Affordable Care Act Tag

Which breast pump helps busy moms pump faster from anywhere?

We asked one of the busiest moms we know which breast pump she preferred.

Rosina Sigloch is a work-at-home mom with six kids ranging in age from three-months old up. With four girls and two boys, Rosina has seen it all when it comes to raising kids. She’s also had years of pumping experience, though she had been relying on manual pumps with her earlier children as breast pumps, at the time, were not covered by most insurance providers.

“I hadn’t used a breast pump in forever before my daughter. In the past, I always just had the hand pumps. When I found out I was pregnant this time, my sister-in-law told me that insurance companies cover pumps now. I have so much extra milk, I decided to go for it,” Rosina said in a recent interview.

Rosina’s mom Donna is a lead IBCLC/Nurse Practitioner who also has extensive knowledge of breast pumps. She sent Rosina all the pumps her insurance would cover.

“I’d seen an ad for the Willow,” Rosina said. “I thought, ‘That looks so cool! I can wear it without having the bottle!’ But it was really expensive, and I didn’t want to spend too much.”

When Rosina found the Elvie Stride, she was thrilled she could have the same benefits as the Willow but in a breast pump covered by her insurance.  “I love the fact that you can just put it on and go,” she said. “You don’t have to sit and wait to finish. I can just stick the cups in my nursing bra and go about my business!”

The Elvie Stride is a wearable bra covered by many insurance plans.

The Elvie Stride is 100% covered by Tricare for active duty military moms and mil-spouses and for civilian moms by many other insurance companies. In other words, you can apply your insurance breast pump benefit to the Stride and enjoy the benefits of a premium wearable pump without the premium price tag. However, this pump is only sold through select durable medical equipment (DME) companies, like Milk N Mamas Baby.

How does the Stride stack up in terms of other breast pump benefits, according to Rosina and other moms who have used it?

The Stride has great suction, and it pumps quickly.

“I wondered at first if this pump could actually have enough suction to work the right way,” Rosina mentioned. “It definitely did, even more so! I could have six ounces of breastmilk in less than ten minute. That’s super-efficient. The suction was really good and so quick!”

The Stride is easy to use and clean.

In addition to being easy to use, The Stride cleans up easily. It’s even dishwasher safe. Rosina noted, “I can just pop the cups off, and they’re so easy to clean!”

This super modern breast pump is also ultra-quiet, smart, and customizable.

Elvie designed the Stride with noise reduction technology so that doesn’t draw attention when you’re out and about. The hands-free pump connects with the free “Pump with Elvie” app, which allows you to control your pump remotely while tracking your milk production. You can choose from ten intensity settings in both Stimulation and Expression modes for optimal comfort and efficiency.

“I’m really happy with my purchase and working with Krisi at Milk N Mamas Baby was great!” Rosina said.

It’s great to work with busy moms like Rosina, too!

Milk N Mamas Baby is owned and operated by women who have experienced the challenges and joys of balancing breastfeeding with work and family. We were lobbying for insurance to cover breastfeeding equipment before the ACA required it, and our women-lead team continues to advocate for mamas like Rosina and their babies every day, one mother at a time. We’re here for you, too! Get in touch today for help picking out the right breast pump for you.

Give an Elvie Stride or other lightweight, wearable breast pump a try for times when you’re on vacation or headed to the office.

Should I reuse my old breast pump for my second baby?

Most breast pumps can be used for multiple pregnancies.

It can take some time to get used to a breast pump, and it’s not uncommon for moms to get attached to the one they’ve already got. Fortunately, most modern breast pumps are built to be durable, and they’re usually tough enough to be used for multiple pregnancies if you’re cleaning, maintaining, and storing them properly. The same goes for hard plastic pump accessories like bottles and breast shields that are still in good working order. However, you should replace all silicone and soft plastic parts as they’re more difficult to clean and sanitize.

Open system breast pumps are not suitable for long-term use.

