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Coverage of breast pumps Your health insurance plan must cover the cost of a breast pump. It may be either a rental unit or a new one youll keep. Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when youll receive it (before or after birth).
How to get a free breast pump through Medi cal?
Any Durable Medical Equipment (DME) vendors with a Medi-Cal provider number may provide a breast pump to eligible Alliance members who are breastfeeding and meet medical necessity or who are returning to work or school. No prescription is required and only one breast pump will be dispensed every three years.
How do I claim my breast pump?
Every plan is different, and every plan has different rules. The best way to find out whats covered for you is to call your insurance provider before you have your baby. You can ask about getting a breast pump and find out if youre eligible for other breastfeeding benefits, like counseling and support.
What is a medical necessity for breast pump?
A breast pump can be medically necessary under the following circumstances: A baby lacks the ability to initiate breastfeeding because of a medical condition like prematurity or oral defect. Temporary weaning due to separation, a mothers medication or the need for a contraindicated diagnostic test.
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Hospital grade rental pumps, such as the Medela Symphony, are generally not covered by insurance without a documented medical necessity and prescription. Please
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