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Anyone have any luck getting a breast pump covered by insurance?

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Pages: [1] 2

azoodie

Member since 8/05

8380 total posts

Name:
Team SEXY BACK

Anyone have any luck getting a breast pump covered by insurance?

I just called mine up (Empire BC/BS) and they said a purchase is covered up to 90% of the allowance...whatever this means.

Anyway I called Lewin medical supply to try and get an answer and they are getitng back to me on this.

I was just wondering if anyone has had any luck and how they went about doing it. The pump I want is $$$ and it would be awesome if it was covered!

Posted 1/14/10 1:09 PM
 
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munchkinfacemama
LOVE

Member since 11/07

15797 total posts

Name:
Michelle

Re: Anyone have any luck getting a breast pump covered by insurance?

Oh I didn't think of this. I will call my ins and see!

Posted 1/14/10 1:12 PM
 

hannahsmom
Yummy yummy cookie...

Member since 10/08

2005 total posts

Name:
Laura

Re: Anyone have any luck getting a breast pump covered by insurance?

Mine was covered, I just had to get a letter from my OB and pay the $100 deductable.

Posted 1/14/10 1:13 PM
 

Ladyinred
LIF Adolescent

Member since 5/09

544 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

I didnt think of thiseither. I am definetly going to call.

Posted 1/14/10 1:13 PM
 

azoodie

Member since 8/05

8380 total posts

Name:
Team SEXY BACK

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by hannahsmom

Mine was covered, I just had to get a letter from my OB and pay the $100 deductable.



Wow that is awesome! Were you allowed to buy it anywhere or did it have to be from a medical supply company? Do you mind me asking what insurance you have?

Yes girls definitely ask!!! It was a tip I saw in the baby bargains book. Check if they will cover rentals too!

Posted 1/14/10 1:24 PM
 

nicopico13
that year flew!

Member since 11/09

2833 total posts

Name:
Nicole

Re: Anyone have any luck getting a breast pump covered by insurance?

omg this is genius! I never thought and would have never thought this would be covered!

Posted 1/14/10 1:28 PM
 

mishka
love my little emmy monster

Member since 8/09

1473 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

FYI - just called mine (oxford/uhc freedom) and they said the following:

100% coverage if purchased in network (like from a medical supply store etc) but only if the baby went to nicu. no pre-certs needed unless its a rental, over $500, custom, or repair.

so its worth calling Chat Icon

Posted 1/14/10 1:34 PM
 

jennarose023
Jack's gonna be a big brother!

Member since 11/08

7769 total posts

Name:
Jenna

Re: Anyone have any luck getting a breast pump covered by insurance?

My Empire BC/BS coverage covers 100% of cost for in-network providers! (medical equip companies)

Def call and check with your insurance carriers!!! Chat Icon Chat Icon

Posted 1/14/10 1:35 PM
 

ldomiano
LIF Toddler

Member since 9/09

394 total posts

Name:
Lori

Re: Anyone have any luck getting a breast pump covered by insurance?

That's awesome. Def gonna have to call mine.
I have United Health Care anyone talk to them yet?

Posted 1/14/10 1:41 PM
 

DancinBarefoot
06ers Rock!!

Member since 1/07

8818 total posts

Name:
The One My Mother Gave Me ;-)

Re: Anyone have any luck getting a breast pump covered by insurance?

I have Empire and when I called was told my PLAN didn't cover a pump unless I had twins OR DC was in NICU.

Posted 1/14/10 1:49 PM
 

pinkandblue
Our family is complete, maybe

Member since 9/05

32436 total posts

Name:
Stephanie

Re: Anyone have any luck getting a breast pump covered by insurance?

I have aetna but they do not cover it unless the baby is in the nicu

Posted 1/14/10 1:52 PM
 

mrswask
Pookie Love

Member since 5/05

20175 total posts

Name:
Michal

Re: Anyone have any luck getting a breast pump covered by insurance?

Just called- nothing, nada. I'm not surprised b/c my insurance co sucks but it would have been nice!

Posted 1/14/10 2:06 PM
 

Janice
Sweet Jessie Quinn

Member since 5/05

27560 total posts

Name:
Janice

Re: Anyone have any luck getting a breast pump covered by insurance?

my hospital rental was covered

Posted 1/14/10 2:18 PM
 

couldbtwins
I love you so much!

Member since 10/08

1761 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

I just called my ins company (GHI). I was told I have to meet the $100 deductible and then they would cover the rest, but it has to be purchased from a medical supply company.

Posted 1/14/10 2:26 PM
 

hdrd0411
LIF Adult

Member since 9/09

1923 total posts

Name:
Maureen

Re: Anyone have any luck getting a breast pump covered by insurance?

Empire told me no, unless in NICU or latch issues

Posted 1/14/10 2:33 PM
 

Deedlebugs
Blessed

Member since 12/05

10260 total posts

Name:
Kiki

Re: Anyone have any luck getting a breast pump covered by insurance?

NYSHIP The Empire Plan makes you go through UHC and they do not cover breast pumps at all. Luckily I still have my pump from my DD.

Message edited 1/14/2010 3:36:42 PM.

