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azoodie
Member since 8/05 8377 total posts
Name:
Team SEXY BACK
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PSA: Update on breastpump coverage by insurance!
I know there was another thread going but I wanted to start a new one.
I called my insurance company to see if by chance they would provide any coverage on a breastpump. They told they would cover 90% of the cost. I called the medical suppliers they suggested and none of them were of any help. After calling them a second time they gave me the info for Edge Park...an out-of-state medical supplier who carry breast pumps and will ship for free.
Today I got the confirmation that I only had to pay 10% on a Medela Freestyle - this pump is $380 at BRU but I got it for a whopping $23.21!!
Once again the info for Edge Park is:
Tel: 1-866-528-0357
Edge Park
Definitely take the time to call and find out if you have any benefits no matter what your insurance!! They can place the order for you and they will call you once they have verified with your insurance telling you the remaining balance. They will NOT ship out the product to you until they get payment so it really doesn't hurt at all to try.
Good luck girls!!
Message edited 1/23/2010 10:11:29 AM.
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Posted 1/21/10 11:26 AM  |
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Long Island Weddings
Long Island's Largest Bridal Resource |
Momma2Be
Mommy of an angel
Member since 10/09 5911 total posts
Name:
Dina
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Re: PSA: Update on breastpump coverage by insurance!
Thanks for the update and the supplier info!! Just curious, did you have to get anything signed from your OB for authorization?
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| Posted 1/21/10 11:32 AM |
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jennarose023
Jack's gonna be a big brother!
Member since 11/08 7769 total posts
Name:
Jenna
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Re: PSA: Update on breastpump coverage by insurance!
THANKS FOR SHARING!!!!!!!
that is awesome...i got the same info from empire (different coverage though) to use edgepark and i was looking at their website today to see if they carried Medela and didn't see it...I'm sooo happy to know that they do!!!
YAY!!!
Not to rub it in  but my insurance covers the breast pump at 100% so IT IS worth it to check with your insurance carrier before spending the $$$ 
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| Posted 1/21/10 11:34 AM |
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bigspender
Back to school
Member since 4/07 1385 total posts
Name:
Irene
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Re: PSA: Update on breastpump coverage by insurance!
Thanks Azad!! I am definetly going to look into it. Do you have to wait to be close to Due date to order it?
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| Posted 1/21/10 11:35 AM |
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MamaB17
Back for baby #3
Member since 5/09 4065 total posts
Name:
N
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Re: PSA: Update on breastpump coverage by insurance!
Thanks for the reminder. I just called not covered under our plan. Glad I checked though.
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| Posted 1/21/10 11:38 AM |
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Michelle1123
Baby #5 on the way!
Member since 9/05 7919 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
I'll have to call. I use HIP - if anyone has called yet let me know!
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| Posted 1/21/10 11:39 AM |
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piggy007
Mommy of 2!!
Member since 11/08 1742 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
Thank you so much for the info. I will have to contact my insurance company!
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| Posted 1/21/10 11:42 AM |
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JennB
My princess <3
Member since 5/09 2473 total posts
Name:
Jenn
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Re: PSA: Update on breastpump coverage by insurance!
that is awesome...wish I would have known this a couple of weeks ago. Well now I know for my next baby
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| Posted 1/21/10 11:45 AM |
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azoodie
Member since 8/05 8377 total posts
Name:
Team SEXY BACK
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Re: PSA: Update on breastpump coverage by insurance!
Posted by Ik1
Thanks Azad!! I am definetly going to look into it. Do you have to wait to be close to Due date to order it?
I am only 19 weeks and as soon as they got payment for the balance they said it was on it's way!
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| Posted 1/21/10 11:54 AM |
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LoveyQ
Stalkers, get a life.
Member since 11/07 12820 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
A huge thanks to Azoodie for posting about this last week. I am still waiting to find out if my insurance will cover ANY part of it (PRAYING it is!!!), but I wanted to add this...
You don't need to call your insurance to check. You can call EdgePark directly and they will set up an account for you (takes 2 minutes, just give them your basic info: name, address, insurance co, etc) and tell them which breastpump you would like.
Then THEY will reach out to the insurance company and find out what portion, if any is covered.
If it's covered 100%, then they will automatically ship it out to you.
If it's not, even if you have to pay $1, they will call you first. Then you can decide to go ahead with the order or not.
Definitely worth it to try!
And thanks for mentioning that the pump costs less anyway through Edgepark! If my insurance doesn't cover it at all, I will definitely order it directly from them and save the money (it's over $150 savings!!!).
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| Posted 1/21/10 12:02 PM |
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bigspender
Back to school
Member since 4/07 1385 total posts
Name:
Irene
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Re: PSA: Update on breastpump coverage by insurance!
Thanks calling them right now. 
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| Posted 1/21/10 12:03 PM |
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Re: PSA: Update on breastpump coverage by insurance!
Thanks for this update! I will call my ins now!
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| Posted 1/21/10 12:04 PM |
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Cpt2007
A new love!
Member since 1/08 5946 total posts
Name:
Liz
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Re: PSA: Update on breastpump coverage by insurance!
I just checked their site and no medela pumps came up. Did you find it in their online catalog or did you just call and ask if they had it?
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| Posted 1/21/10 12:05 PM |
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LoveyQ
Stalkers, get a life.
Member since 11/07 12820 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
Posted by Cpt2007
I just checked their site and no medela pumps came up. Did you find it in their online catalog or did you just call and ask if they had it?
I noticed the same thing. When I called Edgepark, they asked me which pump I wanted and I told them (Medela Freestyle). No issues at all. I think they do carry Medela, but don't have it on the website.
