Category: Breast Pumps

Can you get a free breast pump through Medicaid?

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Can you get a free breast pump through Medicaid?

February 13, 2024

Sometimes determining if your Medicaid will cover a breast pump can seem confusing. Simple question, right? But the answer isn’t necessarily as easy.

Let Edwards Health Care Services help you determine your benefits and eligibility.

breast pumps through medicaid, Can you get a free breast pump through Medicaid?

One easy way to find out is by completing our online application. EHCS will research your Medicaid plan and work with them to confirm your benefits and determine which breast pumps you’re eligible for.

One might assume it’s a straightforward matter, but the reality is more nuanced. According to the Health Insurance Association of America, Medicaid is basically a government-sponsored insurance program for folks of any age who don’t have enough resources and income to cover their healthcare costs. Under the Affordable Care Act, you can qualify for Medicaid if you make less than 133 percent of the federal poverty line. Currently nearly 70 million people (or 1 in 5 Americans) are enrolled in a Medicaid plan or Children’s Health Insurance Program.

Because plans are run by their states, eligibility and offerings differ across the United States. What you’re eligible for in Maine may not be the same as in Arizona. It may be confusing, but EHCS can help clarify things! We work closely with government and private insurance plans to provide covered medical supplies — including breast pumps — to eligible members.

We carry name-brand pumps!

APPLY ONLINE

Below is a sampling of the breast pumps that may be covered by a Medicaid plan. Please reach out to our breast pump team if you have questions about your eligibility or a specific pump. You may also apply online to get the process started.

Medicaid programs are funded by state and federal dollars, but states manage their own programs, which is partly why it’s hard to say, “yes, Medicaid covers breast pumps.” Another issue is that some states used managed care organizations (MCOs) to administrate their Medicaid programs, and each of those has its own rules.

The good news is that many state and managed Medicaid programs cover breast pumps, and your local WIC (Women, Infants and Children) office will be a great help in breastfeeding successfully.

So defining Medicaid isn’t simple, but finding out if you’re covered is. Edwards Health Care Services (EHCS) is in network with more than 40 state Medicaid programs (including plans in Ohio, Kentucky, Michigan, Massachusetts, Texas, Illinois, Virginia, South Carolina, Indiana, and more) throughout the United States, and they each have different guidelines.

Typically, Medicaid programs will not cover the breast pump until the baby is born, but we can help you get the process started so all you have to do is let us know when the baby arrives! We will handle the paperwork between Medicaid and your doctor’s office (a prescription for a breast pump is required), while you focus on getting ready for your new baby!

Find Out If Your Medicaid Covers Breast Pumps ?

We carry several Medicaid-approved, double-electric breast pumps, and we’re happy to talk with you about which pumps meet your eligibility requirements and needs. Email us here or apply for a breast pump now!

ameda breast pumps, medicaid breast pumps

medela breast pumps, medicaid breast pumps

ardo breast pumps, medicaid breast pumps

spectra breast pumps, medicaid breast pumps

lansinoh breast pumps, medicaid breast pumps

Zomee Breast Pumps, medicaid breast pumps

Get a breast pump through Medicaid

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Spectra 9 Plus Breast Pump Offers Ultimate Portability, Customized Pumping Experience

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Spectra 9 Plus Breast Pump Offers Ultimate Portability, Customized Pumping Experience

April 06, 2022

The 9 Plus breast pump from Spectra is slim and lightweight; it basically fits in the palm of your hand! It runs on an inbuilt rechargeable battery so moms can pump whenever and wherever. With two-phase technology and a closed system, the 9 Plus is a great choice for moms looking for a comfortable and productive pumping experience.

Moms tell us that the small size is what really drew them to the 9 Plus, but they often end up surprised at how well the pump functions. Easily portable and great suction are not mutually exclusive with this specific model, but the 9 Plus has the same great suction capabilities as the bigger Spectra breast pumps. And the pump can fit into practically any bag – it’s a win, win situation!

Weighing under a pound, the Spectra 9 Plus won’t weigh you down, but still provides everything you need for a great breast pumping experience. The 9 Plus features the following:

  • Closed System means there’s a physical barrier between milk, moisture and the pump, ensuring hygiene and motor performance.

  • Double Pumping Kit (BPA-free kit comes with 24mm breast shields, two wide-neck collection bottles and caps, backflow protector and valve)

  • Inbuilt Rechargeable Battery and AC Power Adaptor

  • One Touch Adjustable Suction/Cycle (0-300 mmHg vacuum range and 30-46 RPM cycle length)

  • Bright LCD Display with Timer (also has an auto-shutoff feature, which is great for busy moms)

  • Advanced Massage/Expression Technology lets moms fine-tune the suction strength and cycle speed with a Massage mode that stimulates mom’s letdown reflex and an Expression mode that mimics the baby’s sucking rhythm.

