Does Medicaid Cover Breast Pump Replacement Parts
Some Medicaid plans may cover additional breast pumping equipment or replacement parts, but many breast pump brands offer their own warranties to help moms get what they need. If your Medicaid plan does not cover additional parts, you can order replacement parts covered by your warranty with your breast pump provider or check with your local WIC to see if they have any available services.
Breast pumps help moms enjoy more flexibility as they breastfeed and are essential for moms returning to work. Although Medicaid coverage differs from state to state, Pumps for Mom is here to help moms find the best insurance breast pump for them.
Motherhood may not be easy, but getting your breast pump through insurance can be with help from Pumps for Mom. With a range of breast pump brands and insurance-covered maternity compression garments, Pumps for Mom can help make new and expectant moms lives easier. Our team of experts is ready to walk you through the process step by step until your insurance breast pump arrives at your door. Fill out our qualification form today and find the best insurance breast pump for you.
Aeroflow Breastpumps Can Help You
While we are not able to work with all Medicaid policies, Aeroflow Breastpumps strives to provide the best possible products to every mom at a great price. We have also extended special offers to moms in some states that have Medicaid plans we are in-network with, but which do not cover pumps.
To find out if you qualify for a breast pump, simply fill out our Qualify Through Insurance Form. A Specialist will verify your coverage and be in contact with you about your insurance-covered breast pump options. If you have additional questions about the Medicaid insurance guidelines for breast pumps, give us a call today at 844-867-9890. Were here to help!
Cinnamoms Breastfeeding Support Group
CinnaMoms vision is to increase breastfeeding rates among African American women through the PHFE WIC program. We host support groups provide encouragement and a safe space to chat about historical feeding practices, perceptions of breastfeeding, familial feeding experiences, and the health benefits of breastfeeding.
CinnaMoms Breastfeeding Support Groups are held at six WIC Centers in Los Angeles, Inglewood, and Gardena.
Don’t Miss: Where To Get Braces With Medicaid
Policy Update: Electric Breast Pump Covered Benefit
Update: Electric Breast Pump Covered Benefit
This letter serves as notice that electric breast pumps will only be covered for members with a qualifying diagnosis. All providers are to report the device using the babys Medicaid ID after discharge when medically necessary.
WellCare Health Plan adheres to the Georgia Department of Community Health Electric Breast Pump Benefit as described in the manual for Durable Medical Equipment Services. Providers must append an appropriate diagnosis that aligns with the following criteria outlined in section 1109.3 of the DCH Durable Medical Equipment manual to receive an approval. The mother and/or child must meet at least one of the criteria below.
Baby has a congenital anomaly that interferes with the mothers ability to breastfeed
Baby has neurological issues
Mother has long-term conditions that cause sickness or weakness that prevent the ability to breastfeed
A NICU baby that is discharged home from a prolonged infant hospitalization that requires the use of a hospital grade rental pump
If a claim is not billed under a babys Medicaid ID or contain diagnoses do not align with the medical necessity guidelines listed above, the claim will be subject to denial.
If you have any questions, please contact Provider Services at 1-866-231-1821. Our staff is available Monday through Friday from 7:00 AM to 7:00 PM EST.
Thank you for your participation in our network and for your dedication to the health of our members.
Sincerely,
What Type Of Breast Pump Is Covered
Using a breast pump in between regular breastfeeding can help you maintain your milk supply. Most UnitedHealthcare benefit plans include coverage for the purchase of a personal-use, double-electric breast pump at no cost to you. These are the most common pumps and they closely simulate the action of a breastfeeding infant. You can find which brands are included by contacting the national breast pump suppliers listed below.
Other types of breast pumps include manual breast pumps, hospital-grade pumps and hands-free pumps. Most UnitedHealthcare benefit plans do not cover these types of pumps.
Also Check: Is Invisalign Covered By Medicaid
Q: I’m Having Trouble Using My Breast Pump And I Have To Go Back To Work In A Few Days Can You Help Me
A: Yes. First, congratulations on practicing with your breast pump before you go back to work. It’s important to be comfortable pumping before you have to do it in an unfamiliar environment like work or school.
If you’re having trouble, you can call us toll-free at 800-994-9662, Monday through Friday, from 9 a.m. to 6 p.m. ET, to talk to a trained breastfeeding peer counselor in English or Spanish. A counselor can answer your questions about how to store pumped milk, teach you how to clean your breast pump, and give you tips to get the milk flowing when your baby isn’t there.
If you need more help with breastfeeding, ask your health insurance company for a list of providers who can provide lactation support. Most health insurance plans, including those in the Health Insurance Marketplace, must cover breastfeeding support and counseling for the duration of breastfeeding.
