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Melbernai
I am a lucky Momma!
Member since 7/05 15652 total posts
Name:
Melissa
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For those of you thinking about Breastfeeding...
On Monday I looked up the thread on EDGEPARK which is a mail order company that ships breastpumps through your health insurance. I had ran into the thread a few times on here but finally called since we're getting closer to my due date.
They took all of my info and my insurance info and said that they will process it and to followup in 24-72 hours.
I just got a phone call from them and also check on their website, it looks as if insurance is covering in FULL a Medela Pump In Style Advance -- Metro Bag version, which goes for $349 on BRU's website.
They are just pending Dr Approval but I am sure my doctor will approve it! I will let you all know how it works out.
But definately look up the Edgepark thread if you are thinking of breastfeeding. The medela pumps are great, but expensive, but it's a must if you are planning on breastfeeding, IMO. And to have it even partially covered by insurance is a great savings!
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Posted 2/29/12 1:27 PM  |
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Melbernai
I am a lucky Momma!
Member since 7/05 15652 total posts
Name:
Melissa
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Re: For those of you thinking about Breastfeeding...
Here is the origional thread on Edgepark --- getting your breast pump covered by insurance!
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| Posted 2/29/12 1:30 PM |
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wo0shply
LIF Adult
Member since 11/08 2702 total posts
Name:
Tass
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Re: For those of you thinking about Breastfeeding...
do you mind sharing which health insurance you have?
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| Posted 2/29/12 1:31 PM |
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Melbernai
I am a lucky Momma!
Member since 7/05 15652 total posts
Name:
Melissa
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Re: For those of you thinking about Breastfeeding...
I have United Health Care!
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| Posted 2/29/12 1:34 PM |
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2boys4me
He's coming soon!
Member since 4/10 4260 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
I tried calling last week and they said that my insurance (Cigna) doesn't cover it at all.
Boo.
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| Posted 2/29/12 1:38 PM |
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MRsFaTThead
NY GIRL IN TEXAS
Member since 6/10 5483 total posts
Name:
WHO GIVES A POO WHO GIVES A FUDGE !!
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Re: For those of you thinking about Breastfeeding...
This is what CIGNA says 
Coverage Policy
Coverage for breast pumps is subject to the terms, conditions and limitations of the applicable benefit plan’s Durable Medical Equipment (DME) benefit and schedule of copayments. Please refer to the applicable benefit plan document to determine benefit availability and the terms, conditions, and limitations of coverage. Under many benefit plans, coverage for DME is limited to the lowest-cost alternative.
If coverage is available for breast pumps, the following conditions of coverage apply.
CIGNA covers a breast pump as medically necessary when EITHER of the following criteria is met:
• The infant and mother are separated due to hospitalization, and direct breastfeeding is not possible.
• The infant has a medical condition or congenital anomaly that prevents effective breastfeeding.
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| Posted 2/29/12 1:42 PM |
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MammaPajama
aka HelenZ :)
Member since 3/11 1010 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
I have Blue Cross Blue Shield, I'll have to find out if they cover it....thanks for posting!!
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| Posted 2/29/12 1:51 PM |
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prunepie
LIF Adult
Member since 7/06 4357 total posts
Name:
jennifer
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Re: For those of you thinking about Breastfeeding...
Posted by Melbernai
I have United Health Care!
i called my insurance adn edgepark and they both said my insurance isnt covered.
i have empire nyship plan ( which is bcbs and united)
grrrrr
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| Posted 2/29/12 1:55 PM |
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KatieP
LIF Adolescent
Member since 12/11 758 total posts
Name:
Katie
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Re: For those of you thinking about Breastfeeding...
Posted by MammaPajama
I have Blue Cross Blue Shield, I'll have to find out if they cover it....thanks for posting!!
I have this too and just ordered the Medela pump tote - they fully cover it as well :) I called the insurance ompany as well and said they cover all breast pumps fully.
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| Posted 2/29/12 2:08 PM |
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Melbernai
I am a lucky Momma!
Member since 7/05 15652 total posts
Name:
Melissa
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Re: For those of you thinking about Breastfeeding...
It is amazing how different insurances cover different things!
And even within one "Name" of insurance there are different levels I guess, so some cover more then others.
But it's definately worth the shot. Even if you have to pay SOME, it's better then paying ALL!
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| Posted 2/29/12 2:20 PM |
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LoveMyHubby605
Our April Baby is here!
Member since 4/11 2418 total posts
Name:
A
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Re: For those of you thinking about Breastfeeding...
Agh I have to get on this. keep forgetting to call but I'm pretty sure mine is covered too since my coworker is the one to tell me about this.
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| Posted 2/29/12 2:23 PM |
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Alli06
Baby #3 coming this June
Member since 8/05 6721 total posts
Name:
A
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Re: For those of you thinking about Breastfeeding...
I have Empire Plan Goverment which is BCBS for hospital and United Health Care for doctors. Just found out yesturday that they won't cover a Breast Pump.
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| Posted 2/29/12 2:23 PM |
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bpmom
Feeling Blessed
Member since 6/07 2963 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
Posted by Melbernai
I have United Health Care!
Can I ask which plan you have? I have United Healthcare, too, and have the Choice Plus plan but it looks like a breast pump is not covered for me....
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| Posted 2/29/12 2:45 PM |
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Lina
My angel is finally here
Member since 5/10 2559 total posts
Name:
Lindsay
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Re: For those of you thinking about Breastfeeding...
Posted by KatieP
Posted by MammaPajama
I have Blue Cross Blue Shield, I'll have to find out if they cover it....thanks for posting!!
I have this too and just ordered the Medela pump tote - they fully cover it as well :) I called the insurance ompany as well and said they cover all breast pumps fully.
