Most moms with insurance are eligible for a free double electric breastpump and Lactation Consultation. When the Affordable Care Act went into effect on August 1, 2012, most insurance plans began to cover for breastpumps and consultations. Breastfeeding Support & Supplies is in network and is able to submit claims to most insurance plans.
Blue Cross Blue Shield (BCBS) covers one pump per pregnancy so these moms can get their breastpump any time during their pregnancy. She can choose either the Medela® Advanced Pump In Style in the Tote or Backpack or the Spectra® S1 double electric breastpump. These pumps not only include the parts needed for pumping but also a bag, cooler, ice pack and extra bottles. Free demonstrations are also included.
Moms with United Healthcare insurance need to be 36 weeks before they can get their breastpump. They will be given the Spectra® S2 double electric breastpump in addition to all the accessories needed for pumping. A free demonstration will also be provided.
A prescription for a double electric breastpump from your OB doctor is required. You can either bring it with you or your doctor can fax it to 402-932-8581.
If a mom with insurance needs help with breastfeeding, lactation consultations are also covered 100% under most of the plans as long as they go to an International Board Certified Lactation Consultant or IBCLC. Diane Erdmann RN has been an IBCLC since 1990 and is able to bill insurance companies for consultations.
Call your insurance customer service to make sure Breastfeeding Support & Supplies is listed as a DME (Durable Medical Equipment) provider and Diane Erdmann RN IBCLC as a Lactation Consultant provider. Here are the billing codes to verify your coverage:
*E0603 for a double electric breastpump
*99404 for a lactation consultation
Nebraska Medicaid Breastpump Information
Moms with Nebraska Medicaid, including United Healthcare Community Plan, WellCare and Nebraska Total Care who have delivered or are at least 36 weeks pregnant, will be given the Spectra® S2 double electric breastpump. Free demonstration is provided. A prescription for a double electric breastpump is required from your OB doctor or pediatrician. You can either bring the prescription with you or your doctor can fax it to 402-932-8581.