What If I Want A Name
Some moms have their hearts set on a specific pump and that is probably because theyve used certain models or have trusted friends and family who swear by some pumps over others. Three of the biggest brands in the breast pump game are Medela, Aeroflow, and Lansinoh. Each of these companies offers easy-to-use tips online to help moms navigate the insurance world to see if they can get their preferred breast pump for free.
What Breast Pumps Does Medicaid Cover
With 1 Natural Way, you have a lot of great pump options to choose from. The Medicaid plans accepted by 1 Natural Way cover models from Spectra, Medela, Ameda, Lansinoh, Motif, Ardo, and Freemie. Just a few examples are the Medela Pump In-Style with MaxFlow, Spectra S2, Ameda Mya Joy and the Freemie Independence II.
So you have options that include convenient portable breast pumps, hands free breast pumps and a wearable breast pump!
Unfortunately, breast pumps that would require us to collect an out-of-pocket contribution from you are not options. The Medicaid and MCO plans that we work with prohibit us from allowing you to share in the cost of a breast pump.
In addition to a breast pump through Medicaid, some moms can also receive:
- Pregnancy support bandsâ ease discomfort by relieving pregnancy-related pressure from the abdomen, hips, and lower back.
- Maternity compression stockingsâ help reduce swelling and discomfort and promote circulation in the legs.
Well let you know if you are eligible for these products after we verify your benefits.
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How To Get A Breast Pump Through Medicaid
Theres no denying itmoms are some of the busiest humans on planet earth. Whether theyre taking care of little ones while running errands or expecting their first baby while balancing a career, the to-do list never ends. Specifically, throughout pregnancy, its easy for moms to feel overwhelmed at the thought of everything that needs to get done before a newborn arrives. But one of the most important things moms can do during pregnancy is to make sure they order their breast pump, so they are ready to breastfeed when the time comes. However, insurance can be confusing, and some moms may not know how to get a breast pump through insurance providers like Medicaid. Pumps for Mom is here to help! Read below to learn more about how to get a breast pump through Medicaid with the Pumps for Mom experts.
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What Pumps Are Covered By Louisiana Medicaid
In order to be covered by Louisiana Medicaid, a breast pump must meet these criteria:
- Have an adjustable suction pressure rate with either written instructions or an automatic mechanism to prevent a suction greater than 250 mm Hg
- Be adaptable for simultaneous pumping of both breasts
- Automatically cycle with an adjustable variable cycling rate, typically 30 to 60 or more cycles per minute
- Include a battery option and adapter to be used as an alternate power source when electricity is not immediately available
- Breast shields that are adjustable and flexible, or flanges that are available in several different sizes if rigid, including larger sizes
- All accessories necessary for pumping two breasts simultaneously for electric pumps
- At least two collection bottles with spill-proof standard size caps, that are bisphenol-A and diethylhexyl phthalate free and
- Accessories and supplies must be compatible with the pump provided. Materials must be of durable quality for withstanding repeated boiling, washing and pumping use
Can You Get A Free Breast Pump Through Medicaid
Sometimes determining if your Medicaid will cover your breast pump can seem confusing. Simple question, right? But the answer isnt necessarily as easy. Let Edwards Health Care Services help you determine your benefits and eligibility.
One easy way to find out is by completing our online application. EHCS will research your Medicaid plan and work with them to confirm your benefits and determine which breast pumps youre eligible for.
Youd think that would be easy, but its not as black-and-white as youd think. The Health Insurance Association of America says that Medicaid is a governments-sponsored insurance program for individuals of any age whose resources and income are insufficient to cover health care. Under the Affordable Care Act, you can qualify for Medicaid if you make less than 133 percent of the federal poverty line. Currently nearly 70 million people are enrolled in a Medicaid plan or Childrens Health Insurance Program.
We carry name-brand pumps!
Medicaid programs are funded by state and federal dollars, but states manage their own programs, which is partly why its hard to say, yes, Medicaid covers breast pumps. Another issue is that some states used managed care organizations to administrate their Medicaid programs, and each of those has its own rules.
