FAQs about Breast Pumps

Eligibility and coverage varies by insurance company and policy, but we’re here to help you get your insurance-covered breast pump efficiently and easily.

What is the Affordable Care Act, and what does it mean to me?

In January 2013, the U.S. Department of Health & Human Services officially acknowledged that breastfeeding is "one of the most effective preventative measures mothers can take to protect their health and that of their children. One of the barriers for breastfeeding is the cost of purchasing or renting breast pumps and nursing-related supplies." As such, the government adopted legislation that requires health plans to cover specific women’s health services, including breastfeeding support, supplies and counseling.

What this means for you is that most commercial insurance companies are required to provide coverage for breast pumps. (Click here to complete an enrollment form that will enable us to check your coverage and find out if you qualify for a free breast pump.) Coverage varies from plan to plan, and we can help you figure out what you’re eligible for and how much – if anything – you will have to pay out-of-pocket.

Why should I order a breast pump through Edwards Health Care Services?

Edwards Health Care Services has more than 20 years of experience working with insurance companies, healthcare providers and equipment manufacturers to ensure that patients receive the high-quality products in a timely fashion. We are deeply committed to providing professional, courteous and ethical service to each and every customer.

EHCS is voluntarily accredited by the Accreditation Commission for Health Care, Inc. (ACHC), which was developed by home care and community-based providers to help companies improve business operations and quality of patient care.

Are the breast pumps that EHCS carries covered by my insurance?

Most insurance policies cover breast pumps in some manner. In many situations, breast pumps are covered 100% by insurance; however, policies do vary on whether they cover a manual pump or an electric pump, whether there’s a co-pay or deductible or whether a brand of pump is specified. EHCS only carries high-quality, name-brand pumps from Medela, Spectra, Lansinoh, Ardo, Ameda, Hygeia and Freemie, which are normally covered by insurance (find out what you qualify for now) . We work with many insurance companies nationwide, and we are adept at interpreting policies to make sure you’re getting what you deserve. If any out-of-pocket expenses are required, we will give you a quote before proceeding with the order. We will never swap out the desired breast pump without your approval, but there may be an upgrade fee if your insurance company does not cover your desired pump.

How do I get my insurance company to pay for a breast pump?

It’s easy – let us help! To get started, just fill out this online form or give us a call at 888-344-3434. Make sure you have your insurance policy, doctor’s information and baby’s due date on-hand. We’ll verify your coverage, determine what pumps you’re eligible for and then work with your healthcare provider to make sure that your doctor submits the paperwork required by your insurance company. Once all of the paperwork is received and any other requirements are met, we’ll ship your breast pump to your door.

Do I need to get a prescription from my doctor?

For your insurance company to approve your covered breast pump, you will need to have a prescription, but we can handle that for you! Just call 1-888-344-3434 or get started online. We’ll work with your insurance company to verify coverage and determine what you’re eligible for. We’ll work with your healthcare provider to make sure we have all of the paperwork required by your insurance company. We’ll focus on this while you focus on your baby.

How quickly will I receive my breast pump?

This varies depending on your insurance company’s policies and how quickly your doctor’s office can submit the required paperwork. With most insurance policies, you can receive a pump before the due date; however, there are a few plans that use timeframes around the ship date. Once you apply online or over the phone, we will start processing your order immediately by verifying your insurance and contacting your doctor’s office for the required paperwork. Typically, we have all of the required paperwork in about a week, and if the breast pump is approved for immediate shipment by your insurance, we will ship out the next day and usually, you’ll receive your pump in less than a week.

Can I return my breast pump?

Breast pumps are designated as personal, single-user personal hygiene items by the FDA; they are not returnable if they are opened.

If the pump is defective, please work with the manufacture to obtain a replacement:

To find out if you qualify for a breast pump under insurance, complete this form now!
We will verify your benefits, determine which pumps you’re eligible for and talk with you about your options, including potential upgrades. After you’ve selected a pump, we’ll do all the legwork between your doctor’s office and the insurance company and then ship the pump directly to your door.