Why Does My Insurance Only Cover Manual Breast Pumps?

Help! Why does my insurance only cover manual breast pumps?

This is a question that the Breastpump Specialists at Aeroflow Healthcare are asked daily. While a large percentage of insurance companies do cover double electric breast pumps, there are still a lot of plans out there that do not. This can cause a lot of confusion and frustration for mothers who are trying to maneuver through the process of getting a breast pump through insurance.

Affordable Care Act policies

Passed in 2010, the Affordable Care Act puts consumers back in charge of their healthcare. A portion of the ACA is directed towards breastfeeding moms, and now most insurance companies are now required to provide breastfeeding support and services for pregnant or nursing women. Depending on your plan, you might even be eligible for these benefits at little to no cost. Although this is a great benefit for pregnant and nursing women, it has raised many questions and caused some confusion.

How does it all work?

So how exactly does the ACA influence my breast pump coverage? What types of breast pumps are covered? How long can I keep my breast pump? Is a breast pump purchase or a rental covered? Why does my insurance only cover manual breast pumps? I’m sure you’ve been wondering about a few of these factors.

If your insurance only covers manual breast pumps it is simply because the law is quite vague in regards to what exactly breastfeeding support and services encompasses, leaving quite a bit of room for interpretation by each insurance provider. It does not give specific answers to the questions above, especially surrounding the type of breast pump your provider is required to cover. Therefore, all insurance companies are not obligated to supply a specific type of breast pump — many insurance providers believe a basic manual breast pump will fulfill a mom's breastfeeding needs.

What if I want a different type of pump?

If you’ve found out that your insurance plan will only cover a manual breast pump and you want a different type of pump, you still have options! Aeroflow Healthcare is a DME, or Durable Medical Equipment provider, which means we are the cheaper alternative if you choose to buy a breast pump not covered by your insurance.

If you go this route, it is important to note that some insurance plans will permit you to use the cost of a manual breast pump towards the purchase of an electric breast pump.

Aeroflow Breastpumps is always here for you

At Aeroflow Breastpumps we are committed to the continuing education and awareness of the Affordable Care Act and breastfeeding. Because of this, we want to help you verify your benefits and see which breast pump your insurance will cover. We will do all of the work for you, making this process a little bit easier for you while you’re tending to the bigger task at hand...taking care of your growing family!

Head over to the Qualify Through Insurance form on our website or give us a call at 844-867-9890 and let’s get started! We look forward to hearing from you soon!

Information provided in blogs should not be used as a substitute for medical care or consultation.

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