Iowa Medicaid Breast Pump Coverage


How To Request A Breast Pump

Breast pumps / 34 week pregnancy update part 1

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.

Iowa Medicaid Covering Breast Pumps

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Iowa Medicaid currently does not cover breast pumps, even in cases of medical necessity. Many pumps are open system so they are only available for single person use. Therefore, harder for a mother to find a good, used, closed system pump.

WIC does help with pumps but only if the child is under a year old and the mother is working or planning on returning to work. If a mother does not meet these requirements then WIC does not provide a pump at all.

The Affordable Care Act requires ALL insurances to cover breast pumps and breastfeeding support yet Iowa Medicaid, and Medicaid in many other states, are somehow able to get around this law. It is unfair and unjust to subject infants to the risks associated with using a second-hand open system breast pump and it is even worse when an infant risks starvation and dehydration because a mother cannot keep her supply up due to being unable to pump when away from her child.

Amerigroup Iowa Announces Expanded Benefits For Medicaid Members Including Products For New Moms

  • Member benefits include earning dollars for completing medical care and healthy activities
  • Amerigroup becomes first Medicaid health plan in Iowa to provide electric breast pumps for pregnant women and women who recently delivered

DES MOINES, Iowa—-Amerigroup Iowa announced its value added benefits portfolio for eligible Medicaid members who participate in the states Medicaid programs that began January 1, 2021. Included in the expanded offerings are electric breast pumps for pregnant women or women who recently delivered, and a new Healthy Rewards incentive program. Amerigroup is the first Medicaid health plan in Iowa to provide electric breast pumps to its members.

The Medline Deluxe Electric Breast Pump Kit comes with a tote bag with breast shields, bottle and bottle supplies, cooler bag, two ice packs, and a battery adapter. The Amerigroup value added benefits for expectant and current mothers also includes family and child care incentives for completing certain milestone check-ups like prenatal visits in the first trimester, postpartum visit, well baby visit , well child visit , and recommended childhood vaccines.

The Special Supplemental Nutrition Program for Women, Infants and Children promotes and supports breastfeeding as an important part of the nutrition service benefits that the WIC Program provides to meet its mission of safeguarding the health of low-income women, infants and children.

Visit to enroll or learn more.

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Are Breast Pumps Covered By Amerigroup

In many cases, yes, breast pumps are covered by Amerigroup! New and expectant moms covered by Amerigroup may be eligible to receive a standard electric breast pump with no out-of-pocket costs if they meet certain requirements. Additionally, Amerigroup covers several of the most popular breast pumps available today from brands like Ameda and Medela, so moms can find the breast pump that is best for them. However, some limitations exist. For example, parents cannot use their insurance benefits to order a new Amerigroup breast pump if they have ordered a manual or electric breast pump through Amerigroup in the past five years.

What Breast Pumps Does Medicaid Cover

Medicaid Coverage of Pregnancy and Perinatal Benefits ...

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 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.

Medicaid And Breast Pumps

The Department of Health and Human Services has encouraged States to increase access to Lactation Services. All States participating in the Medicaid program cover pregnancy-related services, these include but are not limited to: prenatal care, delivery, postpartum care, and family planning services.

All states have a requirement to coordinate and refer enrollees to the Special Supplemental Food Program for Women, Infants, and Children . However, CMS encourages States to go beyond this requirement and include lactation services as separately reimbursed pregnancy-related services.

MedSource works with the following state Medicaid programs and can help to determine the coverage for a breast pump.


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Medicaid Covered Breast Pumps

Most state Medicaid plans will cover a breast pump, but Medicaid covers most services in a different way than private insurance companies. But what are the Medicaid guidelines for breast pumps? How will you know the specific stipulations of your policy? Will having a Managed Care Organization make a difference? We have the answers to all of your questions!

Are You From North Carolina

My Medela breast pump unboxing | JennysJourney

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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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.

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.

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How Can I Get A Breast Pump Through Amerigroup

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!

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

Medicaid Coverage of Pregnancy and Perinatal Benefits ...

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.

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Does Amerigroup Cover Breast Pump Replacement Parts

Every insurance plan is different, but many Amerigroup options may cover replacement parts for an Amerigroup breast pump. These replacement parts include tubing, adapters, caps, bottles, breast shields, and splash protectors. In many cases, these items are only covered once per calendar year depending on your coverage. If your breast pump parts are continually breaking or malfunctioning, you may want to reach out to your breast pump manufacturer. Each Amerigroup breast pump ordered through Pumps for Mom comes with a manufacturers warranty, so moms can request replacement parts when under warranty.

