| Posted By |
Message |
ac13
LIF Adolescent
Member since 5/09 745 total posts
Name:
A
|
insurance covering pumps
does any one know if this is mandated now with Obamacare??
my OB just mentioned that she thought it was, but i hadnt heard this.
|
Posted 4/21/14 10:21 AM  |
| |
|
Long Island Weddings
Long Island's Largest Bridal Resource |
deluccs
LIF Infant
Member since 10/13 84 total posts
Name:
|
insurance covering pumps
I think it is but how it is covered is determined by your specific plan. I have the empire uhc plan and I am 100% covered as long as I go through one of their providers (edgepark, byram, and one other I forgot the name of). Each provider has different eligible pumps. I was warned by insurance that the pump will not be covered if it is delivered before I give birth.
|
| Posted 4/21/14 10:27 AM |
| |
|
|
|
insurance covering pumps
If you work for nyc, those plans are grandfathered and pumps are not covered
|
| Posted 4/21/14 10:32 AM |
| |
|
ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
|
Re: insurance covering pumps
Posted by deluccs
I was warned by insurance that the pump will not be covered if it is delivered before I give birth.
This depends on your insurance! My insurance covered pumps ordered/delivered 30 days before your due date. Mine arrived 2 weeks before DD was born and was fully covered.
|
| Posted 4/21/14 10:37 AM |
| |
|
PitterPatter11
Baby Boy is Here!
Member since 5/11 7632 total posts
Name:
Momma <3
|
insurance covering pumps
I have empire bc bs and it was 100% covered. I was able to order it 30 days before my due date.
|
| Posted 4/21/14 10:49 AM |
| |
|
AKD
LIF Adult
Member since 1/12 2637 total posts
Name:
|
Re: insurance covering pumps
I have United Healthcare and Edgepark told me to call them 30 days before due date and they would send it within a few days. 100% coverage.
|
| Posted 4/21/14 10:52 AM |
| |
|
MrsE323
LIF Adolescent
Member since 12/13 530 total posts
Name:
M
|
insurance covering pumps
My understanding is its mandated (with the exception of grandfathered in) but in talking with friends we have discovered each insurance company's way of handling is a little bit different. For me I had get a prescription for the pump from my OB, then contact the supplier that my insurance company uses. I could do this any time after 27 weeks. I contacted them last Monday, they gave me a choice between 2 pumps, I decided which one I wanted (Medela PISA), they placed the order and it was on my doorstep when I got home from work on Friday. Completely 100% covered and the process was pretty simple and super fast. I would call your specific insurance for more details.
|
| Posted 4/21/14 11:34 AM |
| |
|
ac13
LIF Adolescent
Member since 5/09 745 total posts
Name:
A
|
Re: insurance covering pumps
all great info! thanks ladies...
I called my current insurance company and they do cover it. unfortunatley my insurance is changing as of 5/1, but i have been told the plan is exactly the same, so hopefully the new carrier will cover it as well!
|
| Posted 4/21/14 2:37 PM |
| |
|
BabySurprise
LIF Adolescent
Member since 9/13 556 total posts
Name:
Me
|
insurance covering pumps
Maybe a stupid question. But does the pump come with a bag and the stuff you need? Or do you have to purchase that separately?
|
| Posted 4/21/14 2:49 PM |
| |
|
ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
|
Re: insurance covering pumps
Posted by BabySurprise
Maybe a stupid question. But does the pump come with a bag and the stuff you need? Or do you have to purchase that separately?
It depends. Some pumps that I could choose from included the tote, some didn't. They come with at least the basic stuff you need - flanges, tubes, bottles, adapter.
When I look up the pump I got, it looks like it comes with a bag, storage bottles, bottle holders, flanges, tubes, ac adapter, storage bags. Through the insurance, it didn't come with the bag, storage bags, or bottle holders.
|
| Posted 4/21/14 2:55 PM |
| |
|
Jacksmommy
My love muffin!
Member since 1/07 5819 total posts
Name:
Liz
|
Re: insurance covering pumps
Posted by deluccs
I think it is but how it is covered is determined by your specific plan. I have the empire uhc plan and I am 100% covered as long as I go through one of their providers (edgepark, byram, and one other I forgot the name of). Each provider has different eligible pumps. I was warned by insurance that the pump will not be covered if it is delivered before I give birth.
This is what I have...Could you let me know what you did to get it? Thanks!
|
| Posted 4/21/14 2:56 PM |
| |
|