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| Posted 1/21/10 12:07 PM |
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Sunday
In love with a boy named Luca
Member since 6/09 1799 total posts
Name:
`
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Re: PSA: Update on breastpump coverage by insurance!
I posted about this on another thread but my OB was NOT willing to sign the paperwork b/c a breast pump is not "medically necessary" outside of a situation such as a baby in the NICU, etc.
Oh well, no luck for me.
I didn't know that it worked this way but now I do, lol, and I guess my OB is just by the book. I can't blame him b/c I always say no when people ask me to break legal rules, lol.
Anyway, when the Edge Park lady called me back to tell me I asked her about it and she said it is 50-50/ a lot of Drs just sign it and a lot don't.
I guess you just won't know unless u try though!
Message edited 1/21/2010 12:10:48 PM.
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| Posted 1/21/10 12:09 PM |
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bigspender
Back to school
Member since 4/07 1385 total posts
Name:
Irene
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Re: PSA: Update on breastpump coverage by insurance!
Posted by LoveyQ
Posted by Cpt2007
I just checked their site and no medela pumps came up. Did you find it in their online catalog or did you just call and ask if they had it?
I noticed the same thing. When I called Edgepark, they asked me which pump I wanted and I told them (Medela Freestyle). No issues at all. I think they do carry Medela, but don't have it on the website.
What I was told was the Medela doesnt allow them to post it on there website.
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| Posted 1/21/10 12:09 PM |
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Sunday
In love with a boy named Luca
Member since 6/09 1799 total posts
Name:
`
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Re: PSA: Update on breastpump coverage by insurance!
Posted by LoveyQ
Posted by Cpt2007
I just checked their site and no medela pumps came up. Did you find it in their online catalog or did you just call and ask if they had it?
I noticed the same thing. When I called Edgepark, they asked me which pump I wanted and I told them (Medela Freestyle). No issues at all. I think they do carry Medela, but don't have it on the website.
It's not listed but they def have it.
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| Posted 1/21/10 12:10 PM |
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jennarose023
Jack's gonna be a big brother!
Member since 11/08 7769 total posts
Name:
Jenna
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Re: PSA: Update on breastpump coverage by insurance!
Just called edgepark and it was soooo easy...said it takes 24-48hrs and if all is good i'll have the pump next week!
They def have Medela Pump in Style - shoulder bag or back pack!
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| Posted 1/21/10 12:26 PM |
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LoveyQ
Stalkers, get a life.
Member since 11/07 12820 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
Posted by BrinaEsq
I posted about this on another thread but my OB was NOT willing to sign the paperwork b/c a breast pump is not "medically necessary" outside of a situation such as a baby in the NICU, etc.
Oh well, no luck for me.
I didn't know that it worked this way but now I do, lol, and I guess my OB is just by the book. I can't blame him b/c I always say no when people ask me to break legal rules, lol.
Anyway, when the Edge Park lady called me back to tell me I asked her about it and she said it is 50-50/ a lot of Drs just sign it and a lot don't.
I guess you just won't know unless u try though!
Yeah, I just called to find out the status and apparently my insurance also will only cover it if it's medically necessary! So they are waiting for my doctor to sign the forms, but me thinks she won't. Still praying she will though!!!
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| Posted 1/21/10 1:31 PM |
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Re: PSA: Update on breastpump coverage by insurance!
Posted by LoveyQ
Posted by BrinaEsq
I posted about this on another thread but my OB was NOT willing to sign the paperwork b/c a breast pump is not "medically necessary" outside of a situation such as a baby in the NICU, etc.
Oh well, no luck for me.
I didn't know that it worked this way but now I do, lol, and I guess my OB is just by the book. I can't blame him b/c I always say no when people ask me to break legal rules, lol.
Anyway, when the Edge Park lady called me back to tell me I asked her about it and she said it is 50-50/ a lot of Drs just sign it and a lot don't.
I guess you just won't know unless u try though!
Yeah, I just called to find out the status and apparently my insurance also will only cover it if it's medically necessary! So they are waiting for my doctor to sign the forms, but me thinks she won't. Still praying she will though!!!
I was told the same thing. I think I will try to get them to do that.
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| Posted 1/21/10 1:48 PM |
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Re: PSA: Update on breastpump coverage by insurance!
How much do they sell the PIS if I have to pay OOP?
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| Posted 1/21/10 1:49 PM |
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MST9106
My life:)
Member since 6/06 9589 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
This is great info for the future Thanks!
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| Posted 1/21/10 1:58 PM |
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Sunday
In love with a boy named Luca
Member since 6/09 1799 total posts
Name:
`
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Re: PSA: Update on breastpump coverage by insurance!
Posted by munchkinfacemama
How much do they sell the PIS if I have to pay OOP?
I asked this about the Freestyle and it was $403 which is a lot more than the $305ish that my grandma paid at BBB w/ the 20% coupon. (It was a shower gift but I was returning it if the insurance covered it).
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| Posted 1/21/10 3:14 PM |
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jgl
Love my little boys!!!
Member since 8/07 7060 total posts
Name:
g
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Re: PSA: Update on breastpump coverage by insurance!
Empire - UHC does NOT cover it at all. I am very surprised by this
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| Posted 1/21/10 3:28 PM |
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LoveyQ
Stalkers, get a life.
Member since 11/07 12820 total posts
Name:
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Re: PSA: Update on breastpump coverage by insurance!
Posted by jgl
Empire - UHC does NOT cover it at all. I am very surprised by this
Remember, it totally depends on YOUR plan, not the insurance company itself.
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| Posted 1/21/10 3:30 PM |
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