  • Dimensions: 11.2 cm x 7.2 cm x 4.7 cm; 0.7 pounds

  • One-Year Warranty

You might think that a desirable pump like the Spectra 9 Plus wouldn’t be covered by insurance, but it is! Some insurances may require an upgrade fee, but it’s worth it for a customized pumping experience in a convenient package. Order yours through insurance now!


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Medela Pump In Style with MaxFlow Now Available

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Medela Pump In Style with MaxFlow Now Available

April 06, 2022

Perfect For Moms Who Pump Several Times A Day!

Medela’s beloved Pump In Style® breast pump line is debuting a new member: The Pump In Style with MaxFlow™ Technology! This new pump is a double electric, single-user breast pump designed to maximize pumping efficiency.

Moms tell us that the small size is what really drew them to the 9 Plus, but they often end up surprised at how well the pump functions. Easily portable and great suction are not mutually exclusive with this specific model, but the 9 Plus has the same great suction capabilities as the bigger Spectra breast pumps. And the pump can fit into practically any bag – it’s a win, win situation!

Weighing under a pound, the Spectra 9 Plus won’t weigh you down, but still provides everything you need for a great breast pumping experience. The 9 Plus features the following:

  • Closed System means there’s a physical barrier between milk, moisture and the pump, ensuring hygiene and motor performance.

  • Double Pumping Kit (BPA-free kit comes with 24mm breast shields, two wide-neck collection bottles and caps, backflow protector and valve)

  • Inbuilt Rechargeable Battery and AC Power Adaptor

  • One Touch Adjustable Suction/Cycle (0-300 mmHg vacuum range and 30-46 RPM cycle length)

  • Bright LCD Display with Timer (also has an auto-shutoff feature, which is great for busy moms)

  • Advanced Massage/Expression Technology lets moms fine-tune the suction strength and cycle speed with a Massage mode that stimulates mom’s letdown reflex and an Expression mode that mimics the baby’s sucking rhythm.

  • Dimensions: 11.2 cm x 7.2 cm x 4.7 cm; 0.7 pounds

  • One-Year Warranty

You might think that a desirable pump like the Spectra 9 Plus wouldn’t be covered by insurance, but it is! Some insurances may require an upgrade fee, but it’s worth it for a customized pumping experience in a convenient package. Order yours through insurance now!

Highly Effective, Yet Easy To Use

Moms work hard all day, every day, and you don’t have time to set up, program and clean complicated breast pumps. That’s why Medela created the Pump In Style with MaxFlow, which maximizes your time and your pumping sessions. One of the quietest pumps available, the Pump In Style with MaxFlow features:

Medela Pump In Style with MaxFlow

The Pump In Style with MaxFlow breast pump comes in two configurations:

  1. Pump In Style with MaxFlow: The standard version of the pump is usually fully covered by most insurance plans and comes with everything you need to pump, including one set of 24mm breast shields, two bottles and a battery pack. Click here to learn more about the standard pump.

  2. Deluxe Pump In Style with MaxFlow: This version is typically an upgraded breast pump, and the fee depends on your insurance coverage. The deluxe version includes the standard Pump In Style with MaxFlow Technology pump and also includes two sizes of breast shields (21mm and 24mm), five bottles, a stylish bag and a cooler. Click here to learn more about the deluxe pump.

QUALIFY NOW FOR A BREAST PUMP

QUALIFY TODAY!

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Learn How to Get a Free Breast Pump

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Learn How to Get a Free Breast Pump

December 15, 2021

Planning for a new baby is expensive. Crib, diapers, car seat, stroller and more.

Thanks to the Affordable Care Act, you can leave a breast pump off the registry. Most insurance companies now cover breast pumps at 100% when you use an approved supplier like EHCS.

free breast pump, breast pump covered 100% by insurance, how to get a free breast pump

Affordable Care Act

The Patient Protection and Affordable Care Act – commonly called the Affordable Care Act, ACA or Obamacare – was signed into law in 2010 and went into effect in January 2013. Intended to increase the quality and affordability of health insurance, lower the uninsured rate and reduce healthcare costs. The ACA also acknowledged that breastfeeding is “one of the most effective preventative measures mothers can take to protect their health and that of their children.” An exciting provision of the ACA is the requirement* that health insurance plans cover breastfeeding support, counseling and equipment for the duration of breastfeeding – including breast pumps.