Breast Pumps Requires Prescription
The hospital, community supporters, and providers taking care of these postpartum mothers must be knowledgeable about the process on how to get a breast pump through Medicaid. Hence, these institutions working with these new moms play a vital role in the application process since they will be the ones who will write the prescription requesting the need for the new mothers personal use of the breast pump. On the prescription, they must also indicate the babys due date since most policies take 2 weeks to 4 weeks after giving birth to obtain the breast pump.
In short, Medicaid will not grant you immediately a breast pump not until the baby is born.
Because of this delay, it becomes alarming to postpartum mothers however, worry not, since most hospitals offer temporary pumps, which can be used by new mothers while they stay at the hospital.
In addition when prescribing a breast pump, the hospital or the provider must coordinate with the lactation services to know which type of breast pump is suited for the mothers condition since there are a variety of breast pumps off in the market. This is applicable for New York State Medicaid Coverage of breast pumps.
Don’t Miss: Does Medicaid Cover Gastric Bypass In Michigan
Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
Link To Information For Returning To Work
Going back to work is a major challenge for breastfeeding families. Find resources at the links below. Consider contacting a Lactation Consultant to help you develop a personalized plan.
-
Business Case for breastfeeding
-
See our Web page about the Laws that protect breastfeeding employees
Recommended Reading: Vision Care That Accepts Medicaid
My Health Pays Rewards Program
Earn dollar rewards on your My Health Pays® Visa® Prepaid Card** for making healthy choices.
Ways to earn include getting a fu shot, a wellness checkup, or a health screening.
Spend your rewards at Walmart® on personal care items, diapers, and healthy food. Also spend them on necessities like rent, utilities, and child care.***
For more information about Absolute Total Cares Member Rewards Program, visit our .
**This card is issued by The Bancorp Bank pursuant to a license from Visa U.S.A. Inc. The Bancorp Bank Member FDIC. Card cannot be used everywhere Visa debit cards are accepted. See Cardholder Agreement for complete usage restrictions. ***This card may not be used to buy alcohol, tobacco, or fiearms products.
A Prescription Is Required For Breast Pumps
Most Medicaid policies require that you have a prescription on hand before you get your breast pump. Most policies also require that moms wait until the birth of the baby or close to it to obtain the pump. This can cause some alarm for some mamas, but dont fret! If necessary, many hospitals will provide a temporary pump to new moms during their hospital stay.
Don’t Miss: Medicaid For The Aged Blind And Disabled
Are Breast Pumps Covered By Medicaid
Yes, most Medicaid plans cover breast pumps, although exact coverage details differ depending on state policies. While Medicaid may not cover hospital-grade breast pumps, many plans will cover the cost of owning or renting a personal double electric breast pump. In most cases, Medicaid requires a prescription from a medical professional to cover the price of a breast pump. Pumps for Mom experts can get in touch with your doctor and help you get a prescription if needed. Additionally, because Medicaid benefits vary by state, some states or plans may not cover the breast pump that moms need. In these cases, moms can get in touch with their local WIC clinic to see if they have a breast pump program or work with Pumps for Mom to get a breast pump without insurance coverage.
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 .
Recommended Reading: Till What Age Does Medicaid Cover
Coverage Of Breast Pumps
Your health insurance plan must cover the cost of a breast pump. It may be either a rental unit or a new one youll keep.Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when youll receive it .
But its up to you and your doctor to decide what’s right for you.
Are You From North Carolina
We are the exclusive breast pump provider for UHC Community Plan NC Medicaid, however, the rest of North Carolina Medicaid does not cover breast pumps. We recommend you contact your local WIC program to find out if they have a breast pump program. Additionally, we understand how pricey it is to bring a little one into the world and we want to help, so we offer a 15% discount on all breast pumps for North Carolina Medicaid mothers!
You May Like: Family Of Three Income For Medicaid
Can You Get A Breast Pump Through Medicaid How To And Some Alternatives
This post may contain affiliate links. Which means we may earn a commission if you decide to make a purchase through our links. Please read our disclosure for more info.
For new moms out there who are looking for a way to get a breast pump for free, you might be eager to know if Medicaid covers this kind of medical device. Fortunately, Medicaid covers a breast pump for those new mothers who meet the qualifications. Therefore, here is a brief explanation on how to get one.
To get a breast pump through Medicaid, both the mother and the baby must be enrolled in Medicaid. You must have a prescription that you need a breast pump so that the application process will start since it takes up to 10days before you will be authorized to get a pump.
