Breast pumps must be purchased from in-network DME providers. The two most popular breast pumps covered by BCBS CareFirst are the Spectra S1 and Medela Pump in Style PISA but do your research.
Breast Pumps Covered By Bcbs Carefirst Sourcemd
You may be eligible to receive a breast pump at no cost to you.
What breast pump does blue cross blue shield cover. One electrical or manual breast pump per member per delivery is covered. We dont cover hospital-grade breast pumps. Anthem Blue Cross currently covers the purchase of one double electric breast pump in conjunction with each pregnancy as well as tubing breast shields valves and storage containers.
Byram Healthcare is a national leader in disposable medical supplies delivered directly to patients homes while conveniently billing insurance plans. Hospital grade pumps are available as rentals when medically necessary and. If youve thought about using a breast pump call Blue KC Customer Service at the number on your member ID card.
Review your benefits for more information. Under the Affordable Care Act ACA your health insurance plan must cover the cost of a breast pump. Gentryj198606 over 3 years ago.
Wellmark Blue Cross and Blue Shield covers one breast pump per birth with replacement every two years as long as it isnt hospital grade and you buy it from a participating durable medical equipment DME provider. Blue Cross Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield. In-network services are covered at a 0 cost share amount.
They can be ordered no sooner than fifteen days prior to your expected delivery date. As a Blue Cross Blue Shield of Massachusetts member your coverage may include the rental or purchase of a manual or dual electric breast pump for each birth without paying co-insurance or a deductible. Anthem Blue Cross Breast Pump Coverage.
This provides you with the added benefit of being able to get to know and read up on your breast pump before actually needing to use it. Hello If youd like to send us a private message our team can check on this for you. Ameda One Hand manual pump.
Only one manual or electric breast pump per delivery will be covered. If you have a breast pump benefit on your plan Blue KC will cover the allowable charge for a manual or electric breast pump. Breast pumps are covered without pre-authorization as long as the cost is below 25000 and they are ordered through one of the durable medical providers that I will list below.
Blue Cross Blue Shield insurance covered breast pumps are available to new and expecting moms along with numerous pre-approved breast pump supplies. Most Blue Cross Blue Shield of Michigan plans cover DME along with breastfeeding support supplies and counseling. Buy nursing bras tanks and breast pads.
Medical and Payment Policies. As breast pumps are categorized as durable medical equipment by most insurance providers and breast milk is recognized for its potential health benefits most insurance plans are required to cover the cost of a breast pump under the Affordable Care Act. Hi I was wanting to check and see if I could get a breast pump covered with my coverage.
Heres how to find out if your plan covers breast pumps. Gentryj198606 over 3 years ago. Some plans available through large employers may not cover DME.
The process with Horizon BCBS was extremely easy and pain free. In other words you can get a brand new breast pump for each baby. Standard manual and electric breast pump models are covered for purchase at 100 up to the amount of the contracted allowable rate.
Shield of Kansas City Blue KC health plan may have coverage for a breast pump. Claims for breast pumps E0602 for manual and E0603 for electric must indicate O3093 Z3403 Z3483 Z3493 or Z391 as the primary diagnostic code. They can tell you if your plan has a breast pump benefit.
Hospital-grade pumps will not be covered. Hospital grade electric breast pumps are excluded except when medically necessary during an inpatient hospital stay. If you plan to breastfeed order a breast pump.
We carry tons of great breast pumps with options for all needs. Visit one of these sites to take advantage of this benefit. Are Breast Pumps Covered by Blue Cross Blue Shield.
BCBSTX Connect Team over 3 years ago in reply to Gentryj198606. The hospital grade pump is rental only. Although specific coverage is different for each insurance plan most Blue Cross Blue Shield plans cover the cost of a double electric breast pump for new moms.
Policies and coverage. Breast Pump - Hospital Grade Upload date. Members who qualify for a breast pump can contact CareCentrix at 877 561-9936.
Service Benefit Plan members who are pregnant andor nursing are eligible to receive one breast pump kit per calendar year when ordered through CVS Caremark by calling 1-800-262-7890. Blue Shield of California is an independent member of the Blue Shield Association Breast Pump Benefit Under the breast feeding equipment and supplies benefit pregnant or nursing women are entitled to their choice of one of the following pump kits. Eligible members can choose one of two pumps.
Breast pumps are considered durable medical equipment or DME. Ameda Finesse electric pump. Edwards Health Care Services.
28 rijen Whats more is that Blue Cross Blue Shield typically allows one breast. We cover a breast pump from a participating DME provider with a prescription from your clinician.