Breast Pumps and Insurance Coverage - URMC

Breast Pumps and Insurance Coverage - URMC

Breast Pumps and Insurance Coverage – The Affordable Care Act (ACA) is a new law which requires health insurance plans to cover breastfeeding support,...

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Breast Pumps and Insurance Coverage – The Affordable Care Act (ACA) is a new law which requires health insurance plans to cover breastfeeding support, pumps and supplies. Many health plans began implementing this coverage on or after August 1, 2012. While the ACA is expanding benefits for breastfeeding, specific coverage will vary among insurance plans. We recommend you contact your carrier to determine your benefits. Personal Use Breast Pumps DME (Durable Medical) suppliers are working with area insurances in the provision of personal use pumps to mothers. The brand and style of pumps may vary, to include Ameda and Medela products, as well as the dollar amount covered. Once the DME has the necessary information (including a prescription verifying the birth), they will confirm your insurance, discuss billing options and help you place the order. In general, pumps can be pre-ordered, and are available for pickup after delivery. If you are interested in a personal use pump, you may contact a DME or contact your insurance company for more information. Both local and national suppliers are available. Visit our website for more information: Local Suppliers     

NU Life Medical Supply 7300 Pittsford-Palmyra Rd. Fairport, NY 14450 585-271-7141 [email protected] Neb Doctors Rochester 2511 Browncroft Blvd. Rochester, NY 14625 585-381-3060 [email protected] Your Care Medical Supply 2160 Penfield Rd. Penfield, NY 14526 585-377-5350 [email protected] Westside Medical Supply 754 Elmgrove Rd. Rochester, NY 14624 585-227-8750 [email protected] Southside Medical Supply 1815 South Clinton Ave. Rochester, NY 14618 585-271-7141 [email protected]

National Suppliers    

Byram Healthcare – 1-877-902-9726, Corporate Lactation Services – 1-888-818-5653 (MVP Insurance only) Edgepark – 1-888-394-5375 NR Healthcare - 1-844-727-MOMS

Hospital Grade Rental Pumps Medela Symphony hospital grade breast pumps (E0604) are available to rent through the Highland Hospital Lactation Center. Rental pumps are generally not covered by insurance unless a baby remains hospitalized after mom’s discharge. Please contact your insurance company regarding coverage details, such as diagnosis required, length of rental, copayment, etc. Highland Hospital will submit to your insurance for a hospital grade rental pump with a prescription documenting medical necessity, or provide you a receipt for insurance or flexible spending account. See the Lactation Consultants for further information and rental policies. July, 2014