Health Insurance Breast Pump Coverage

Your health insurance plan must cover the cost of a breast pump.
Health insurance breast pump coverage. We will work with your insurance company to determine benefits for your insurance covered breast pump and file an insurance claim on your behalf. You get a brand new breast pump shipped directly to your door with free. These rules apply to health insurance marketplace plans and all other private health insurance plans except for grandfathered plans. Your plan may have guidelines on whether the covered pump is manual or electric the length of the rental and when you ll receive it before or after birth.
Endowed health plans for employees. Learn more about breast pump coverage through your aetna health plan and how to get one and see a list of providers. Breast pumps supplies consultations. These are the most common pumps and they closely simulate the action of a breastfeeding infant.
Cornell plan for healthy living. The affordable care act 2010 requires most health insurance plans to cover the cost of a breast pump as part of women s preventive health services. Most unitedhealthcare benefit plans include coverage for the purchase of a personal use double electric breast pump at no cost to you. Coverage of breast pumps.
Edgepark will verify your insurance coverage and request a breast pump prescription from your doctor. No prior approval needed. Health insurance coverage. Also get the facts about breastfeeding and its benefits and information about lactation consultants and what your plan covers.
Using a breast pump in between regular breastfeeding can help you maintain your milk supply. You select your preferred pump and then complete the order form. Following the guidelines of the affordable care act uhc like most other insurance programs provide for breastfeeding supplies and support at no cost to their members. E0602 and e0603 pumps are individual use items to be kept by the member.
Once ssm health at home receives your breast pump order they will contact you to arrange for pick up or delivery. See below for more details about commercial and medicaid breast pump coverage. Coverage for the purchase of breast pump equipment is limited to one item of equipment for the same or similar purpose and the accessories and supplies needed to operate the item. Members are entitled to one breast pump in a 12 month period.
Manual and electric breast pumps e0602 and e0603 are available with a prescription to our members through emblemhealth participating durable medical equipment dme vendors. Yes most united healthcare insurance policies will cover a breast pump at 100 as a preventive benefit. It may be either a rental unit or a new one you ll keep. Your doctor s office will need to submit the required breast pump order form or information to ssm health at home at 866 553 0824.