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My insurance says they do not cover breast pumps?

Forum: 2013 Playroom


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January 10th, 2013, 08:31 AM
Mega Super Mommy
Join Date: Jun 2012
Posts: 1,453
I'm confused. I thought that effective January 1st all insurance companies were required to have breast pump coverage but I just called my insurance and they say that it is not covered. Is anyone else having problems with this? Did I just hear incorrect information?
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January 10th, 2013, 09:05 AM
EverydayJoy's Avatar Platinum Supermommy
Join Date: Dec 2011
Location: Pacific NW
Posts: 6,913
I didn't even hear that there was supposed to be breast pump coverage in the first place! If so that is cool, I hope you can figure something out!

Little Bud: Blooming in Heaven 1.24.12
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January 10th, 2013, 09:10 AM
Mega Super Mommy
Join Date: Oct 2012
Location: TEXAS!
Posts: 1,773
It might not go into effect until 2014? That's when most of it goes into effect. I can't get covered by any insurance company right now because I'm currently uninsured and pregnant.

But you aren't just making it up... Affordable Care Act Rules on Expanding Access to Preventive Services for Women | HealthCare.gov
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January 10th, 2013, 10:53 AM
Memi's Avatar Platinum Supermommy
Join Date: Jan 2010
Posts: 5,513
I work in the insurance industry. This particular coverage has never come up for us but I don't believe that that is something mandated to be covered as of 01/01/13. I may be wrong but for now it's just preventive services such as wellness appointments, vaccinations and contraceptives. Last time I called our insurance didn't cover breast pumps either and in fact had zero maternity incentive programs. However that was prior to 01/01/13.

ETA: According to the PPACA article the PP linked breastpump coverage did go into effect as of your policy renewal renewal date after 08/01/12. However I would double check that article but the rest of the information seems accurate to me. I bought mine second hand from a friend and got a steal so won't go through the hassle of trying to reimbursed by my insurance company, but if I was buying new I would look into this for sure!
Expecting #3 in January 2016!

Last edited by Memi; January 10th, 2013 at 10:56 AM.
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January 10th, 2013, 12:43 PM
May 2013 Cohost
Join Date: Aug 2012
Posts: 3,638
I think you can use your flexible health spending account to buy the pump and that was what they meant. The pump isn't covered by insurance, but they will allow you to use the pre-tax dollars you set aside each year for medical expenses on it.
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January 10th, 2013, 01:08 PM
misty3281's Avatar Mega Super Mommy
Join Date: Aug 2012
Location: Texas
Posts: 2,130
I had called my insurance company about it last week and they said to have my doc fax something for predetermination of coverage. I'm going to ask him at my next appt and just see.

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