FREE Breast Pump through Insurance

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How to Get a Free Breast Pump from your Insurance Company - The Complete Guide

How to Get a Free Breast Pump

Did you know that you can get a FREE breast pump through your insurance company? The Affordable Care Act (ObamaCare) signed legislation in 2010 that requires most insurance plans to cover the cost* of breast pumps. This law also entitles you to free breastfeeding help (usually a visit with a lactation consultant). Many pregnant and new moms have received a free breast pump from top brands like Medela, Avent, Lansinoh, Ameda, Evenflo, etc.

There are 2 WAYS to Get a FREE Breast Pump:

Option 1: Contact Your Insurance Company

Since every insurer and plan is different, it’s important to call your insurance company directly. They’ll give you a list of the breast pumps they’ll cover and suppliers they work with. You’ll also need to find out how to get your free breast pump. Some insurance companies allow you to buy a breast pump and then they reimburse the cost. Others require a prescription from your OB/GYN and the doctor orders the free breast pump from a medical supply company. That’s why it’s important to call your insurance company directly to find out their policy first.

Here are some questions you may want to ask:

What breastfeeding benefits does my plan offer?
Which brands or models of breast pumps are covered?
Can I work with a breast pump supplier? Which suppliers are covered?
Do you have a recommended breast pump or can I purchase my own?
If I can purchase my own pump, what is the maximum dollar limit?
Do I need to provide any documentation?
Do I need pre-approval before ordering a breast pump?
If I already bought a breast pump, can I submit it for reimbursement?
When can I get it? Do I need to wait until after baby’s born or can I get it sooner?

If this all sounds like too much, there’s another option. Some insurers will allow you to work with a breast pump supplier who does the work for you! Which brings us to Option 2 …

Option 2: Contact a Breastfeeding Supply Company

There are Breastfeeding Supply companies that will do all the work for you – at no cost! Basically, the supplier fronts the cost of the breast pump and then submits the claim to your insurance company on your behalf. It’s very convenient … THEY do the work and you just wait until your free breast pump comes in! 🙂

Here’s a list of 5 Breast Pump Supply companies:

1. Lucina Care – Lucina Care offers free breast pumps from Hygeia, Lansinoh, Melodi, Nuk, Phillips Avent, and Rumble Tuff. Double electric breast pumps and hospital grade breast pumps are also available. Breast pumps are shipped one month before your due date. There’s lots of information available on their site, plus you can even chat with a live agent if you have questions.

2. Byram Healthcare – Byram also offers an online ordering service for breast pumps. Available brands include; Medela, Ameda, Spectra, Hygeia and Freemie. Breastpumps may be covered under your health plan at no or low cost.

3. Edgepark – You can also get a free breast pump for Medela, Ameda, The First Years, Spectra, Freemie or Nature’s Bond through Edgepark. To order yours, fill out the online form and then a representative will contact you to complete the order.

4. Target Breast Pump Program – Target offers a hassle-free process to help you get a qualifying Medela breast pump through your health insurance. They verify your insurance, identify which pump you qualify for, and bill your insurance company for you. You can arrange for pickup at your local Target store or get your free breast pump delivered to your home.

5. Pumping Essentials – Pumping Essentials is a privately owned company located in Sacramento, CA. They offer Medela and Ameda breast pumps. With each breast pump, they provide a free or discounted hands-free bra. Orders are accepted 24 hours online and via email.

Frequestly Asked Questions:

Which health insurance companies cover breast pumps?
By law, all commercial health insurance providers must allow breast pumps as a covered expense for lactating women. Most major plans like Aetna, Blue Cross, Humana, United Health Care and others cover breast pumps 100%. However, some may not cover the entire cost but may cover a percentage. Make sure to call your insurance company and ask about their breastfeeding benefits.

Can I get a free breast pump if I have Medicaid?
In some States, yes. Each State runs their own Medicaid program within federal guidelines. However, not all State Medicaid programs cover breast pumps. Check with your Medicaid provider to see if your State participates. If it doesn’t cover breast pumps, you may be eligible for a free breast pump through WIC. Contact your State’s WIC Breastfeeding Coordinator for more information.

What is a grandfathered plan? Can I still get a free breast pump?
Grandfathered plans are health plans that were in existence on March 23, 2010, and haven’t been changed in ways that cut benefits or increase costs. If you have a grandfathered plan, you may not get the same rights other plans offer. One option is to switch to a Marketplace plan that covers pre-existing conditions and you may be able to still get a free breast pump. Click here for more information.

*What can I do if my insurance says they won’t cover the breast pump?
If you believe your plan covers the cost of a breast pump but your claim is denied, you have the right under the Affordable Care Act to appeal. Click here for information.

Still have questions? Check out the U.S. Department of Health & Human Services article about Breast Pumps and Insurance Coverage.

We hope you have all the information you need to get your FREE Breast Pump! If you enjoyed this article, please share it with your friends. 🙂


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