Breast pumps are helpful for nursing mothers like you to store breast milk so that your little one still has the chance to get the benefits of breastfeeding even if you just got back to work to support your family. Another benefit why most postpartum mothers use a breast pump is that it can help with lactation by increasing milk supply. Moreover, using breast pumps are helpful for alleviating pain in the breast and for breastfeeding mothers with flat or inverted nipples.
Big Winner In Obamacarebreast Pump Industry
Conservative criticism that the Affordable Care Act aka Obamacareis just a way for liberal Democrats to make Americans dependent on the teat of the state may be literally true, as the law is causing a sales boom for the breast pump industry. Along with controversial items like the mandate that insurers pay for contraceptive care, the ACA also includes a provision requiring insurance companies to cover breast pumps and visits to lactation consultants at no cost to the patient.
Women use breast pumps to store milk for later feeding to babies, to stimulate lactation for mothers with low milk supply and to relieve engorgement when their breasts are overfull.
Previously, 31 states required Medicaid to cover breast pumps, and some private plans included coverage for a fee. Now, Obamacare requires insurers to cover comprehensive lactation support and counselingand costs for renting breastfeeding equipment in conjunction with each birth.
Since insurers began offering the new requirement, it has taken off with consumers. Were getting a lot of calls from prospective mothers and new mothers, Bruce Frishman, president of a medical equipment supplier in Washington, DC, told The Washington Post. Weve started stocking a lot more pumps that would be purchased through insurance.
-Matt Bewig
Also Check: How Can I Check The Status Of My Medicaid
Should I Get A Breast Pump Through Uhc Insurance Or Buy One
Certain United Healthcare policies have more in-depth stipulations, and some do not cover pumps at all. If your policy does not cover pumps, Aeroflow Breastpumps is here to help by offering the best brands at the most affordable prices through our online store.
You can find more detailed information on your policy by completing our three-step Qualify Through Insurance Form. Your dedicated Specialist will contact your insurance company, verify your eligibility and network status, and be in touch with you soon.
Work With A Breast Pump Supplier
There are several breast pump suppliers that you can directly work with to get a free breast pump. This works through this way: The breast pump supplier you work with will submit the claims to your insurance company so that you will get a reimbursement.
Hence, listed below are the three main breast pump suppliers you can work with.
Edgepark
This supplier specializes in medical supplies delivery such as breast pumps from Ameda, Medela, and TOMY. To place an order, you may do it online by filling up the form. Make sure to provide your contact information since a sales representative will contact you to confirm your order.
This supplier, just like Edgepark, specializes as well in medical supplies delivery such as breast pumps. They also offer Ameda, Medela and Hygeia breast pumps. They also have an online form to place your order.
Lucina Care
A.k.a the mother of all breast pumps. This supplier specializes in breastfeeding accessories such as breast pumps. They offer a variety of pumps from different manufacturers such as Rumble Tuff, Philips Avent, Hygeia, Lansinoh, Nuk, and Melodi.
What is good about this online supplier is that their site is very informative and you have different choices of breast pump which is suited for you. Since this is an online supplier, you can have a live chat with their agents if you have questions regarding your order and delivery.
Also Check: The Phone Number For Medicaid
How To Request A Breast Pump
To request a breast pump, call the phone number on your health plan ID card, or you may contact one of the national network providers below. You will need a physician prescription to get a breast pump. Make sure to note that you will not be reimbursed for a breast pump purchased at a retail store.
If you contact a breast pump supplier directly, they may ask for your doctors name and phone number and the babys due date or the date the baby was delivered. The supplier may check this and other information with your doctor before the breast pump is ordered.
Q: I Have Medicaid Can I Get A Breast Pump
A: In some states, yes. Because states run their own Medicaid programs within federal guidelines, different states have different rules. Check with your Medicaid provider first.
If your state’s Medicaid program does not cover breast pumps, you may be eligible for a free one through the Special Supplemental Nutrition Program for Women, Infants, and Children better known as WIC. You may be able to get a breast pump if you already receive WIC benefits. Contact your state’s WIC Breastfeeding Coordinator for more information.
Also Check: Does Medicare Or Medicaid Cover Cremation
Get Help With Postpartum Depression And Anxiety
For years, postpartum mental health challenges were not addressed. Now, South Carolina has a network of support specializing in helping mothers in this vulnerable time of life. Obstetricians and Lactation Consultants are often able to help or refer to local resources, in addition, postpartum support groups are becoming more common and telehealth is accessible statewide.
In the lactation world, Kathleen Kendall Tackett, PhD, IBCLC, has done the most work on breastfeeding and postpartum connection. Hand-outs can be found at
