How To Get a Spectra Pump Through Insurance
by Jenn Foster, IBCLC
With the passing of the Affordable Care Act (ACA), insurance companies now MUST cover a breast pump for mothers during their pregnancies. This includes Medicaid and Medicare. There are a few plans that are an exception aka “grandfathered in. So how does it work? Insurance companies contract with DMEs (Durable Medical Equipment Companies) to provide mothers with their breast pumps through their plans.
5 things Durable Medical Equipment (DMEs) do for moms:
- Contact your insurance agent and verify coverage.
- Handle all the necessary paperwork with your insurance company.
- Coordinate with your doctor to get your prescription to your insurance company.
- Help you understand the different benefits of each breast pump and find your perfect pump.
- Make sure your pump ships at the right time. Some insurance companies limit when a breast pump can ship (for example 30 days before your due date).
How do you find a DME that works with your insurance for a Spectra pump?
How do I know what pump is best for me?
Did you miss our live Q&A? No worries:
Does Medicaid cover pump parts as well like membranes and bills?
In the past, certain Medicaid programs have covered medical pumps and parts, but Medicaid’s national/state landscape constantly change their coverage terms and you’d be better led to get this answer directly from your provider.