insurance coverage. The decision to breastfeed is a personal one, but with everyone from Grandma to girlfriends giving you advice, it can be overwhelming to sort out all of the facts. We’re here with the information you’re looking for on breast pumps and health insurance. Check out these commonly asked questions .

    Information Regarding Medicaid Breast Pump Coverage Terms

    Medicare breast pump coverage

    As with all federal programs, state coverage varies. In some instances, the process for obtaining your Medicaid covered breast pump can take a considerable amount of time and effort. In some states, breast pumps arent covered under the Affordable Care Act. While this doesnt mean that you wont be able to receive one at all, you may need to enter information about why a breast pump is medically necessary. For some women, this can be difficult to explain. Some of the reasons for medical necessity, as defined by Medicaid plans, include inverted nipples, premature birth, oral defects, breast infections, or an inadequate milk supply. If your baby needs to stay in the NICU for prolonged periods of time or cannot latch properly, you may also be eligible for coverage. Work with your doctor to better understand your nursing needs and determine what, if any, your medical eligibility is.

    You may also be able to obtain eligibility if you and your baby will be separated for extended periods, such as in the case of attending school or going back to work. Under these conditions, Medicaid will provide breast pump coverage. However, you will need to present documentation to show that you are legitimately in need. This is where Medicaid differs from private health insurance. While it can be frustrating, working with Byram Healthcare can make the process easier. If youre worried about your coverage, talk to your doctor to learn more about how you can obtain a prescription.

    Read Also: South Dakota Medicaid Phone Number

    Medicaid Breast Pump Coverage Terms

    Obtaining a breast pump through Medicaid can be an extensive process. Please note that it can take up to 10 business days before we receive authorization to move forward with providing the pump. No need to worry, our Specialists are here to help facilitate the process!

    Some state Medicaid health plans will not cover a free breast pump per the Affordable Care Act at all. Rather, they cover them under medically necessary circumstances such as long stays in the NICU, inverted nipples, etc.

    Certain states have stipulated that if the mother and baby will be separated for extended periods of time , a pump will be covered. When your policy only covers the pump under these circumstances, a prescription will be required as well as documentation surrounding your work or school hours.

    Aeroflow Breastpumps will work with you and your health care provider to gather the correct information for your insurance! If you have both a commercial insurance plan and a Medicaid plan, it is important to provide us your commercial insurance. Insurance guidelines require that a patient’s commercial/primary insurance be billed prior to their Medicaid plan.

    What You Need To Get Your Breast Pump Covered

    All Medicaid plans require the covered supply to be deemed medically necessary by a doctor, so be sure to discuss your plans with your healthcare provider as early as possible. The medical necessity can be yours, or your babys. Reasons for medical necessity include:

    • Inverted nipples

    Sometimes a prescription can be given for certain circumstances, such as:

    • A prolonged NICU stay
    • The mother needs to return to work or school
    • The baby cannot latch properly

    Talk to your doctor about what your nursing needs are. After your baby is born life will be hectic, so its good to have the paperwork already prepared.

    You May Like: What Is Straight Medicaid In Florida

    Get A Nevada Breast Pump Through Your Insurance

    If you just had a baby or are expecting, its probably a very exciting and busy time for you in your life. Youre either caring for your child or trying to prepare yourself and your home for the babys arrival. So, let The Breastfeeding Shop take one item off your baby checklist. A Nevada breast pump isnt something you should add to the registry. Why have a friend or family member spend hundreds of dollars purchasing a breast pump when we can help you get one for free through your insurance provider? You might think that this process is long and difficult. On the contrary, its very easy to get a free breast pump in Las Vegas and the surrounding area when you team up with us.

    We strive to make breast pump ordering in Nevada as easy as possible. And it doesnt matter where you are in the ordering process. Even if you havent contacted your doctor to get a prescription, we can help you out. So, reach out to us today for more information. We work with a variety of insurance providers, including Ambetter.

    Recommended Reading: When Does Medicaid End For A Child In Nc

    Breast Pump From Medicaid In Nebraska

    firstfashiondesign: Does Arkansas Medicaid Cover Breast Pumps

    Here at The Breastfeeding Shop, we get that every mom has to do whats right for her and her baby. So, you may be weighing the pros and cons of pumping and formula feeding with direct breastfeeding. Although direct feeding is more of a natural process, not every baby takes to latching naturally. Additionally, some moms struggle with milk expression. One thing you can do is get a breast pump from Medicaid in Nebraska. If you pump after you feed your baby, it can help you increase your milk production. But you want to start this process before your baby starts to grow and eat more. So, reach out to us today!

    Additionally, having a few bottles of milk stored in the fridge means youre covered in case of an emergency. And mom doesnt have to be there for every single feeding session.

    Also Check: Medicaid Pay For Cataract Surgery

    Child Health Plan Plus Frequently Asked Questions

    What is Child Health Plan Plus ?

    Child Health Plan Plus is low-cost health and dental insurance for Colorados uninsured children and pregnant women. CHP+ is public health insurance for children and pregnant women who earn too much to qualify for Health First Colorado , but not enough to afford private health insurance. Get more information.

