Frequently Asked Questions
The U.S. Department of Health and Human Services has adopted legislation requiring commerical health insurances to add breast pumps as a covered benefit. Eligibility and coverage varies by insurance company and policy, but Edwards Health Care Services is here to assist in getting your insurance-covered breast pump efficiently and easily. We will verify your benefits and coverage, chase all the paperwork and work with your insurance…so you don’t have to.
In January 2013, the U.S. Department of Health & Human Services officially acknowledged that breastfeeding is “one of the most effective preventative measures mothers can take to protect their health and that of their children. One of the barriers for breastfeeding is the cost of purchasing or renting breast pumps and nursing-related supplies.” As such, the government adopted legislation that requires health plans to cover specific women’s health services, including breastfeeding support, supplies and counseling.
What this means for you is that most commercial insurance companies are required to provide coverage for breast pumps. Coverage varies from plan to plan, and we can help you figure out what you’re eligible for and how much – if anything – you will have to pay out-of-pocket.
Edwards Health Care Services has more than 20 years of experience working with insurance companies, healthcare providers and equipment manufacturers to ensure that patients receive the high-quality products in a timely fashion. We are deeply committed to providing professional, courteous and ethical service to every customer.
EHCS is voluntarily accredited by the Accreditation Commission for Health Care, Inc. (ACHC), which was developed by home care and community-based providers to help companies improve business operations and quality of patient care.
Most insurance policies cover breast pumps in some manner. In many situations, breast pumps are covered 100% by insurance; however, policies do vary on whether they cover a manual pump or an electric pump, whether there’s a co-pay or deductible or whether a brand of pump is specified. EHCS only carries high-quality, name-brand pumps from Medela, Ameda, Hygeia, Spectra and Lansinoh, which are normally covered by insurance. We work with many insurance companies nationwide, and we are adept at interpreting policies to make sure you’re getting what you deserve. If any out-of-pocket expenses are required, we will give you a quote before proceeding with the order. We will never swap out the desired breast pump without your approval, but there may be an upgrade fee if your insurance company does not cover your desired pump.
To get started, just fill out this online form or give us a call at 888-344-3434. Make sure you have your insurance policy, doctor’s information and baby’s due date on-hand. We’ll verify your coverage, determine what pumps you’re eligible for and then work with your healthcare provider to make sure that your doctor submits the paperwork required by your insurance company. Once all the paperwork is received and any other requirements are met, we’ll ship your breast pump to your door.
For your insurance company to approve your covered breast pump, you will need to have a prescription, but we can handle that for you! Call 1-888-344-3434 or get started online. We’ll work with your insurance company to verify coverage, determine what you’re eligible for, and make sure we have all the paperwork required by your insurance company.
This varies depending on your insurance company’s policies and how quickly your doctor’s office can submit the required paperwork. With most insurance policies, you can receive a pump before your due date. However, there are a few plans that use time frames around the ship date. Once you apply online or over the phone, we will start processing your order immediately by verifying your insurance and contacting your doctor’s office for the required paperwork. Typically, we have all the required paperwork in about a week, and if the breast pump is approved for immediate shipment by your insurance, we will ship out the next day. Usually, you’ll receive your pump in less than a week.
Breast pumps are designated as personal, single-user personal hygiene items by the FDA; they are not returnable if already opened.
If the pump is defective, please work with the manufacture to obtain a replacement.
If you’ve already purchased your pump and need assistance, you may contact the manufacturer directly.
If you have any further questions, please contact EHCS Customer Service at (888) 344-3434 or ContactUs@myehcs.com.