I have BCBS and when I called the insurance they told me it would not be covered. I contacted Edge Park as well and told them what plan I have, they told me I would be responsible for like $50 they just needed to verify w/my insurance. A day or two later I got a call saying it wasnt covered 
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| Posted 2/29/12 2:46 PM |
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CunningOne
***
Member since 5/05 26975 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
I didn't even bother, since my insurance company doesn't cover a whole lot! But it's great if you can get it covered! Huge savings!
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| Posted 2/29/12 2:49 PM |
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KatieP
LIF Adolescent
Member since 12/11 758 total posts
Name:
Katie
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Re: For those of you thinking about Breastfeeding...
Posted by Lina
Posted by KatieP
Posted by MammaPajama
I have Blue Cross Blue Shield, I'll have to find out if they cover it....thanks for posting!!
I have this too and just ordered the Medela pump tote - they fully cover it as well :) I called the insurance ompany as well and said they cover all breast pumps fully.
I have BCBS and when I called the insurance they told me it would not be covered. I contacted Edge Park as well and told them what plan I have, they told me I would be responsible for like $50 they just needed to verify w/my insurance. A day or two later I got a call saying it wasnt covered
That stinks :( Maybe everyone is different depending on what plan you have? I hope they don't call me and tell me that now!!
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| Posted 2/29/12 3:01 PM |
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Lina
My angel is finally here
Member since 5/10 2559 total posts
Name:
Lindsay
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Re: For those of you thinking about Breastfeeding...
Posted by KatieP
Posted by Lina
Posted by KatieP
Posted by MammaPajama
I have Blue Cross Blue Shield, I'll have to find out if they cover it....thanks for posting!!
I have this too and just ordered the Medela pump tote - they fully cover it as well :) I called the insurance ompany as well and said they cover all breast pumps fully.
I have BCBS and when I called the insurance they told me it would not be covered. I contacted Edge Park as well and told them what plan I have, they told me I would be responsible for like $50 they just needed to verify w/my insurance. A day or two later I got a call saying it wasnt covered
That stinks :( Maybe everyone is different depending on what plan you have? I hope they don't call me and tell me that now!!
Yep, Every plan is different. If the insurance company told you it is covered then I would think you are all set. It was edge park that told me it would be mostly covered and then that changed.
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| Posted 2/29/12 3:07 PM |
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MaZz
* Lovin my baby girl!!! *
Member since 2/09 6243 total posts
Name:
Gina
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Re: For those of you thinking about Breastfeeding...
Posted by bdmom
Posted by Melbernai
I have United Health Care!
Can I ask which plan you have? I have United Healthcare, too, and have the Choice Plus plan but it looks like a breast pump is not covered for me....
I have UH Choice Plus too... Would love to know if its def covered or not
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| Posted 2/29/12 4:26 PM |
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lucamon
LIF Adult
Member since 6/09 1133 total posts
Name:
Samantha
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Re: For those of you thinking about Breastfeeding...
If it's not covered under your health plan you can pay for it with your FSA or HSA account.
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| Posted 2/29/12 4:46 PM |
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Cheeks24
Living a dream
Member since 1/08 8589 total posts
Name:
Cheeks
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Re: For those of you thinking about Breastfeeding...
Posted by Alli06
I have Empire Plan Goverment which is BCBS for hospital and United Health Care for doctors. Just found out yesturday that they won't cover a Breast Pump.
Ugh, this is what we have too. I'm calling anyway to see what they say. Maybe our plan is different.
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| Posted 2/29/12 6:29 PM |
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Rubylove
LIF Infant
Member since 4/11 191 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
Does it matter how far along you are? I'm only 13 weeks but I'll try to score of these now!
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| Posted 2/29/12 11:44 PM |
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LiveItUp
Love my babies!
Member since 8/11 4096 total posts
Name:
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Re: For those of you thinking about Breastfeeding...
Thanks for sharing! I wonder if GHI covers it. When I get farther along in my pregnancy I will call and find out.
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| Posted 3/1/12 7:10 AM |
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shiv
Twinsanity!!
Member since 5/07 4747 total posts
Name:
Shiv
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Re: For those of you thinking about Breastfeeding...
Just called UHC to see if it was covered and it is not under my plan.
Pretty ridiculous considering some of the things they cover.
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| Posted 3/1/12 9:57 AM |
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Alli06
Baby #3 coming this June
Member since 8/05 6721 total posts
Name:
A
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Re: For those of you thinking about Breastfeeding...
Posted by Cheeks24
Posted by Alli06
I have Empire Plan Goverment which is BCBS for hospital and United Health Care for doctors. Just found out yesturday that they won't cover a Breast Pump.
Ugh, this is what we have too. I'm calling anyway to see what they say. Maybe our plan is different.
Yeah it really stinks! Empire is such a good plan otherwise. Maybe your plan covers more, it is worth the call to see.
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| Posted 3/1/12 10:34 AM |
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Cheeks24
Living a dream
Member since 1/08 8589 total posts
Name:
Cheeks
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Re: For those of you thinking about Breastfeeding...
Posted by Alli06
Posted by Cheeks24
Posted by Alli06
I have Empire Plan Goverment which is BCBS for hospital and United Health Care for doctors. Just found out yesturday that they won't cover a Breast Pump.
Ugh, this is what we have too. I'm calling anyway to see what they say. Maybe our plan is different.
Yeah it really stinks! Empire is such a good plan otherwise. Maybe your plan covers more, it is worth the call to see.
I am hoping we have some coverage. My MIL has our insurance too but hers is a different plan than ours since she is a state employee.
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| Posted 3/1/12 10:56 AM |
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