As breast pumps are categorized as durable medical equipment by most insurance providers and breast milk is recognized for its potential health benefits most insurance plans are required to cover the cost of a breast pump under the Affordable Care Act. Members will be liable for any cost difference.
Blue Cross Blue Shield Bcbs Breast Pump Coverage
Visit one of these sites to take advantage of this benefit.
Does blue cross blue shield cover breast pumps. Buy nursing bras tanks and breast pads. They can be ordered no sooner than fifteen days prior to your expected delivery date. Edwards Health Care Services.
Some plans available through large employers may not cover DME. Therefore members should call the number on the back of their health insurance ID card or check their benefit booklet to see if they have coverage. If youve thought about using a breast pump call Blue KC Customer Service at the number on your member ID card.
Ameda Finesse electric pump. Out-of-network doctorshospitalspharmacies will be reimbursed only up to the maximum allowable amount. Regardless of which pump you decide to choose it is imperative that you select the right size of breast shield which is the funnel-shaped part that fits over the breast.
Are Breast Pumps Covered by Blue Cross Blue Shield. Blue Shield does not require the member to obtain a prescription. They can tell you if.
You may be eligible to receive a breast pump at no cost to you. Are you a new mother or are expecting a baby soon. Does BlueCross Blueshield cover breast pump supplies.
Most Blue Cross Blue Shield of Michigan plans cover DME along with breastfeeding support supplies and counseling. Coverage varies from plan to plan however. To purchase a breast pump using your benefits youll need a.
Where can Anthem Blue Cross and Blue Shield members purchase breast pumps covered under. Breast pumps are considered durable medical equipment or DME. If you plan to breastfeed order a breast pump.
Your plan may also include one breast pump per pregnancy. Many Anthem and Blue Cross plans also cover replacement parts for your pump like. Most Durable Medical Equipment DME suppliers require the OBGYNs order or prescription for a breast pump.
Breast Milk Storage Containers. Eligible members can choose one of two pumps. Service Benefit Plan members who are pregnant andor nursing are eligible to receive one breast pump kit per calendar year when ordered through CVS Caremark by calling 1-800-262-7890.
Breast pumps are covered without pre-authorization as long as the cost is below 25000 and they are ordered through one of the durable medical providers that I will list below. We dont cover hospital-grade breast pumps. At Healthy Baby Essentials a Blue Cross provider we offer 7 major brands and over 15 models.
The process with Horizon BCBS was extremely easy and pain free. We cover a breast pump from a participating DME provider with a prescription from your clinician. The ACA expanded preventive benefit covers one breast pump at no cost sharing for female members any time during their pregnancy or following delivery when purchased from in-network providers.
Please note that pump replacement supplies are NOT covered by BlueCross. Breast pumps must be obtained from a Network Durable Medical Equipment DME Provider and mothers may choose between a manual or electric breast pump. Obtaining a Breast Pump.
Ameda One Hand manual pump. To verify that breast pumps are covered under your specific plan call the number on the back of your member ID card. The amount allowed toward any breast pump of choice whether manual electric or hospital grade regardless of where purchased will not exceed applicable DME allowances for standard manual pumps.
Blue Cross Blue Shield of Mississippi is pleased to support breastfeeding mothers by covering the breast pump that best meets our members needs. Choosing the Right Breast Pump. Although specific coverage is different for each insurance plan most Blue Cross Blue Shield.
Exception is if a member rents a hospital-grade pump they can also have coverage for a manual or electric pump purchase. Coverage will not be available for breast pumps purchased via any other means. As a Blue Cross Blue Shield of Massachusetts member your coverage includes the purchase of a double electric breast pump for each birth without paying co-insurance or a deductible.
Not all Blue Cross NC members have coverage for breast pumps. If youve decided to breast-feed your Blue Cross and Blue Shield of Kansas City Blue KC health plan may have coverage for a breast pump. As a Blue Cross Blue Shield of Massachusetts member your coverage may include the rental or purchase of a manual or dual electric breast pump for each birth without paying co-insurance or a deductible.
Wellmark Blue Cross and Blue Shield covers one breast pump per birth with replacement every two years as long as it isnt hospital grade and you buy it from a participating durable medical equipment DME provider. Review your benefits for more information. From manual to electric breast pumps single and double-sided there are several options to choose from when selecting the proper breast pump.
Whats more is that Blue Cross Blue Shield typically allows one breast pump per pregnancy a great benefit and a double electric breast pump is usually covered vs a manual breast pump or breast pump rental. After you get your breast pump make sure to apply for Aeroflow Breastpumps Resupply program.
