Effective 8/1/12 the Patient Protection and Affordable Care Act of 2010 (ACA) expanded health plan coverage to include breastfeeding support and supplies. Breast pump coverage will vary among insurance plans, so check with your insurance policy handbook or call the customer service number on the back of your insurance card to find out the details of your benefits. Some insurance companies were grandfathered out of this requirement, but this number should dwindle over time. Before calling your insurance company we recommend you talk with an individual knowledgeable about breastfeeding (such as a lactation consultant) about which pump is best for your situation. This is especially important if your baby is in the NICU or you plan on returning to work and will need to pump on a regular basis to build up or maintain your milk supply. Often insurance companies require a “Letter of Medical Necessity” or a prescription from your healthcare provider. You can find a sample letter here.
For more information on insurance coverage of breast pumps, click here. For information on Federal support, click here.