When first hearing the news that a breast pump may be covered by your insurance, you may wonder how it all works — will your insurance actually cover a pump? One thing to remember is that there are many breast pump providers who can help you get your pump, however, not all of them will be a preferred provider with your insurance company. If you are a mom with United Healthcare insurance, you're in luck! Aeroflow Breastpumps can quickly and easily help you qualify for your breast pump at little-to-no cost to you. Read below to find out more about the United Healthcare insurance guidelines for breast pumps.

Affordable Care Act

Per the Affordable Care Act, most insurance companies are now covering breast pumps at little to no cost to patients. Insurance companies still have different stipulations and guidelines for the pumps: some require prescriptions, prior authorization, etc. United Healthcare has specific guidelines as well, and we will go over them here.

UHC coverage of breast pumps

A hospital grade breast pump is a pump that operates off a closed system- meaning backflow is prevented, and contamination limited. This makes the pumps safe for use by multiple users; these are ideal for moms that need to pump exclusively or use a pump while their child is in the NICU or otherwise unable to feed. These pumps can also help establish or increase milk supply. The FDA does not recognize the term “hospital grade pump”— this is a term used by medical professionals, and insurance companies for billing purposes. United Healthcare does not cover hospital grade breast pumps as a general rule.

How early can I get my breast pump?

United Healthcare insurance guidelines for breast pumps stipulates that a patient not receive their pump until at least 30 days prior to their due date, and some policies (such as UHC River Valley TennCare) will not allow pumps to be shipped until even closer to the due date. This can be frustrating to some mommies who like to get things done as soon as possible,  but is often a good thing — if your pump is covered under warranty for a year, you don’t want half that time to run out with the pump sitting on the shelf.

You also cannot use a breast pump until your child is born, as using the pump beforehand can stimulate preterm labor. Most United Healthcare policies do not stipulate that patients have prescriptions before shipment, with the exception of policies that follow Medicaid guidelines (Medicaid policies always require a prescription be obtained before the pump is shipped, and that patients wait until 2 weeks prior to birth to receive the pump).

Get a breast pump through UHC insurance or cash-pay

Certain United Healthcare policies have more in-depth stipulations, and some do not cover pumps at all. If your policy does not cover pumps, Aeroflow Breastpumps is here to help by offering the best brands at the most affordable prices through our online store.

You can find more detailed information on your policy by completing our three step Qualify Through Insurance form. Your dedicated Breastpump Specialist will contact your insurance company, verify your coverage and network status, and be in touch with you within 1-2 business days.

If you have any additional questions about your United Healthcare insurance guidelines for breast pumps or qualifying for your pump through insurance, give us a call at 844.867.9890.