Posted 1/14/10 3:25 PM
 

MaMaTeenie
Party of 5

Member since 4/08

6485 total posts

Name:
Mommy

Re: Anyone have any luck getting a breast pump covered by insurance?

Empire BC/BC said 100 pct covered but I have to use a durable med equip supplier. I'm going to get the free one thru them.

I bought a medella from ebay for 60.00 if anyone wants to buy it from me. It has a crack in one of the valves but that doesn't effect the performance. Its the one in the bag. Not the back pack, the other bag.

Posted 1/14/10 3:32 PM
 

Sunday
In love with a boy named Luca

Member since 6/09

1799 total posts

Name:
`

Re: Anyone have any luck getting a breast pump covered by insurance?

Blue Cross said I am covered 50% but it has to be from an in network durable medical equip supplier. I got the list of places and so far 10 for 10 don't carry pumps...

Posted 1/14/10 4:40 PM
 

MaMaTeenie
Party of 5

Member since 4/08

6485 total posts

Name:
Mommy

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by BrinaEsq

Blue Cross said I am covered 50% but it has to be from an in network durable medical equip supplier. I got the list of places and so far 10 for 10 don't carry pumps...



Oh that's just great!!! I will be back on the phone with BC/BS tomorrow. And they were supposed to e-mail me the list, but I didn't get it yet.

Posted 1/14/10 4:43 PM
 

Sunday
In love with a boy named Luca

Member since 6/09

1799 total posts

Name:
`

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by MaMaTeenie

Posted by BrinaEsq

Blue Cross said I am covered 50% but it has to be from an in network durable medical equip supplier. I got the list of places and so far 10 for 10 don't carry pumps...



Oh that's just great!!! I will be back on the phone with BC/BS tomorrow. And they were supposed to e-mail me the list, but I didn't get it yet.



If u have Empire Prism EPO I can email u the list they just sent me. It seems like it's all the boroughs and Nassau.

Posted 1/14/10 4:51 PM
 

monkeybride
My Everything

Member since 5/05

20541 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

Nope and I have a medical issue that made a pump necessary. I went to the top of the top and in reality it's not covered. I had Anthem BC/BS

ETA: I could have had my rental covered but I found that out after the fact and trying to get all the paper worked would have been a nightmare since I hadn't saved it.

Message edited 1/14/2010 7:16:42 PM.

Posted 1/14/10 7:14 PM
 

LoveyQ
Stalkers, get a life.

Member since 11/07

12820 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by couldbtwins

I just called my ins company (GHI). I was told I have to meet the $100 deductible and then they would cover the rest, but it has to be purchased from a medical supply company.



The person I spoke to at GHI was so surprised at my question and said that no, nothing but medical services was covered with my plan. I'm tempted to call back because the lady seemed so lost, maybe she didn't know??

On a side note, if you buy from a lactation consultant or other supplier, you can save a LOT.

For example, I called Add a Little Love, and they have the Medela Freestyle (normally $379) for $289 plus $8 shipping!

And the Pump in Style Advanced is also about a $70-100 savings. Definitely worth looking into!

The only "bad" thing is that Add a Little Love does not accept any returns, so you have to buy when you know for sure you'll be able to use your pump.

Posted 1/14/10 7:14 PM
 

SuperLRN
Im a big boy now

Member since 5/08

2524 total posts

Name:

Re: Anyone have any luck getting a breast pump covered by insurance?

I bought my medela pump in style from this website and paid $224, no tax and free s&h. YOu also et phone support from them after you buy the pump, which has been so helpful.
http://awaybabyessentials.com/item_13/Medela-Pump-In-Style-Advanced-Backpack.htm

They also have the one where the motor comes out for maybe $50 or so more.

I called my insurance company after reading this thread to find out they cover the pump at 100% but it has to be purchased from select vendors (this vendor was not). Oh well, at least I got a great price on it.

Posted 1/14/10 7:31 PM
 

azoodie

Member since 8/05

8380 total posts

Name:
Team SEXY BACK

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by BrinaEsq

Blue Cross said I am covered 50% but it has to be from an in network durable medical equip supplier. I got the list of places and so far 10 for 10 don't carry pumps...



I have Empire BC/BS

They gave me a few in-network medical supply companies but also gave me one that is out-of-state but has free shipping so I called them first since the rep told me they definitely have breast pumps. Check and see if they are in-network for you too...

The info is:

Edge Park
Te: 1800-321-0591

They have the Medela Freestyle and they processed my order and all my information for me today. I will find out tomorrow whether or not it is covered and what I would owe. Fingers crossed I can get the 90% discount!! Chat Icon

Posted 1/14/10 8:01 PM
 

kspags
LIF Adult

Member since 6/08

1228 total posts

Name:
Kelly

Re: Anyone have any luck getting a breast pump covered by insurance?

Posted by couldbtwins

I just called my ins company (GHI). I was told I have to meet the $100 deductible and then they would cover the rest, but it has to be purchased from a medical supply company.



I was hoping someone who had GHI would post! Did they say how to go about this? Is there a particulare meddical store to use?

Posted 1/14/10 8:04 PM
 
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