The good news is that many Medicaid and managed Medicaid programs cover breast pumps, and your local WIC office will be a great help in breastfeeding successfully.
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I Am Covered By Medicaid And Another Insurance Plan Why Cant I Get My Insurance
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.
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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!
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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.
Pregnant Women Frequently Asked Questions
If I have a health question or concern, who should I call?
Health First Colorado offers a free 24-hour, 7 days a week Nurse Advice Line at 1-800-283-3221. Help is available in both English and Spanish.
What is the Nurse Home Visitor Program?
The Nurse Home Visitor Program is a special program for qualifying women who are pregnant with their first child. The program is also for these first children up to their second birthday. NHVP offers case management and health education services to moms and their first babies in order to help them get the medical and social services that they need.
How much are my co-pays?
You have no co-pays for Health First Colorado-covered services and prescriptions while you are pregnant and for two months after your pregnancy ends.
Can I get help to quit smoking?
- Contact the Colorado QuitLine at 1-800-QUIT-NOW for free coaching and support.
- Talk with your health care provider about the benefits and risks of taking smoking cessation medications while you are pregnant. Health First Colorado covers two 90-day courses of smoking cessation medication with counseling to help you quit.
Are prenatal vitamins covered?
Prenatal vitamins are a free benefit for all pregnant women. Talk with your health care provider about the benefits of taking a prenatal vitamin every day. A prescription is required.
Can I get transportation to my appointments?
Can I get help for depression?
How do I enroll my newborn in Health First Colorado?
Are breast pumps covered?
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Coverage Terms Of Medicaid
As you know that requesting a breast pump to Medicaid is not as simple as ABC wherein after you gave birth to your baby, a free breast pump will just come your way. Well, sad to say, its not like that.
It is hard to define Medicaid guidelines regarding breast pumps since different states have different policies therefore, as a piece of advice, make sure you have called the nearest Medicaid in the state where you reside to get a gist on how the process works.
There are certain states wherein Medicaid will not grant you a breast pump according to the Affordable Care Act, where it mandates commercial insurance plans to foot the bill for a breast pump. Instead, breast pumps will be covered by Medicaid if these women seeks immediate medical attention such instances wherein postpartum mothers are required to stay at the NICU for longer period of time, they have flat or inverted nipples wherein they cannot produce milk through breastfeeding, and other situations wherein the immediate need for a breast pump is a must.
For other states, a breast pump will be covered if the mother and the baby will be separated for a longer period of time. For example, the mother needs to go back to school or at work since her maternity leave was over. It is important to know that if your policy works under this certain condition, you need to present a prescription and a documentation that states your working/schooling hours that proves your time is not sufficient to breastfeed your baby.
Contact Us When You Need To Get A Breast Pump Through Health Partners Insurance
We want to help you get a breast pump through Health Partners Insurance that is best for you. Here at The Breastfeeding Shop, we believe that breast milk is the best source of nutrition for babies. But, some babies struggle with latching. And its good to have a breast pump and stored breast milk on hand just in case. If youre ever running late for a feeding, youll have it there. Or, you can share feeding duties with the help of pumped breast milk. Every mom and baby have their own needs. Our helpful breast pump service can make it easy to find the right breast pump for you. You may be wondering about the differences between a Spectra S1 and S2. Or, maybe you need Medela and EvenFlo comparison. Whatever your breast pump question is, give us a call.
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Q: Can I Get A Breast Pump As Good As Id Buy At The Store
A: It depends on your insurance policy. But if you qualify with Babylist Health, youll get a brand-new breast pump from one of the mainstream breast pump brands you already know, like Dr. Browns, Medela, Spectra, Willow, Lansinoh and others. All you need to do is choose the one thats right for you.
Be On The Lookout For Any Specific Rules
Speaking of rules, sometimes, getting the breast pump through insurance can be as simple as filling out a form online, but its also important to be aware that some insurance plans may have specific rules about breast pumps. For instance, Katie Waite, who has five children, was eligible for a new pump with each pregnancy providing they were 18 months apart but discovered the hard way that her insurance plan also had a cruel caveat: she could not apply for the pump until after she delivered.
