How Do I Get A Breast Pump Through Medicaid


What If My Patient Can’t Get A Pump From Her Health Plan Quick Enough

Troubleshooting the Medela Symphony Breast Pump | CloudMom

The WIC Program continues to provide pumps to mothers who:

  • Are unable to get pumps from their health plans or are uninsured.
  • Did not attempt to get a pump from their plan because they were unaware of the benefit.
  • Received a pump from their health plan but the pump is not meeting their needs.
  • WIC mothers who receive pumps from their health plans can also come to WIC to get all the support they need to use the pump successfully. They will learn about how to assemble, operate and clean their pump, how to establish their breastmilk supply, and how to maintain their supply after returning to work or school. WIC helps breastfeeding mothers get off to a great start.

    Pregnancy And Newborn Services

    Prenatal care is an important way to keep you and your baby healthy during your pregnancy. These regular checkups allow doctors to find and treat health problems early, if needed. They also help make sure your baby is growing and developing properly.

    Its important to see a doctor if you are planning on becoming pregnant, or as soon as you know you are pregnant. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-866-796-0530.

    Please let us know when you are pregnant by logging in to our secure member portal and filling out a Notice of Pregnancy form.

    Former Foster Care Youth Frequently Asked Questions

    What is former foster care youth Health First Colorado?

    Qualifying former foster care youth from Colorado can get free Health First Colorado coverage up until the age of 26. Former foster care youth who qualify do not have to pay co-pays for services. You do not have to apply for this.

    Who qualifies for former foster care youth Health First Colorado?

    Youth in foster care in Colorado under the state’s or tribes’ responsibility and enrolled in Health First Colorado qualify for the extension. Former foster care Health First Colorado extends medical assistance to age 26 for former foster care youth that were in Colorado foster care at ages 18, 19, 20 or 21 and enrolled in Health First Colorado. This is done automatically. You do not have to apply. You are considered a former foster care youth if you were under the following types of care in Colorado:

    • Certified kinship care
    • Non-Certified kinship care
    • Foster home care
    • Children’s Habilitation Residential Program
    • Residential Child Care Facilities programs
    • Psychiatric Residential Treatment Facilities programs
    • Independent living programs or
    • Youth committed to the Division of Youth Corrections living in one of the above, non-secure locations

    I was in foster care but emancipated out before my 18th birthday or was permanently adopted . Can I qualify for former foster care youth Health First Colorado?

    You may still be able to qualify for regular Health First Colorado. To find out how go to the How To Apply page.

    • Employer insurance

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    Can You Get A Breast Pump Through Medicaid

    Breast pumps are covered by Medicaid and you can get a breast pump if you and your baby are eligible members of Medicaid.

    Note that your baby is automatically eligible for Medicaid from birth to their first year. After that, you can enroll your child into the Medicaid program at any time.

    Hence, heres some helpful information you must know beforehand when requesting a breast pump to Medicaid.

    Making The Last Weeks Of Pregnancy Count

    LactConnect Breastfeeding Blog: September 2015

    Wherever you’re at in your maternity journey, you’ve probably heard a lot of information and have a lot of questions. Everyone’s experience is different, so there’s no way to predict every milestone and moment. But learning about the choices you can make to give your baby a healthy start can help you feel more confident.

    Did you know that babies get the best possible start in life when they’ve had a full 39 weeks or more to develop before they are born?

    • Internal bleeding
    • Increased chance that future births will require a C-section
    • And longer hospital stays and longer recovery time

    “I guess I had always heard about C-sections in the media. Like so-and-so went in, had their baby, two weeks later they were back at work everything’s fine. It seemed like this kind of easy, new approach to having a baby. You don’t have a vaginal birth you have a C-section and a little stitch and you’re back and everything’s fine. And maybe some people even get a tummy tuck at the same time. I mean that’s the stuff I read about all the time in fashion magazines.

    • bleeding problems with the placenta
    • abnormal positioning of the baby in the uterus
    • Active infections that could harm the baby or
    • an unusually long labor with medical indications that vaginal birth will be difficult.
    • Difficulties with breathing
    • A stay in the neonatal intensive care unit
    • and other complications from early birth

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    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.

    Talk To Your Insurance Company

    First things first, before you request a breast pump to anyone else, you must talk to your health insurance company in regards to their policy about breast pumps. Well, thanks to ACA that mandates insurance companies to cover the cost of breast pumps, lactation counselling, and other breastfeeding support programs.

    Once you have talked with your insurance agent, he/she will provide you the list of different types of pumps and different suppliers they are accredited with. You may also ask their policy about lactation counselling so that you can get the chance to talk to a lactation consultant about the dos and donts during lactation.

    One good thing about being insured is that you can buy your own breast pump and let your insurer reimburse the cost of the breast pump by submitting all the necessary documents such as the official receipt that proved you bought a new one.

    Don’t Miss: Florida Department Of Children And Families Medicaid

    Are Breast Pumps Covered By Aetna

    The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months of an infants life. This can be a challenging goal for todays busy moms to reach. Thankfully, breast pumps can help busy moms continue breastfeeding. With the passage of the Affordable Care Act, most health insurance plans completely cover the cost of a breast pump.

