FYI - Insurance coverage for breast pump!

Ladies - Dont forget that most insurance companies (as far as I know, all are required at this point - but I could be wrong) must cover your breast pump in full due to the affordable healthcare act. My little guy isnt due until 9/16, but I got the ball rolling with contacting my insurance company first to see what kind they cover (manual or electric). Then I contacted my Dr to send in a perscription for it! I want to know HOW to use it, before I have to know how to use it :) Dont forget to try and get this handled & dont pay for a pump (over $200) if you dont have to! 


Luckily my insurance is covering the exact one that I wanted - The Medella Instyle Advanced Double electric Pump! Whoop Whoop!

Posted on July 10, 2013 at 6:40 am
CheekyMar
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(9) Comments

dennys
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I have Kaiser and from what I understand, while they do have to cover a pump, it doesn't have to be a specific kind...so they only cover for a single manual pump. Obviously not enough for constant pumping but I do plan on getting the one offered by insurance for quick pumping and travel. I will still need to buy my own double electric for everyday use.
Posted on July 10, 2013 at 6:47 am
AuntTate
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My insurance company covered an electric double Medela pump.


This one here actually:


http://www.medelabreastfeedingus.com/products/573/pump-in-style-advanced


And it was a pain to get.  My insurance kind of gave me the run around, no one there knew exactly what I needed to do to get it approved AND they wouldn't allow me to get it before Blake was born.  It wasn't approved by my insurance until after Blake was here, so I didnt get it until he was 5 days old.

Posted on July 10, 2013 at 7:56 am
dorkmeetsnerd
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UHC was super convenient for me when getting a pump.  Just called Edgepark medical suppliers.  However, they only offered Ameda Purely Yours, which is fine bc it's a closed end system. Works pretty well, but admittedly, I do prefer the Medela PIS. 


ALSO, please check out your insurance for lactation consultants!  They are a godsend for struggling moms wanting to breastfeed.  UHC will cover up to $250 for a IBCLC, which around here in NJ seems to be the average rate for a complete two hour session.  After that, UHC will cover 60% of additional consulting fees. 

Posted on July 10, 2013 at 8:45 am
DansMrs
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06/23/2012
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I called in my first tri and my ins said they reimburse 80% of a pump purchase and I'd have to go through their specific med supply companies.


My sister gave me her Medela PIS, but I knew I wouldn't want to lug a pump back and forth from home and work on the train no less. So I ended up finding another Medela PIS on a Mom b/s/t group here locally. I'll be taking it to a shop next month to get cleaned and sanitized.

Posted on July 10, 2013 at 9:53 am
milkgal
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09/20/2010
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My plan didn't renew into the Heath care reform act before LO was born, so I was unable to get the free pump :( However, my SIL let me borrow her Medela PIS which came in handy the first few months however I've purchased the manual Medela and LOVE it 100x more than the electric. I use the manual for work twice a day and take it with me everywhere.

Posted on July 10, 2013 at 10:33 am
_MNM
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10/01/2010

_MNM

Comment has been removed by Project Wedding due to a violation of our Terms of Use
Posted on July 10, 2013 at 10:59 am
AuntTate
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Oh Laurie, I agree.  If I hadn't got my pump for free and paid the $200+ for it and then Blake didnt even nurse.  I'd be heartbroken.  Which our next LO may BF so that is some comfort.

Posted on July 11, 2013 at 3:13 am
jackieg
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04/17/2009
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I had to buy one (Medela Pump In Style tote) as my insurance only covered a manual...and I was gifted 2 extras sets of parts...and sadly, I couldn't bf...next to zero production even with supplements, warm compresses, lots of pumping and working with a LC....so it's sits in my closet, hardly used. I should try to sell on CL....even thou you're not supposed to use someone's pump as its not a closed system (the Ameda is)
Posted on July 12, 2013 at 10:14 am
DansMrs
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Jackie - try and sell it. There are places that can clean/sanitize the pumps.

Posted on July 16, 2013 at 12:38 pm

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