How to order a breast pump through insurance
Whether you’re planning to return to work, pumping exclusively, or simply want more flexibility around feedings, a breast pump can be an invaluable tool for lactating parents. The average breast pump, however, can run hundreds of dollars out of pocket. Many expectant parents, though, never get past the sticker shock and learn that you can save money by ordering your breast pump through your insurance plan.
We spoke with Chrisie Rosenthal, IBCLC, about how you can check your insurance coverage, find the pump that’s right for you, and how to order a breast pump through TLN’s trusted marketplace partners.
Are breast pumps covered by insurance?
Usually, yes! Under the Affordable Care Act (ACA), insurance plans are required to cover breastfeeding equipment, commonly called breast pumps. As HealthCare.gov states, “Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding,” whether before or after birth.
However, breast pump coverage can vary depending on the insurance plan you have. If you can’t get a free breast pump through your insurance, it’s likely considered a “grandfathered” plan. These plans existed before the ACA was enacted in March of 2010 and, unfortunately, are not required to comply with lactation care provisions.
Check with your employer about your lactation benefits, and if they come up short, ask about implementing a program like Newborn Families.
How to order — and receive — your insurance-covered breast pump
1. Check your coverage
Enter your insurance information and state of residence to see the support your insurance offers. You can then view the pumps included in your insurance plan at no cost plus any pumps available for an upgrade fee.
Note that this step is not a guarantee of coverage. But it is necessary to check your plan first (before you shop) so we can get an idea of which breast pump insurance will cover. Be sure to schedule a consultation with an IBCLC once you’ve confirmed you can receive a breast pump through insurance. They’ll help you create a plan to ensure it’s perfect for your needs.
2. Explore your breast pump options
Hands-free, battery-operated, single-electric, and double-electric, oh my! There are so many different types and brands of breast pumps — not to mention new terms like “hospital-grade” and “two-phase expression.” It’s easy to feel overwhelmed. Our trusted marketplace partners can help you narrow in on the best pump for you and your lifestyle.
3. Meet with your IBCLC
In addition to electric breast pumps and equipment, your insurance may also provide coverage for lactation consultations with an IBCLC — allowing you to explore breast pump options with a lactation expert. “Private prenatal lactation consultations are often covered under your insurance,” Rosenthal shared, during which you can talk through any questions you may have about selecting a pump or deciding what to do with an old one. “An IBCLC can provide insight into that decision, explain pump options, and help families make the right choice for them.”
Beyond helping you choose a pump, IBCLCs support you through your entire breastfeeding journey, from prenatal to first latch and weaning. Learn more about how you can request your own insurance-covered consultation.
4. Select your breast pump
This is the easy part: Just find the pump you want and add it to your cart! TLN has a large selection of trusted marketplace partners providing high-quality, stress-tested pumps and accessories tailored to fit different lifestyles and needs.
You deserve easy access to postpartum care, along with a pump that suits your needs, and a far-reaching network of postpartum experts in your corner. Get the care you deserve.
Check your coverage and get your own breast pump here. And know that we’re always here to help!
We’re here for you, every step of the way. We work with your insurance to provide in-home, in-office, or telehealth visits with an IBCLC.