    Aetna covers a new manual or electric breast pump for new moms, whether they become a parent through pregnancy or adoption. Aetna also considers a hospital-grade breast pump rental medically necessary for moms with an infant who must stay at the hospital. Moms who have not ordered a breast pump in the last three years can receive a new one through Aetna. Many Aetna plans also cover up to six visits with a lactation consultant. This may be offered through your in-network OB/GYN or pediatrician. Check your coverage to see what benefits you are entitled to.

    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.

    Recommended Reading: Do Newborns Automatically Get Medicaid

    Get A Pump Through Wic

    If you fail to get a pump through Medicaid or to your health insurance company, one of the best possible solutions is to get it for free or rent it through WIC. If you are enrolled in WIC, just ask your local WIC clinic on how to avail the WICs breastfeeding support program. Otherwise, if you are not yet enrolled, you may check this site to know if you are qualified to enroll.

    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.

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    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!

    In This Article We Tell You Exactly How To Get A Breast Pump Through Medicaid At No Cost To You

    Diabetes Supplies and Breast Pumps I Edwards Health Care ...

    Free breast pump through medicaid texas. Talk to your wic clinic about which option is best for you. The ameda® mya joy breast pump tx mc. Lindsey mon, jan 25.

    After that, you can enroll your child into the medicaid program at any time. Yes, most medicaid plans cover breast pumps, although exact coverage details differ depending on state policies. Sometimes medicaid will only cover one type of pump, depending on your state and l needs.

    Ad see new 2022 medicaid plans in texas to see if you could save on your health care. 2022 medicaid plans are available in texas. For over 90 years, we have been committed to delivering caring & quality service to mothers all over the country.

    What you may not know is that thanks to the affordable care act, breast pumps are. Lansinoh offers 100% insurance covered breast pumps to moms nationwide. What kind of pump you will get and how many lactation consultant visits you have depends on medicaid.

    She was real fast on the phone. Turn to us today to learn more about our breast pumps covered by medicaid for your personal use. These are the brands that the certified lactation nurses we partner with.

    Note that your baby is automatically eligible for medicaid from birth to their first year. Search for a preferred supplier, complete a. Most insurance companies follow the requirements of the affordable care act

    Pin On Breastfeeding

    Don’t Miss: Tens Unit Covered By Medicaid

    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.


    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.

    What Other Breastfeeding Resources Should I Know About

    Breastfeeding is one of the most rewarding experiences of motherhood, but it doesnt come without challenges. Most nursing mothers need support throughout their journey, regardless of whether they have breastfed in the past.Every baby has a unique feeding style, schedule, and preferences. Whether you need help preparing to pump milk before returning to work, increasing your breastmilk supply, or learning how to bottle feed expressed breastmilk to your baby Lansinohs Comprehensive Educational Library is filled with resources to make your breastfeeding journey an experience youll cherish!

    Recommended Reading: Does Sc Medicaid Cover Breast Pumps

    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.

    Why Is A Breast Pump Free Now

    Health First Colorado: Pregnancy Benefits

    As you may know, previously new moms had to pay for their pumps if they wanted to use them, but not anymore. It is a part of health insurance now due to the amazing benefits breastfeeding has for a child.

    Breastfeeding is recommended by the Academy of Pediatrics and quality pumps can help doing it after getting back to work.

    Once you get your new pump, you should practice using it and save breast milk before you get back to work.

    Knowing you have milk in a freezer for your babe will make transition stress-free. And when mom is less stressed, the child is happy.

    Read Also: Does Medicaid Cover Dental Bridges

    If You Have Private Health Insurance

    Every plan is different, and every plan has different rules. The best way to find out what’s covered for you is to call your insurance provider before you have your baby. You can ask about getting a breast pump and find out if you’re eligible for other breastfeeding benefits, like counseling and support.

    When you call your insurer, ask for answers to these questions:

    • Does my plan cover a rental pump or one I can keep?
    • Does my plan cover a manual pump or electric pump?
    • If I’m renting, how long do I get to keep it?
    • When will I get my pump: before or after I have my baby?
    • Will you send me the pump, or do I need to buy it and get reimbursed?
    • Do I need a prescription or pre-authorization from my doctor?
    • Will my plan take into consideration my doctor’s recommendation about what type of pump will work best for me?
    • Does my plan cover any other breastfeeding benefits, such as breast pump supplies or counseling and support?
    • Can you send me a list of in-network providers who can offer me lactation support?

    Health Benefits Of Breastfeeding

    If you choose to breastfeed, there are some health benefits you might want to know about for both mom and baby. Studies show that breastfed babies have lower risks of asthma, childhood leukemia, childhood obesity, ear infections, sudden infant death syndrome , respiratory diseases, and Type 2 diabetes.1 For mothers, nursing can lower the risk of Type 2 diabetes, ovarian cancer and certain types of breast cancer.1

    The American Academy of Pediatrics recommends breastfeeding as your babys one source of nutrition for their first six months. They also recommend continuing breastfeeding until your baby is at least one year old.2 This is because breast milk has all the nutrition your baby needs, in the right proportions, in their first months of life.

    Read Also: Ohio Medicaid Provider Exclusion Suspension List


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