How do you get a covered breast pump?

Getting your breast pump free through insurance is easy when you use an approved supplier like EHCS. While most insurance policies cover breast pumps in some manner, policies do vary on whether they cover a manual or electric pump, if there’s a co-pay or deductible and whether a brand of pump is specified. If that seems confusing, don’t worry about it – let EHCS do the work.

QUALIFY NOW FOR A BREAST PUMP

QUALIFY TODAY!

What breast pumps are available through insurance?

EHCS only carries high-quality, name-brand pumps from Medela, Ameda, Spectra, Hygeia, Ardo and Lansinoh, which are normally covered by insurance. Brands typically offer one pump that is usually covered at 100%, and there are often upgrades available. Upgrade opportunities include different pumps with more features, carrying totes, coolers and more.

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 (usually only required if you upgrade), 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.

Complete this enrollment form to get started!


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Breast Pumps Covered for CareSource Members

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Breast Pumps Covered for CareSource Members

August 12, 2021

Planning to breastfeed (yay!), but not sure what you’ll do when you go back to work? That’s when a breast pump becomes a game-changer. If you’re a CareSource member in Ohio, you can get a breast pump free through insurance when you use an approved supplier (like Edwards Health Care Services).

caresource breast pumps

Our Breast Pump Coordinators love helping CareSource moms get the right breast pump for their needs. When you’re able to, breastfeeding can be a great way to protect the health of your baby (and even your own health!). Through legislation, the tools to provide breast milk are covered by insurance, and that includes breast pumps.

We’re not just talking about manual pumps either; CareSource has great coverage for WIC moms and covers the following double-electric pumps at 100%:

  • Ameda Mya Joy PLUS

  • Ardo Calypso Essentials

  • Lansinoh Signature Pro

  • Medela Pump In Style with Max Flow

Not sure which pump you want? Email breastpumps@myEHCS.com to speak with your own Breast Pump Coordinator who will help you understand options.

A prescription from your doctor is required to get your breast pump through CareSource, but no need to worry, that’s where we come in! EHCS works with your doctor’s office and insurance company to ensure all the necessary paperwork is correctly completed and all insurance rules are followed.

Do you have Ohio Medicaid with another plan? EHCS is in network with ALL Ohio Medicaid plans. Grab your insurance card and fill out this form, and we’ll verify your benefits, go over your coverage, work with your doctor and ship the pump to you at no cost.


Disclaimer: Not all insurance policies cover all breast pumps, some policies do not permit upgrades,. Your breast pump coordinator will walk you through the process, determine your coverage, explain the pumps you’re qualified for, and inform you of any available upgrades. Please note that your available brand and model will depend on your insurance plan and eligibility.


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How to Choose a Breast Pump

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How to Choose a Breast Pump

May 31, 2020

Choosing the right breast pump can seem overwhelming. Choosing your ideal breast pump is a decision best made after considering your needs and weighing all of the options.

Here are a few great questions to ask yourself to help choose the right breast pump for you.

how to choose a breast pump

Affordable Care Act

The Patient Protection and Affordable Care Act – commonly called the Affordable Care Act, ACA or Obamacare – was signed into law in 2010 and went into effect in January 2013. Intended to increase the quality and affordability of health insurance, lower the uninsured rate and reduce healthcare costs. The ACA also acknowledged that breastfeeding is “one of the most effective preventative measures mothers can take to protect their health and that of their children.” An exciting provision of the ACA is the requirement* that health insurance plans cover breastfeeding support, counseling and equipment for the duration of breastfeeding – including breast pumps.

How do you get a covered breast pump?

Getting your breast pump free through insurance is easy when you use an approved supplier like EHCS. While most insurance policies cover breast pumps in some manner, policies do vary on whether they cover a manual or electric pump, if there’s a co-pay or deductible and whether a brand of pump is specified. If that seems confusing, don’t worry about it – let EHCS do the work.

What breast pumps are available through insurance?

EHCS only carries high-quality, name-brand pumps from Medela, Ameda, Spectra, Hygeia, Ardo and Lansinoh, which are normally covered by insurance. Brands typically offer one pump that is usually covered at 100%, and there are often upgrades available. Upgrade opportunities include different pumps with more features, carrying totes, coolers and more.

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 (usually only required if you upgrade), 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.

Complete this enrollment form to get started!

QUALIFY NOW FOR A BREAST PUMP

QUALIFY TODAY!


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