How To Use Insurance To Buy Breast Pump
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If you decide to breastfeed, a breast pump can be an invaluable tool in your journey (for one: it allows other people to feed the baby. Hello, nap.). But breast pumps can be pricey. What you may not know is that thanks to the Affordable Care Act, breast pumps are covered under most health insurance policies for free. But if you hear insurance and think red tape, you are not alone.
Next, you select your preferred pump and then complete the order form. Babylist Health will verify your insurance coverage and request a breast pump prescription from your doctor. You get a brand-new breast pump delivered directly to your door, with free shipping included.
A: Nope, you can order your pump as early as six months before your due date and up to six months after baby arrives. Babylist Health will hold onto it until the date your insurance plan says you can have it (which for most plans is about 30 days prior to your due date). Once your pump ships, you should get it within 5-10 days.
A: Most likely. Babylist Health works with most major insurance suppliers, which means that most people can get their breast pump through them. You can check your eligibility on the Babylist Health to find the answer quickly.
Typically the most powerful breast pumps available, electric breast pumps are generally required to be plugged into a wall outlet. They are available either as a double electric breast pump or a single electric model. The difference being that double electric models support expression from both breasts at once whereas a single electric only allows you to express milk from one breast at a time.
Similar in functionality to electric breast pumps, battery-operated breast pumps are characterized most notably by their portability. By being powered with a battery, they are also often considered hands-free breast pumps. While there are some tradeoffs in terms of suction power, these breast pumps are popular options for those who need to pump while at work, anywhere on the go, or in situations where they don't have access to a wall outlet.
These breast pumps require manual hand operation to create the suction required to express milk. While manual breast pumps don't include as many features as electric models, they are often lightweight, easy to transport, and very affordable.
This type of breast pump is generally designed to be a multi-user, rental-based breast pump. Those who generally benefit from hospital-grade breast pumps most are mothers who are experiencing a specific type of medical event that prevents direct breastfeeding with their babies. Situationally, these can include NICU stays, the birth of multiples, mastitis, and other difficulties breastfeeding.
Many parents are unaware that the cost of a breast pump may be covered through insurance under the Affordable Care Act. To find out more about your specific coverage, fill out our insurance eligibility form with your basic health insurance information.
Breast pump suction or power (documented as mmHG) refers to the speed at which the vacuum is applied to the nipple for breastfeeding. Breast pumps come with different strength levels and generally the speed at which you pump can be adjusted to accommodate your personal pumping needs.
Most breast pumps offer various settings to adjust how fast your milk is expressed. A typical pumping session takes around 15-20 minutes, but some mothers may spend closer to 30 minutes to fully express their breast milk. Your breast milk supply during each pumping sessions varies based on your baby's age, time of day, how often you pump or feed, the quality of your pump, diet, and more.
Just like with breastfeeding, using a breast pump should not be painful or uncomfortable. The sensation of pumping should be similar to comfortable breastfeeding: some pressure and gentle tugging. If you are experiencing pain or discomfort, it could indicate that something needs to be adjusted or resized. If pain persists, never hesitate to reach out to your healthcare provider or a lactation consultant.
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.
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.
Fill out the insurance form. The insurance form captures your basic health insurance information. Using this information, our partner* will contact your insurance company to obtain specific information regarding your coverage and any out of pocket costs that may be applicable. A representative may need to contact you for additional information.
Please note that you are eligible to seek insurance coverage for your pump at any point during your pregnancy and up to one year postpartum. Insurance coverage for breast pumps varies from plan to plan, and is limited to a maximum of 1 pump per birth. If you have recently received another pump through insurance, you will not be eligible for coverage.
Each insurance plan is different in what pump they will cover. We can support your efforts by investigating your insurance benefits through our insurance verification program. There may be out-of-pocket expenses for you in obtaining your Willow Pump, but you may be able to use FSA or HSA dollars to cover these costs. Alternatively, you can contact your insurance company directly to learn more about your options.
Your prescription should be written within 90 days of when you order your breast pump, and it should be signed by an MD, CNM or NP. It does not have to say that you are getting a Willow breast pump, but it does need to have the following codes:
Our partner quotes according to their contract with your insurance. Some insurances offer direct reimbursement where members can submit their own claims and be paid back directly. They may also be quoting you rates from a different year than our partner's contract was created so there may haven been changes which do not apply to our partner's contracted rate.
When you choose a non-contracted insurance plan, we ask that you pay for the pump up front since our partner does not have a contracted rate with your insurer and therefore do not know what they may pay for the pump. However, you will be refunded whatever portion your insurance pays after the billing. We understand you will be waiting anxiously for updates. Out of network billing process can take several weeks to several months depending on your insurance company.
If you have already purchased a Willow pump and would like to seek reimbursement from your insurance company, contact them directly to determine what specific documentation you need in order to be reimbursed.
* Exact out of pocket cost may vary based on your insurance carrier and insurance plan.Breast pumps purchased through the insurance verification program will be provided by Enos Healthy Baby Essentials. In some instances depending on your insurance coverage, the breast pump may be provided in collaboration with SunMed Medical LLC or ACA Ventures LLC, a division of Enos Healthy Baby Essentials. All providers are accredited durable medical equipment providers. They are national suppliers of specialized medical equipment for over two decades and have been providing the most clinically superior brands and sought-after models of each product they carry. 781b155fdc