Understanding your insurance coverage can be a challenge, and pregnancy is hard enough without having to worry about what is or is not included with your plan. Simplify the process with Pumps for Mom, and get your Amerigroup breast pump without the hassle.

At Pumps for Mom, we are passionate about helping moms through some of the most challenging moments that come with breastfeeding. Through the highs and lows, our Maternity Products Specialists are proud to support moms by providing the best insurance breast pump for each familys needs. Start your breastfeeding journey the right way and qualify for your breast pump through insurance today.

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.

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Start Smart For Your Baby Program

We have a program for pregnant and new moms. It is called Start Smart for Your Baby®. It is designed to customize the support and care you need for a healthy pregnancy and baby. It is already part of your benefits and wont cost you a thing.

We provide the following:

  • Information about pregnancy and newborn care.
  • Community resources to help you get the things you need during your pregnancy and after your baby is born. This includes food, cribs, housing and clothing.
  • Breastfeeding support and resources.
  • Professional medical staff who work with you and your doctor and nurses if you have a more difficult pregnancy.
  • Resources if you are feeling down during or after your pregnancy.
  • Methods to help you quit smoking, alcohol or drugs.

Joining the program is easy. Simply complete the Notification of Pregnancy form on the member portal or call Member Services at 1-833-404-1061 to get started.

The Right Breast Pump For You

Breast lift with no/implants and insurance covered the cost

Manual pumps: Manual pumps allow the user to control the suction rhythm by themselves. They dont rely on batteries or electricity, so they can be used anywhere. Typically they are single pumps, meaning they can only be used on one breast at a time. Great for on-the-go use, but a bit more labor-intensive for the user. These pumps are ideal for occasional use when youll be away from your baby for just a few hours.

Battery and electric pumps: As the name suggests, these pumps run on batteries, or are plugged into an outlet. They have automatic suction, so no manual pumping is required. Some of these pumps have the ability to mimic your babys natural nursing rhythm, which helps your body to express milk more easily. These are typically dual models, so you can get the most milk in one use. If you are on a strict schedule and need to pump quickly and get back to your life, these may be your best option.

HCD has a wide range of breast pumps and are able to provide you with the correct product for your needs. Sometimes Medicaid will only cover one type of pump, depending on your state and l needs. We are happy to help suggest a product to you and explain your insurance coverage.

Welcome to motherhood! Things might feel a little overwhelming, but you are not alone. Let HCD be one of the members of your new mom team. If youd like us to call you, enter your phone number at the bottom left of this screen.

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Q: I Want To Keep Breastfeeding When My Maternity Leave Is Over But I’m Not Sure When Or Where I Would Pump At Work What Do I Do

A: It might seem difficult to keep breastfeeding after you go back to work, especially if you’re not in an office but there are a lot of ways to make it work. And the law is on your side. The Affordable Care Act amended the Fair Labor Standards Act , which covers most hourly wageearning and some salaried employees. Many employers are required to help their employees who are nursing moms in two ways:

  • Workers must be given “reasonable” break time to pump for a breastfeeding child for one year after the child’s birth. The law recognizes that each woman has different needs for pumping breaks. Employers are not required to pay employees for the time they spend pumping, and many women use existing paid breaks to pump.
  • Women who need to pump or nurse must be given a private space. This space cannot be a bathroom.
  • To see whether you are covered under this law or if you have more protections under your state law, check out our website Supporting Nursing Moms at Work. There we have creative solutions for all types of workspaces and suggestions for talking to your employer about what you need.

    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 .

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    How To Get A Breast Pump Through Amerigroup

    Every insurance plan is different, and it may be difficult to figure out how you can get a breast pump through insurance with your unique coverage. Never fear, mama! The Pumps for Mom team is here to help. Below we break down how to get a breast pump through Amerigroup so expectant moms can focus on whats most importantpreparing for the arrival of their newborn. Learn how to get a breast pump through Amerigroup and discover how easy it can be to get your Amerigroup breast pump with Pumps for Mom.

    Q: I Have Private Insurance And They Told Me That They Do Not Cover Breast Pumps What Should I Do

    Iowa mother seeks change after Medicaid denies breast pump

    A: If you believe your plan covers the cost of a breast pump, but your claim is denied, you have the right under the Affordable Care Act to an internal appeal or external appeal. If you need help, contact your state’s Department of Insurance or Consumer Assistance Program.

    Go to for more information.

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