Where can Anthem Blue Cross and Blue Shield members purchase breast pumps covered. Breast pumps are considered durable medical equipment DME which is a type of equipment that provides therapeutic benefits to a patient in need due to certain conditions or illnesses.
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Exception is if a member rents a hospital-grade pump they can also have coverage for a manual or electric pump purchase.
Does blue cross blue shield cover breast pumps. 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. Out-of-network doctorshospitalspharmacies will be reimbursed only up to the maximum allowable amount. Some plans available through large employers may not cover DME.
Eligible members can choose one of two pumps. Most Blue Cross Blue Shield of Michigan plans cover DME along with breastfeeding support supplies and counseling. 28 Zeilen Whats more is that Blue Cross Blue Shield typically allows one.
Your plan may also include one breast pump per pregnancy. If youve decided to breast-feed your Blue Cross and Blue Shield of Kansas City Blue KC health plan may have coverage for a breast pump. Not all Blue Cross NC members have coverage for breast pumps.
Obtaining a Breast Pump. Please note that pump replacement supplies are NOT covered by BlueCross. Ameda One Hand manual pump.
They can be ordered no sooner than fifteen days prior to your expected delivery date. The Affordable Care Act requires BCBS to cover a breast pump some exceptions apply to grandfathered plans. The amount allowed toward any breast pump of choice whether manual electric or hospital grade regardless of where purchased will not exceed applicable DME allowances for standard manual pumps.
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. To make sure that you start off on the right foot Blue Cross Blue Shield offers insurance covered breast pumps and breastfeeding support. The price of different flange sizes storage bags replacement tubing and more can add up quickly if theyre not covered by your health insurance.
Breast pumps are considered durable medical equipment or DME. If you plan to breastfeed order a breast pump. BCBSTX Connect Team over 3 years ago in reply to Whitneyvicars.
Are you a new mother or are expecting a baby soon. Members Members who qualify for a breast pump can contact CareCentrix at 877 561-9936. To purchase a breast pump using your benefits youll need a prescription from your OB-GYN or midwife.
Members will be liable for any cost difference. Ameda Finesse electric pump. Buy nursing bras tanks and breast pads.
Visit one of these sites to take advantage of this benefit. You may be eligible to receive a breast pump at no cost to you. Some Blue Cross Blue Shield insurance plans not only cover a double electric breast pump but they may also cover replacement parts for your breast pump as well.
To verify that breast pumps are covered under your specific plan. Hello We have received your private message about this and have responded to you there. Review your benefits for more information.
We cover a breast pump from a participating DME provider with a prescription from your clinician. 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. Most Durable Medical Equipment DME suppliers require the OBGYNs order or prescription for a breast pump.
Therefore members should call the number on the back of their health insurance ID card or check their benefit booklet to see if they have coverage. The process with Horizon BCBS was extremely easy and pain free. One electrical or manual breast pump per member per delivery is covered.
Blue Shield does not require the member to obtain a prescription. The ACA expanded preventive benefit covers one breast pump at no cost sharing for female members any time during their pregnancy or following delivery when purchased from in-network providers. They can tell you if your plan has a breast pump benefit.
We dont cover hospital-grade breast pumps. Does Blue Cross Blue Shield Cover a Breast Pump. If youd like to verify your plans coverage for a breast pump please send us a private message.
If youve thought about using a breast pump call Blue KC Customer Service at the number on your member ID card. Heres how to find out if your plan covers breast pumps. 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.
Edwards Health Care Services.