Closed system pumps are designed to prevent breastmilk from seeping into the pump motor. In open system breast pump, there’s no barrier, which means moisture, condensation, and breast milk can get into the interior of the pump. Because these interior components can’t be easily accessed and sanitized, they have the potential to breed mold and bacteria. As such, it’s best not to reuse open system breast pumps.

Most insurance providers do cover a new breast pump for each new child.

Thanks to the Affordable Care Act, most insurance plans are required to cover the cost of one new double electric breast pump for every pregnancy. However, policies may vary. Some provide new breast pumps each year or every other year. We can verify your insurance company’s breast pump policy easily if you’re not sure. Regardless, if you’ve paid for the insurance, you should definitely collect on the breast pump benefits. Even if you’re completely in love with your old reliable pump, there are good reasons to purchase a new one with your insurance credit.

Have a backup breast pump in case the old one quits performing.

Like all electronics, even the best breast pumps will deteriorate over time. That’s why most breast pump warranties only cover specific problems with the pump or the motor and only for one to two years after your purchase. If you love your pump, get a backup model for the day your old one begins to show signs of wear and tear.

Have a stay-at-home breast pump and a wearable breast pump for traveling.

You could also use your breast pump benefit to mix it up a little. Is your favorite pump the Medela Pump In Style that you use in the comfort of your own home? Give an Elvie Stride or other lightweight, wearable breast pump a try for times when you’re on vacation or headed to the office.

Order your new breast pump today!

At Milk N Mamas Baby, we have more than two decades of experience in the medical device supply industry, with specialization in breast pumps, pumping essentials, and breast pumping accessories. Our company’s history is rooted in activism on behalf of nursing moms, including lobbying for insurance to cover breastfeeding equipment before the ACA required it. We’re here to help you whether this is your first or your fifth baby. Give us a call for guidance on breast pump insurance coverage.

mom calling insurance company about breast pump reimbursement

How to get a breast pump reimbursement from your insurance company

Thanks to the Affordable Care Act (ACA), insurance providers must cover breast pumps. While this is certainly a better deal than moms once had, it’s still not always ideal. Not all policies provide the same coverage, and different policies may have different guidelines on the types of breast pump covered. In some cases, the insurance company pays outright, whereas in other cases, they reimburse you after you make the purchase. With so many factors in play, figuring out your provider’s specific benefits and processes can be confusing and frustrating.

What does the Affordable Care Act entitle mothers to in terms of breastfeeding?

Moms are eligible to receive breastfeeding equipment, supplies, and even lactation support under the ACA. Exactly what breastfeeding equipment is covered depends on your doctor’s recommendation, but in general, it includes a double-electric breast pump per birth experience, pump parts, and breast milk storage supplies, like bottles and bags.

Here’s where breast pump coverage gets confusing.

While ACA guidelines are pretty clear, there’s some room for interpretation, and many insurance companies take advantage of this. They might require a prescription from your doctor before the purchase or require you to submit a receipt afterwards for reimbursement. They may require you to purchase your breast pump from an in-network durable medical equipment (DME) supplier or only purchase a particular brand or model. In some cases, they may make you wait until after delivery to purchase your pump, and some providers don’t have to cover your pump at all if the plans were written before the law was passed.

What’s a mom to do if her breast pump coverage is confusing her?

Unfortunately, if you’re not sure about your plan’s requirements, guidelines, and coverages, you’ll have to call to confirm. Unless you’re purchasing through Milk N Mamas Baby. Not only are we a DME supplier, we’re in-network partners with a variety of other insurance companies, including Tricare, BlueCross BlueShield, UPMC Health Plan, and Health Partners Plans, to name a few. We’re also happy to advocate for you. We can call your insurance provider to confirm your coverage, so you have one less thing to do.

What if the pump you want isn’t covered by your plan?

While standard double-electric pumps like the Spectra S2 are commonly covered, so-called premium pumps, like the Elvie Pump, may not be fully covered. However, your insurance provider may reimburse you up to the amount your plan does cover. If you have a flexible spending account (FSA), a health savings account (HSA), or a health reimbursement account (HRA), you may be able to use that to cover a premium pump.