    What kind of benefits are included in Child Health Plan Plus ?

    See: About Child Health Plan Plus

    When should I apply for Child Health Plan Plus ?

    You can apply for Child Health Plan Plus at any time. CHP+ does not have an open enrollment period.

    Are children of state employees eligible for Child Health Plan Plus ?

    Yes, the children of Employees of the State of Colorado may qualify for Child Health Plan Plus . Employees of the State of Colorado must meet income and eligibility criteria for the program.

    How do I apply for Child Health Plan Plus ?

    See: About Child Health Plan Plus and for more information.

    How long will it take to find out if I qualify for Child Health Plan Plus ?

    If you apply online through PEAK you may find out if you qualify immediately. If you apply by mail, it may take up to 45 days to find out if you qualify.

    Is there an open enrollment period for Child Health Plan Plus?

    You can apply for Child Health Plan Plus at any time. CHP+ does not have an open enrollment period.

    Are there co-pays or enrollment fees for Child Health Plan Plus ?

    Aeroflow Works With Your Doctor And Insurance Company To Submit All Required Paperwork

    Does medicaid cover breast pumps in sc. In most instances, the answer is yes. To find out specifics, visit the cms website.if you are a resident of north carolina, check out the special supplemental nutrition program for women, infants, and children for alternative support programs. Qualify for your free breast pump today.

    Free job training and financial education classes, age 18 and older First choice may cover additional days until your disenrollment or a maximum of 120 calendar days. Be at or below 200% of the federal poverty level not be eligible for another medicaid eligibility group

    Breast pumps are covered by medicaid and you can get a breast pump if you and your baby are eligible members of medicaid. Where i am from wic does not offer breast pumps anymore they direct you to your insurance company. Our team has years of experience working with the various insurance companies and groups, including indiana medicaid as well as anthem blue cross.

    Typically, medicaid programs will not cover the breast pump until the baby is born, but we can help you get the process started so all you have to do is let us know when the baby arrives! Medicaid could pay for plastic surgery for breast reductions. Will medicaid provide a breast pump?

    Diagnostic, preventive, restorative and surgical benefits Adult inpatients will be allowed 1 visitor during the day (9 a.m. Note that your baby is automatically eligible for medicaid from birth to their first year.

    Medicaid Covered Breast Pumps

    You May Like: How Do I Change My Primary Care Physician For Medicaid

    Breastfeeding In The Workplace

    With the inclusion of this provision in health care reform legislation, the U.S. joins the rest of the industrialized world in recognizing breastfeeding as the natural outcome of pregnancy, and workplace lactation programs as the natural outcome of a society where the majority of mothers and infants are separated due to work.

    The reform bill amends the Fair Labor Standards Act, 29 U.S.C. 207, by requiring that an employer provide: a reasonable break time for an employee to express breast milk for her nursing child for 1 year after the childs birth each time such employee has need to express the milk, and a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.

    This amendment does not require employers to compensate employees for time spent taking a reasonable break to express milk. Furthermore, this amendment does not apply if an employer employs fewer than 50 employees and the reasonable breaks would impose an undue hardship by causing the employer significant difficulty or expense when considered in relation to the size, financial resources, nature, or structure of the employers business.

    If you have questions regarding aspects of the healthcare reform legislation related to Nevada employers, please contact us.

    Recommended Reading: Dentist That Take Medicaid Nj

    Medicare/medicaid Frequently Asked Questions

    Insurance-Covered Breast Pumps

    I have Medicare . How do I get help with the Medicare costs?

    Members can apply for assistance with their Medicare costs at the county department of human/social services where they live.

    Will I get a refund of all the Medicare premiums I paid?

    Maybe. If a refund is due, it will only go back to the month Buy-In began. Some programs can be backdated up to three months prior to the application date, if the member qualifies. The Qualified Medicare Beneficiary program begins the first of the month after the application date. QMB cannot be backdated.

    When will I get my refund of paid Medicare premiums?

    Usually within a month after the county approves eligibility. If it takes longer than a month, contact your county human services office, or the State Buy-In Officer.

    How will I get my refund of paid Medicare premiums?

    The refund comes the same way your regular social security payment comes, direct deposit or paper check. The refund can come any day of the month.

    Will the Medicare Savings Program pay my Medicare deductible and co-insurance?

    The Qualified Medicare Beneficiary Medicare Savings Program will pay the Medicare deductible and co-insurance. The other MSP programs will only pay the Medicare premiums.

    How do I get help with my Medicare Part D costs?

    Contact the State Health Insurance Assistance Program toll-free at 1-888-696-7213.

    Also Check: Does Medicaid Cover Clinical Trials


    More like this

    How Do I Sign Up For Pregnancy Medicaid

    Can Uninsured...

    Dentist Who Accept Medicaid For Braces

    Why Medicaid...

    Does Medicare Or Medicaid Cover Cremation

    Do You...

    What Does Medicaid Cover In Illinois

    Which Services...