When I was pregnant with my first and called my health insurance, the lady on the other end of the line told me I couldnt order one until the baby was born, just in case the baby didnt make it, and well, that pretty reduced me to a puddle on the floor that week, Waite notes. I later called and complained and was told that this is not how I should have been told but it was the policy.
Again, the rules for each insurance plan will vary, but Cantrell recommends contacting your insurance company for the details during your late second or third trimester. Typically, Canzano adds that most insurances cover one breast pump per pregnancy but there are some insurance and Medicaid plans that only allow one pump for a certain number of years and on a very rare occasion, only one pump per lifetime.
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Breast Pumps And Breastfeeding Education
Breast Pumps
Breast pumps are available at all local health units at no cost for women who are on Arkansas WIC as partially breastfeeding or exclusively breastfeeding. Click here to find your nearest health unit or call 1-800-445-6175 for more information.
To obtain a breast pump, call your local health unit to make a WIC appointment and tell the WIC staff that you are breastfeeding and would like a breast pump.
Based on your needs, qualified WIC staff can help obtain a pump that is right for you. Manual pumps for occasional or short term pumping are available. The personal Double Pump is available for mothers of premature infants, mothers going to work or school, and women with breastfeeding complications. Demonstration on breast pump assembly and how to get a breast pump from Arkansas WIC available upon request.
Breastfeeding Educational Materials
Arkansas WIC Breastfeeding offers a variety of educational materials on an array of breastfeeding topics. The following information is available upon request.
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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.
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Ask The Right Questions
Before you make the call, gather your questions. Heres a list to help you get started, along with what you can expect the representative to say:
- What types of breast pumps do you cover? Some insurance companies offer as many as nine choices, including double-electric, single-electric, battery-operated and manual models. At the other end of the spectrum, some insurance companies only offer one or two options.
- Where can I get my pump? Most insurance companies require that you get your pump from an in-network provider. There are usually several options, so ask for their list. Frequently, the in-network providers are durable medical equipment suppliers that operate online, such as Yummy Mummy or Aeroflow Breast Pumps. These vendors specialize in working with insurance companies, says Paladino. They know what pumps your insurance covers, they have all the forms and they know what documentation you need. And you dont pay anything upfront. It can be a very easy process. Your insurance companys in-network providers may also include retail outlets such as Walmart and Target. These stores also have an online process to order your pump. Once you know which providers are in-network, pick one and go to their website. Most of these companies have tools on their homepages that let you select your insurance company and your state. Once youve entered your information, it will show you all the pumps your insurance covers.
Q: Do I Have To Do Anything After I Place My Breast Pump Order
A: Not usually. While some companies require you to fill out a form and wait to be contacted about your breast pump options, Babylist Health does 100% instant online ordering. After you complete your order form, they handle the rest. Note: Babylist Health may reach out to you to get a prescription from your doctor if they cant reach them.
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How Do I Decide Which Free Breast Pump Is Right For Me
Choosing a breast pump can feel intimidating, especially if youve never used one before. There are many factors that come into play when deciding what type of breast pump is right for you. Consider how often youll need to use the breast pump. Some mothers plan to stay at home with their baby for an extended period and choose to only pump occasionally. Or you may know that youll be returning to work or school and will spend a good chunk of your time pumping milk for your baby while you’re away.Either way, finding an efficient pump that has powerful suction is probably at the top of your list and for good reason! Some other top must-haves for many mothers on the hunt for the perfect breast pump are:
- Portable and lightweight: Making it easy to pump from any location
- Versatile settings: Allowing you to customize your pumping sessions
- LCD screen: Easier pumping experience in low-light conditions
- Multiple power options: Models with both AC adapter and battery options allow you to pump from virtually anywhere
- Single or Double option: Pump from one or both breasts at the same time
- Quiet and discreet: Loud office pumping sessions are a thing of the past
Choosing the best breast pump comes down to your lifestyle. Consider where youll be pumping, how often youll be pumping, and whether you’re looking for a pump you can take on the go.
