Mothers-to-be can get breast pumps covered by insuranceYou’ve got the nursery painted, the crib assembled, the rocking chair placed and enough newborn outfits to clothe all of the babies in the continental U.S. One thing you don’t have yet, though, is your breast pump.

You might think, “I don’t need one.” But if you plan to breastfeed and intend to go back to work, or if other family members want to participate in the feeding of your baby, a high-quality, portable and efficient means of “expressing” (removing milk from the breasts by means other than your baby) your breast milk is very important.

Women’s Preventive Health Services Mandate Covers Breast-feeding Supplies

Great news! Through the Women’s Preventive Health Services Mandate in the Affordable Care Act, breast-feeding supplies are covered by most health plans with no cost-sharing for you if you use a network provider.

The “network” requirement means you can’t run right out to Walmart to pick up a pump and expect to get reimbursed by your health plan. The pumps that Highmark covers, which have a value of around $300, have to come from an approved provider. Ok, so you might ask, “Well then where can I get one?”

Getting Pumped: Breast Pump Ordering Instructions

Highmark has been working with two industry-leading breast pump manufacturers over the last few months to make getting an electric breast pump easy for our members.

We’ve contracted with Ameda and Medela to provide high-quality breast pumps, which members can order directly from them by phone or online.

To get a breast pump, just follow these simple steps:

  1. Call or visit either company’s website (see table below).
  2. Provide your Highmark insurance information.
  3. A breast pump will then be sent to you in about 7-10 days. Regular shipping is free, and expedited shipping is available at an additional cost.
  4. The company will send the claim directly to Highmark so that you don’t have to worry about it.

Having a baby is tough enough without having to deal with any additional paperwork!

You can order one pump each time you’re expecting at any point during your pregnancy or even after your baby is born. But you may want to have it before the baby is born so that you can bring the pump to the hospital with you.

You also might be asked to provide a prescription from your doctor at the time of ordering to confirm that you are indeed pregnant.

If you’re ready to order your pump now, you can contact*:

Manufacturer Pump Website
Ameda Purely Yours Electric Breast Pump with Dual Collection Kit http://www.insured.amedadirect.com/
Medela Pump in Style Advanced Breast Pump Starter Set http://www.medeladelivers.com/

 

*Exceptions: Florida residents who are Highmark members must call CareCentrix at 877-561-9910 to order a breast pump. PEBTF Highmark members must call DMEnsion at 888-732-6161 to order a breast pump.