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BCBSTX and breast pumps??? αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11

Ok, so something got me thinking about insurance possibly covering breast pumps...



We have blue cross blue shield tx PPO plan. Does anyone know if that might cover a breast pump?



I tried to call and ask, but they're closed?

❀Mandy❀ Due June 1; 1 child; 1 angel baby; Virginia 7364 posts
5th Apr '11

The only time I've ever heard of this is when you have a baby in the nicu, and insurance will sometimes cover the rent for the hospital pump. Otherwise I have no clue!

Jelly b**bs! Seattle, Washington 872 posts
5th Apr '11

Check your coverage. They should have a website. Usually it's under equipment rentals or equipment coverage. Most of the time they'll cover a certain amount to rent them out. Ours covers 80% of medical equipment rentals and 80% of purchases.
So for a $700 breast pump (They jump the prices dramatically because they can, so expect them to be pretty expensive) it would cost us.. $140 to buy one through our insurance company. We have really good private insurance though. I'm not sure about BCBS.

*Bradley&NataliesMommy* 18 kids; Odessa, Texas 2564 posts
5th Apr '11
Quoting αℓyssα+2:" Ok, so something got me thinking about insurance possibly covering breast pumps... We have blue cross ... [snip!] ... blue shield tx PPO plan. Does anyone know if that might cover a breast pump? I tried to call and ask, but they're closed?"



go to WIC. if you EBF for 4 weeks and plan on returning to work or school(they dont require proof, just whatever you tell them) and they will give you a double electric one free to keep.

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11
Quoting Mr. HOAR:" Check your coverage. They should have a website. Usually it's under equipment rentals or equipment coverage. ... [snip!] ... cost us.. $140 to buy one through our insurance company. We have really good private insurance though. I'm not sure about BCBS."


Im looking on the site, but Im not having any luck finding equipment coverage.
Im gonna call and double check tomorrow, but still $140 for a breast pump and probably hospital grade is much better than $300 for the one i want :D

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11
Quoting Ashley*Team PINK*{15wks}:" go to WIC. if you EBF for 4 weeks and plan on returning to work or school(they dont require proof, just whatever you tell them) and they will give you a double electric one free to keep."


My husband makes too much :(. I looked into already.

*Bradley&NataliesMommy* 18 kids; Odessa, Texas 2564 posts
5th Apr '11
Quoting αℓyssα+2:" My husband makes too much :(. I looked into already."



oh crap. that sucks, maybe check craigslist, ive seen some on there. and getting new tubes and flanges(the only parts the breast or milk come in contact with) is way cheaper than buying a brand new pump!

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11
Quoting Ashley*Team PINK*{15wks}:" oh crap. that sucks, maybe check craigslist, ive seen some on there. and getting new tubes and flanges(the ... [snip!] ... new tubes and flanges(the only parts the breast or milk come in contact with) is way cheaper than buying a brand new pump!"


I have. Im scared to buy a used one. Something just irks me about it.

Jelly b**bs! Seattle, Washington 872 posts
5th Apr '11
Quoting αℓyssα+2:" Im looking on the site, but Im not having any luck finding equipment coverage. Im gonna call and double ... [snip!] ... check tomorrow, but still $140 for a breast pump and probably hospital grade is much better than $300 for the one i want :D"



If they don't have something on it, chances are it's not covered. You can try and get a prescription from your doctor for one and it would be considered a prescription and you would probably pay the typical premium that you would usually pay. Like I said though, we have a really insurance plan and I don't think it's typical for them to provide them. I would definitely call your insurance provider and find out before you give birth though. They will usually provide them while you're in L&D.

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11
Quoting Mr. HOAR:" If they don't have something on it, chances are it's not covered. You can try and get a prescription ... [snip!] ... call your insurance provider and find out before you give birth though. They will usually provide them while you're in L&D."


I just can't figure out the website lol.



Im gonna ask my dr tomorrow and call too.

Jelly b**bs! Seattle, Washington 872 posts
5th Apr '11
Quoting αℓyssα+2:" I just can't figure out the website lol. Im gonna ask my dr tomorrow and call too."


They have it listed under mine as Durable medical equipment (DME). If it's a PDF file you can search for it. Or just use F3 to search for it on a webpage.

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11

So, Im pretty sure our insruance will cover 80-90% of a breast pump, if perscirbed by a dr, which my dr probably will. Im gonna call BCBS first thing in the morning.

αℓyssα+2 2 kids; Texas 24662 posts
5th Apr '11
Quoting Mr. HOAR:" They have it listed under mine as Durable medical equipment (DME). If it's a PDF file you can search for it. Or just use F3 to search for it on a webpage."


Ok, thanks momma :D!
I will look for that!