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Do I Qualify for a Free Breast Pump?

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Breast Pumps from Edgepark Medical Supplies

Under the federal Affordable Care Act, new measures are in place that may allow women to receive preventative care treatment, including breast pumps and breastfeeding instruction, through their health insurance provider. But while the legislation went into effect Aug. 2, it’s still unclear as to what the law requires health insurance plans to provide.

What’s the new legislation about breast pumps?
The HHS (U.S. Department of Health and Human Services) has adopted guidelines for several woman-specific health services to be covered by new health plans. These services include “breastfeeding support, supplies, and counseling.” According to the HHS Web site Healthcare.gov, “Pregnant and postpartum women will have access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment.”

The Web site adds:
“Breastfeeding is one of the most effective preventive measures mothers can take to protect their health and that of their children. One of the barriers for breastfeeding is the cost of purchasing or renting breast pumps and nursing- related supplies.”

Does the new law include coverage by health insurance plans for breast pumps?
What exactly qualifies as “breastfeeding equipment” isn’t detailed in the guidelines. For example, they do not specify whether insurance plans are required to cover the cost of manual or electric breast pumps. For equipment rentals, they do not specify how many months of coverage are provided. Additional details may be provided in the future.

Does my health insurance plan provide breast pump equipment coverage?
To determine your insurance coverage for breast pumps, you should contact your insurance provider directly. You might also consult with your doctor, who may need to write a prescription for breast pump equipment. In some cases, if you or your baby have difficulty nursing, your breast pump may be deemed “medically necessary.”

There are many different options available through health insurance providers when it comes to breastfeeding equipment. Some may provide coverage but require a copay. Others may cover the cost of a hospital rental. Other health insurance providers may require that you order your breast pump equipment through a company like Edgepark Medical Supplies®.

How do I get a breast pump through a medical equipment supplier?
There are several available medical equipment suppliers, including Edgepark. When it comes to helping customers get their supplies, we try to make the experience as easy and hassle-free as possible. Here’s how the ordering process works:

  1. You call in at 800-321-0591 (Mon-Fri 8am-9pm, Sat 9am-3pm, EST) or visit Edgepark.com.
  2. A customer care specialist will ask for your health insurance plan information (policy number and insurance phone number) and your doctor’s information, including his or her name and phone number.
  3. Edgepark will then contact your health insurance plan provider and doctor on your behalf to confirm coverage and complete your order (if there are any questions with your order, Edgepark will call you). Be aware, many insurance companies won’t cover breast pumps until the baby is born.
  4. Your equipment is sent right to your door in 1-3 business days, after order processing (order processing can take up to 4 days for first-time orders, and 3 days for reorders).

Let Edgepark help you determine if you qualify for a free Breast Pump. Call us at 1-800-321-0591 and find out today!