How To Get A Breast Pump Through Medicaid


Thats Where We Come In

5 Best Breast Pumps You Can Buy In 2021

Aeroflow Breastpumps can help you to receive a name-brand, top-quality breast pump at no cost through insurance! You simply need to fill out our Qualify Through Insurance form to get started. Your dedicated Breastpump Specialist will verify your coverage with your insurance company, share your pump options, and even file the claim for you. We work with most major health insurance providers, and can also provide a breast pump through some Medicaid plans.

For more information on coverage guidelines, visit the resources below, or give us a call at .

Aeroflow Healthcare has been serving patients, building relationships with health insurance companies and providing medical supplies since 2001. We have an A+ rating with the Better Business Bureau and we are ACHC accredited. Weve helped hundreds of thousands of mothers all across the country receive a breast pump through insurance and we are ready to help you!

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Healthcare Coverage For Your Baby

If your child is lives in a family with an income at or below the Medicaid eligibility level, your newborn will be enrolled in Medicaid for 12 months of continuous Medicaid coverage beginning on his or her date of birth. After the twelve months of coverage ends, you can apply through the state CHIP office to have your baby covered under the CHIP program. Learn how to apply for Medicaid services.

How Can I Get A Breast Pump Through Medicaid

New and expectant moms can use Pumps for Mom to get their breast pump through insurance, although its important to remember that many Medicaid plans will only process payment and ship your pump when the baby is born. Our qualification form makes it easy for moms to browse breast pumps that are covered by their Medicaid plan and order their pump when they are ready. The Pumps for Mom team can help you verify your insurance coverage, assist you in getting a prescription, and keep track of your breast pump when its on the way to you. When it comes to getting a Medicaid breast pump, were with you every step of the way.

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Provider Search Tool Frequently Asked Questions

What is the provider search tool?

The Department of Health Care Policy and Financing website offers a Find a Doctor provider search tool for Health First Colorado and Child Health Plan Plus members to search for and contact health care providers including physicians, clinics, and dentists. Members who use this tool to search for providers should keep in mind that they also need to contact the individual provider to confirm the provider is accepting new patients.

Why is there a need for a provider search tool?

The Department maintains all Health First Colorado provider information and works to make this information accessible so that members can find providers to deliver covered services.

What information does the provider search tool contain?

The provider search tool search results provide a list of providers sorted by providers’ names:

  • Provider legal name / Doing Business As name
  • Provider type

How frequently is provider information updated?

The data is updated daily.

How do members use the search tool?

Members can search for providers by location, provider type, specialty, and/or name.

How To Request A Breast Pump

How to Get an Insurance Billable 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.

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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.

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.

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Now Covered Through Most Health Plans

Breast pumps are covered through all health plans including Medicaid, CHIP, and Tricare. Some plans offer additional breastfeeding support services such as breastfeeding consultations.

Breast pumps can be issued to both mothers and babies enrolled in Medicaid or CHIP. If the mothers eligibility has expired in Medicaid, the pump can be issued under the babys coverage. As soon as you know the mother needs a breast pump, have her call her health plan to get the process started.

Contact Us When You Need To Get A Breast Pump Through Health Partners Insurance

The need to increase access to donor human breast milk | Mary Michael Kelley | TEDxBirmingham

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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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.

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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Breast Pump Through Health Partners Insurance

If you have a baby on the way, you may be wondering how can I get a breast pump through Health Partners Insurance? You probably think that convincing your insurance to give you something for free is going to be a challenging task. On the contrary, its very easy to get your breast pump covered through Health Partners when you turn to the team at The Breastfeeding Shop. Were here to help make the breast pump ordering process as easy for you as possible. And, we can help you get free breast pumps and supplies!

We understand that an expecting mom and dad probably have a lot on their plate at the moment. You may be baby proofing your home, picking out baby caps and clothes, or reading a baby book or two. So, let us get your Health Partners breast pump for you. All you have to do is fill out a simple form, and well handle the rest. And you can do all of this before your delivery date. This way, you know that it will all be taken care of. But your Health Partners insurance breast pump wont be shipped until after the baby is born.

What Other Breastfeeding Resources Should I Know About

Get Your Free Medicaid Breast Pump: How to Receive a Free ...

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!

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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.

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:

Well let you know if you are eligible for these products after we verify your benefits.

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How Much Does A Breast Pump Typically Cost

Under the ACA, insurance companies must cover a breast pump and supplies at no cost to pregnant members or members who just gave birth and are breastfeeding. The challenge is that the ACA doesnt say what kind of breast pump insurers must cover, including its price range. As a result, breast pump coverage varies widely depending on the insurance you have.

Pumps Should Be Prescribed In Coordination With Lactation Services To Determine Which Type Of Pump Is Best For The Mother

Wilmington City Council’s Maternal Legislation – Lactation Accommodations
  • Manual pumps are appropriate for daily milk expression or occasional use, depending on the mother’s life schedule.
  • Personal use double electric pumps are intended for mothers who are returning to work or school, have an established milk supply, and are anticipating long-term use.
  • Personal use single electric pumps are not recommended since they are not effective in maintaining a long-term milk supply or when pumping during short time periods such as work breaks.
  • Hospital grade, multi-user pumps are designed for short and long-term use based on the mother’s and infant’s health situation, and appropriate for women who need to establish their milk supply.

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Why Is A Breast Pump Free Now

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.

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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Contact Your Insurance Company

Since there are no standard guidelines, calling your insurance company is the best way to find specific details about your coverage.

I tell my patients to call their insurance company by their third trimester, says Lisa Paladino, a certified nurse midwife and international board-certified lactation consultant in private practice in Staten Island, New York.

In Paladinos experience, most insurance companies have a dedicated maternal child specialist who can explain the process and the coverage to which youre entitled. But start by calling the Member Services phone number on the back of your insurance card.

Pregnant Women Frequently Asked Questions

Get Your Free Medicaid Breast Pump: How to Receive a Free ...

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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