Submitting your claim for breast pump coverage and reimbursement

Once you’ve gotten your prescription and decided on your pump, it’s a matter of filing your claim promptly and submitting your receipt. Once again, Milk N Mamas Baby customers can leave this step to us. We’ll submit your prescription, claim, and necessary receipts to your insurance company, so you don’t have to.

If you’re an expectant mom with enough on your plate already, leave the insurance part of your breast pump buying experience to us. We’ll confirm your coverage, get your prescription, and even file your insurance claim to save you valuable time.

premium breast pump and insurance

Should I upgrade to a premium breast pump like Elvie or Spectra S1?

Thanks to the Affordable Care Act (ACA), all new moms are entitled to a breast pump. According to Healthcare.Gov:

Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after birth… Your health insurance plan must cover the cost of a breast pump.

However, which breast pumps your plan will cover may vary, as noted below from the same site:

It may be either a rental unit or a new one you’ll keep. Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when you’ll receive it (before or after birth).

Most plans will cover the cost of a double-electric breast pump, and many breast pump manufacturers offer qualifying pumps, including Medela, Ameda, and Spectra. On the other hand, many premium pumps are not covered fully by healthcare, though you can purchase them at a fraction of the cost using your healthcare credit.

What are the benefits of premium pumps?

For many moms, a standard double-electric pump will do the job. They may not be as convenient for moms who are on the go, however. Premium pumps often offer features that make pumping easier and more comfortable, for example, wearable hubs, wireless motors, and even smart technology. Take a look at some of these premium pumps to get a better understanding of what your upgrade means in terms of added benefits.

Elvie Double Electric Breast Pump

Dubbed “the world’s first silent wearable breast pump,” the Elvie Pump eliminates cleaning tubes and charging wires. The hubs fit in your bra and are controllable by a remote, giving you complete freedom to pump and go.

Note: While the Elvie Pump is considered a premium pump, the Elvie Stride offers many of the same perks while also being covered by most health plans.

Spectra S1 Double Electric Hospital Strength Breast Pump

The silent, portable Spectra S1 Hospital Grade Double Electric Breast Pump offers 300mmHg suction, double pumping, and a massage mode to encourage speedy letdown. You can adjust both suction strength and cycle speed, and the pump even comes with a night light and timer.

BabyBuddha® Complete Kit

Another ground-breaking pump, the BabyBuddha maximizes freedom while minimizing hassle. You simply hang the compact pump around your neck using the lanyard for a totally hands-free pumping experience. It’s quiet, discreet, and comes with extra-soft cushions to prevent nipple soreness.

Your breast pump options are as unique as you.

Choosing the best breast pump for your situation ensures more successful pumping sessions. You’ll be more comfortable and more equipped to handle all of your other responsibilities if you have a pump suited to your lifestyle. In some cases, a standard double-electric pump will do. In others, investing in an upgrade can save time, money, and frustration down the line.

If you’re not sure which breast pump is right for you, get in touch with your friends at Milk N Mamas Baby for expert and compassionate guidance.

Can I use my FSA/HSA card to purchase a breast pump?

Can I use my FSA/HSA card to purchase a breast pump?

Many moms who call us about purchasing a breast pump have a Flexible Savings Account (FSA) or Healthcare Savings Account (HSA). They want to know if they can use their FSA or HSA cards to cover expenses related to nursing and breast pumps. Good news! Milk N Mamas Baby does take FSA and HSA cards, and you can use them for a lot more than you might imagine.

Backup Breast Pumps

Breast pumps are 100% covered by health insurance in the United States thanks to the ACA. However, in most cases, only one pump is covered per birth. Fortunately, pumps are also FSA/HSA eligible. That means you could use some of your funds to invest in a second pump to use at work, so you don’t have to haul your primary pump back and forth. You could pick up a sleek, portable pump like the Elvie Stride or a manual pump as a backup for road trips and other times when a breast pump malfunction might leave you swollen and desperate to pump.

