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Question about Insurance Breastpump coverage


Forum: April 2013 Playroom

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  • 2 Post By kary4
  • 1 Post By ThaiSpice
  • 1 Post By plastikmom
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  #1  
December 25th, 2012, 06:24 PM
Cortney6983's Avatar Cortney
Join Date: Aug 2012
Location: New Hampshire
Posts: 1,330
i was reading about my insurance anthem blue cross and it said this i have NO clue what this means i don't get the in network medical provider thing means... anyone know what this means to explain please and thank you!


Coverage for breast pumps (rental and purchase) and breast pump supplies is included in the preventive benefit. These services will be covered as medical (not pharmacy) benefits. Breast pumps must be purchased/rented from an in-network medical provider to get 100% coverage. Breast pumps obtained from other sources will be covered, but may result in a member cost share.
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  #2  
December 25th, 2012, 06:38 PM
May 2013 Cohost
Join Date: Aug 2012
Posts: 3,582
Your insurance has a contract with certain medical providers that are "in network." So you need to ask for a list of the in network providers and then get the breast pump from them in order for insurance to pay 100 percent of the cost. If you get the pump from a provider that is not in the network, it may cost more and not be covered 100 percent.
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  #3  
December 25th, 2012, 06:51 PM
ThaiSpice's Avatar Platinum Supermommy
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Location: AR
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That's what I was going to say. Your insurance company should be able to give you a list of covered places.
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  #4  
December 25th, 2012, 07:06 PM
Cortney6983's Avatar Cortney
Join Date: Aug 2012
Location: New Hampshire
Posts: 1,330
ahh ok i went on and was trying to find it online but they didn't say anything about it i will ask my mom (under her insurance right now) when they re up so i know when to call! I hope they cover a good one !
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  #5  
December 26th, 2012, 05:25 AM
plastikmom's Avatar Super Mommy
Join Date: Jun 2012
Location: South carolina
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Wow, I didn't even think about using insurance to get one! Great idea. I have been debating about needing one bc I will be home with baby and the good ones are so expensive, but it would be really nice to have, especially if I don't have to pay for it!!
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  #6  
December 26th, 2012, 07:15 AM
Cortney6983's Avatar Cortney
Join Date: Aug 2012
Location: New Hampshire
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Quote:
Originally Posted by plastikmom View Post
Wow, I didn't even think about using insurance to get one! Great idea. I have been debating about needing one bc I will be home with baby and the good ones are so expensive, but it would be really nice to have, especially if I don't have to pay for it!!
yes i hope mine covers a good one I will be at home with baby but I want to pump for those times I may need someone to cover for me for a while and i want DH and family to be able to feed her as well I just hope she doesn't get Nipple Confusion!
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  #7  
December 26th, 2012, 08:06 AM
HalfDozen's Avatar Formerly Number5OnTheWay
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Cortney, since the benefit is not actually in place yet (for most plans), you may have to wait until after January 1st to contact your insurance company. That's also probably why you can't find anything online yet. They also may not cover it until you actually deliver, but I'm not sure how that will be set up.
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  #8  
December 26th, 2012, 09:43 AM
Cortney6983's Avatar Cortney
Join Date: Aug 2012
Location: New Hampshire
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Quote:
Originally Posted by Number5OnTheWay View Post
Cortney, since the benefit is not actually in place yet (for most plans), you may have to wait until after January 1st to contact your insurance company. That's also probably why you can't find anything online yet. They also may not cover it until you actually deliver, but I'm not sure how that will be set up.
yeah I am going to wait till January to call and ask about it if they do and if they don;t cover until you deliver I want to make SURE I can be covered for one then (like sign up kinda thing) and just get it then anything to save money!
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