How to Get an Electric Breast Pump Through Insurance?

As a new mom, the joy of nurturing your little one through breastfeeding is unparalleled. In today’s fast-paced world, the demands of work, travel, and other commitments can make it difficult to maintain a consistent breastfeeding routine.

Fortunately, modern technology has brought us a valuable tool – the electric breast pump for lactating mothers. These innovative devices allow mothers to express and store breast milk, ensuring their babies receive the nourishment they need, even when they can’t be physically present. But directing the process of obtaining an electric breast pump, especially through insurance coverage, can be daunting.

In this comprehensive guide, we’ll explore the importance of breast pumps, insurance coverage options, and step-by-step instructions to help you acquire this essential tool seamlessly.

Why is a Breast Pump Important for Breastfeeding?

A breast pump supports breastfeeding mothers by providing flexibility and ensuring a continuous supply of breast milk for their babies. One of the primary advantages of a breast pump is that it allows mothers to provide their babies with breast milk even when they are physically separated. This can be particularly helpful in various situations:

  • When the mother is unable to directly breastfeed, a breast pump enables her to express and store milk for later feedings.
  • If a mother’s milk supply is low, regular pumping can help stimulate and increase milk production.
  • For premature or ill babies who may have difficulty latching or sucking effectively, pumped breast milk can be an invaluable nutritional source.
  • When mothers need to return to work after maternity leave, a breast pump helps them continue providing their babies with the benefits of breast milk.
  • Pumped breast milk can also be mixed with solid foods as babies transition to new dietary stages, ensuring a smooth and nutritious progression.

Does Insurance Cover Electric Breast Pumps?

According to, under the Affordable Care Act (ACA) in the United States, insurance plans should cover the cost of breastfeeding support and supplies, including breast pumps. However, the extent of coverage for electric breast pumps can vary depending on your insurance plan.

While many plans cover a new double electric breast pump for each pregnancy, the specific details may differ. Some plans may also extend coverage to hospital-grade pumps or offer options to rent them. Factors like whether the covered pump is manual or electric, the duration of the rental period, and the timing of delivery (before or after birth) may also be outlined in your plan.

A study examined the impact of the ACA on access to breast pumps and breastfeeding outcomes. It found that the ACA requirement for insurance coverage of breast pumps led to increased claims for women with private insurance but decreased claims for Medicaid enrollees. Higher rates of breast pump claims were associated with increased breastfeeding initiation and duration. The study concluded that the ACA’s breastfeeding coverage requirements helped improve access to breast pumps and increase breastfeeding rates for women with private and public insurance.

To know the coverage available to you, it’s advisable to contact your insurance provider directly and review the specifics of your plan’s coverage for breast pumps.

Steps to Request a Breast Pump Through Insurance

To get an electric breast pump through insurance, you typically need to follow these steps:

Verify Your Insurance Coverage

Before diving into the process, take a moment to review your health insurance policy or contact your insurance provider to confirm whether they cover breast pumps. While many plans now include this coverage, it’s important to be aware of any specific requirements or limitations that may apply.

Understand Coverage Criteria

Every insurance provider has its own set of criteria for covering breast pumps. Understanding these requirements will help you navigate the process more effectively. Familiarize yourself with factors such as the timing of pump acquisition (before or after birth), medical necessity, and any necessary documentation.

Obtain a Prescription

To proceed, consult your healthcare provider, such as your doctor, midwife, or lactation consultant, and obtain a prescription for an electric breast pump. A prescription validates the medical necessity and ensures you meet the criteria set by your insurance provider. Make sure the prescription includes your name, the recommended type of breast pump, and any relevant medical information.

Call Your Insurance Provider

Tell them you’d like to get a personal-use breast pump and ask the following questions:

  • Do you cover the cost of buying or renting a breast pump?
  • Are the costs covered with no cost-sharing?
  • Do I need a doctor’s prescription? If so, where and how should they send it?
  • What kind of pump will you pay for? Ideally, you want a double-electric pump for efficiency.
  • Where can I get the breast pump? Some plans require specific suppliers or brands.

If you’re on Medicaid, reach out to your provider about coverage. If they can’t provide a pump, you may be able to get one through WIC.

Research Approved Suppliers

Contact your insurance company or visit their website to identify a list of approved suppliers or durable medical equipment (DME) providers. These authorized vendors are essential in acquiring an electric breast pump covered by your insurance. Review the list and choose a supplier that offers the specific breast pump you desire.


Contact the Supplier

Reach out to the chosen supplier and provide them with your prescription and insurance information. The supplier will guide you through the process and may require additional paperwork or documentation. They will help you navigate the insurance claim process smoothly, ensuring a hassle-free experience.

Complete Required Paperwork

Fill out any necessary forms or paperwork requested by the supplier or your insurance company. This may include claim forms, authorization forms, or proof of purchase. Accurate completion of the paperwork is crucial for a successful claim process.

Obtain Your Electric Breast Pump

Once your paperwork is processed and approved, the supplier will ship the electric breast pump directly to your preferred address. Before finalizing the order, confirm the delivery details and any associated costs, such as shipping fees or co-payments. Stay in touch with the supplier to track your shipment and address any concerns promptly.

Can I Obtain a Free Electric Breast Pump Through the WIC Program?

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) may provide breastfeeding support, including access to free electric breast pumps. Eligibility for WIC benefits is based on income and other criteria. If you qualify, WIC can be an excellent resource to acquire a breast pump free of charge, especially if you can’t get one through Medicaid or don’t have insurance coverage. WIC offers a variety of pump options, including manual, personal-use electric, and hospital-grade pumps, based on availability and the participant’s specific needs.

Final Takeaway

The journey of breastfeeding is a beautiful and rewarding experience, but it can also present challenges along the way. But, with the support of modern technology and insurance coverage, obtaining an electric breast pump has become more accessible than ever before. By following the steps outlined in this guide, you can navigate the process confidently, ensuring that you have the tools you need to provide your baby with the nourishment and nurturing they deserve.

Embrace this opportunity to seamlessly blend the natural act of breastfeeding with the convenience of an electric breast pump, and enjoy the peace of mind that comes with knowing you are giving your little one the best possible start in life.