Upgraded Breast Pumps

While most breast pumps are 100% covered, some premiums pumps like the Elvie Pump or the Spectra S1 are not. With your FSA/HSA card, you can upgrade to a premium pump that isn’t 100% covered by insurance.

Extra Pump Parts

It never hurts to have spare parts for your pump in case one finds its way down the drain during a wash or no longer works optimally. Replacing parts like tubing, valves, membranes, and nipple shields can extend the life of your pump and ensure comfortable pumping, and breast pump parts are covered by FSA/HSA.

Extra Bottles and Breast Milk Storage Bags

Bottles get lost in the backseat. Breast milk storage bags are single use. But you can secure a stash of collection bottles and bags through FSA/HSA to ensure you never get caught without one.

Breast Milk Coolers

Breast milk coolers make pumping on the go a breeze, and they also allow you to bring along extra bottles when you’re out on the town for the day. Pick up a beautiful Sarah Wells cooler and ice pack and put it on your FSA/HSA card, and you’re ready to roll.

Hands Free Nursing Bra

This is another must have accessory for on-the-go moms, and you can pick up a high quality, comfortable nursing bustier with your FSA/HSA card.

Lactation Massager

Having trouble with plugged ducts and engorgement? A milk expression tool like the LaVie Lactation Massager can improve milk flow and relieve the pain associated with engorgement. And you can purchase one right here with your FSA/HSA card!

We’re here to help

That’s a lot, but it’s not all! Your FSA/HSA card has the power to transform your breastfeeding and pumping experience by equipping you with the very best tools. And we’re here to help you find the tools that suit your needs best. Give us a call or email today for more information or guidance on making pumping more comfortable, productive, and hassle-free using your FSA/HSA account.

Can I get a breast pump with my insurance?

Does my health insurance cover a free breast pump?

When Milk N Mamas Baby founder Krisi LaMont was just starting out in the industry, she worked for a medical equipment supply company. One of the mothers Krisi served was eager to try breastfeeding her infant in the NICU. She knew it would improve the baby’s immune system. However, at the time, breastfeeding supplies weren’t covered by insurance, and money was tight for the mom. Too tight for a breast pump rental.

Krisi knew that the mother’s instinct about the benefits of breast milk were spot on. She believed it was unfair that some mothers and infants would be denied the opportunity to establish a breastfeeding routine due to the costs. She lobbied on behalf of that mother and worked out a contract with a State Medicaid Plan to ensure personal use breast pumps and hospital grade breast pumps were covered for all nursing mothers.

Today, most moms are eligible for completely free breast pumps thanks to the Affordable Care Act. The ACA requires that insurers cover breastfeeding support as part of a mother and baby’s preventative health care services.

What’s the catch?

While there’s no catch, per se, not all health plans are made the same. Furthermore, the ACA doesn’t offer specific instructions regarding the matter of breast pump coverage. That means that coverage may vary from one health plan to another. This could affect the amount covered by your health plan as well as types of pumps included in coverage.

How can Milk N Mamas Baby help me get my insurance-covered breast pump?

We can confirm your insurance covered breast pump benefit.

We do the work for you by confirming your insurance-covered benefit for you once you have placed the order. We are familiar with all the insurance benefit plans we work with, so we can provide you the most up-to-date and accurate information about your breast pump coverage. If you order a pump from us, and we do not participate with your insurance, we can send you to a provider who does participate with the plan.

We can request a prescription for a pump from your doctor.

If you’ve already got your prescription, you can attach it to your secure order form. However, if you do not have your prescription already, we can help with that too. We can request a prescription from your doctor once you’ve placed your order, so you don’t have to be bothered. In other words, we are a direct liason between you, your doctor, and your insurance company.

Milk n Mamas Baby is a contracted insurance supplier, meaning we can help you get your free breast pump delivered quickly. All you have to do is visit our website to pick out the breast pump that best meets your needs. Then, fill out our simple, secure online form. We’ll take it from there! Need help? Give us a call at 1-844-Milk-Mom or email us at milknmamasbaby@gmail.com.