Breastfeeding Insurance & Reimbursement
Get your questions about the Affordable Care Act (ACA) and insurance-covered breastpumps answered!
- What does my insurance company cover?
- Know the pump that's right for you
- Find a distributor that accepts insurance
- What is the ACA? Does it apply to me?
- WIC & Medicaid
- Healthcare flexible spending accounts
What Does My Insurance Company Cover?
This is a difficult question because every plan is different. But we know that you're counting on us for information, so we conducted a survey of some of the largest insurance companies and gained valuable insights into their implementation of benefits and coverage criteria for breastpumps and lactation counseling.
Our findings? Great news for breastfeeding moms!
What This Means To Me
Know the pump that's right for you
Breastpump coverage under the ACA does not require you to make a co-payment, but your insurance company's pump offering may not be what you want or need. For example, if you're going back to work, you'll need a double electric pump (not single electric or manual). Every insurance company is different, so find out what pump they offer as soon as you can. That way, you can be prepared by investigating your options.
A pump with the latest technology, 2-Phase Expression®, is an ideal choice. 2-Phase Expression technology is proven to get 18%* more milk when double pumping, like with the Pump In Style® Advanced.
Learn more about 2-Phase and Pump In Style Advanced
Or, find the pump that's right for you
Looking for information about a pump you've already received through insurance?
Check out our double electric pump comparison chart
Find A Distributor That Accepts Insurance
Use our product locator to find distributors that accept insurance in your local area. Just look for this icon:
What is the ACA? Does this apply to me?
The Affordable Care Act (ACA) which was signed into law in 2010. There are many parts of the ACA, but one of the most valuable is that ACA requires health plans to cover breastfeeding support and supplies. Many health plans began implementing this coverage on or after August 1, 2012.
If you have a private insurance carrier or commercial insurer, this law applies to you. Currently this law does not cover Medicaid or WIC.
WIC and Medicaid
in addition to private insurance assistance, some other state and federal programs may offer breastfeeding support and reimbursement under certain circumstances. For more information call your local Women’s Infants and Children (WIC) office or your local state Medicaid office.
Healthcare Flexible Spending Accounts
While many health plans may begin to cover breastpumps and lactation services without cost sharing (i.e. co-payments), other plans may still require some cost sharing. For these plans, there may be tax benefits available for individuals who use health care flexible spending accounts.
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*Compared to single pumping with 2-Phase Expression technology at Maximum Comfort Vacuum™.