Wednesday, March 27, 2013

BCBS Insurance? You May Be Able to Get a FREE Pump!

A lot has happened since our February post about insurance and breastpumps!  We have a couple of local Durable Medical Equipment providers who will work with your insurance to help you receive the pump you're entitled to! Although every insurance plan is different, if you have Alabama Blue Cross Blue Shield, you should be able to receive a Medela Pump in Style, a Bailey Nurture III or an Ameda Purely Yours.

Which Pump Do I Want?

The Medela Pump in Style provided by insurance
All three pumps are high quality pumps. The Medela Pump in Style is a very popular single-user pump. One advantage for local mothers is that North Alabama hospitals use Medela products. I encourage every mother who gives birth to ask for her breast pump rental kit because it will provide you a spare set of parts for your Pump in Style. Furthermore, many mothers do find that renting a hospital-grade pump for the first week or even month can be very helpful in helping to deal with engorgement or for establishing a supply if baby isn't nursing well. The Pump in Style is a completely automatic double electric breast pump, making it easy to pump hands-free and do other things like read or type as you are pumping. 

The Bailey Nurture III Pump
The Bailey Nurture III is also a very reputable, reliable breast pump. The technology behind the Nurture III is a bit different, however. The suction is controlled by a dial, but the rate is controlled by the mother using the pump via a simple up and down motion of her finger which releases the pressure. The advantage to this system is that the mother can vary the speed as she sees fit. The disadvantage, however, is that she must be fully engaged with the pumping and does not have both hands free (she does have one hand free).

The Ameda Purely Yours pump
The Ameda Purely Yours  breast pump allows mothers to choose from 32 different combinations of pressure and speed. It is a closed pumping system, so it is impossible for any milk to ever get into the pump motor. It is completely automatic and works very well for mothers who need to pump hands-free. The only real disadvantage is that if you want extra parts for it, you must order them online.

How Can I Get My Pump?

That's the easy part! All you have to do is get a prescription from your doctor and bring it to us or have it faxed to us (256-489-2584). We will make a copy of your insurance card and have you fill out some simple paperwork. We will get your information to the appropriate DME provider and you will get a call within a week or less letting you know you can pick it up. We can even have it delivered to the hospital for you! Based on information received from Blue Cross Blue Shield of Alabama just yesterday, you may request your pump during pregnancy and up to a year after your baby's birth as long as you have the prescription from a physician!

What If I Have a Different Insurance?

If you have a different Blue Cross Blue Shield (Federal or another state) it will most likely work the same way. We will just need to verify everything, and you might not be able to get your pump the day you bring your prescription in. 

Parents who do not have Blue Cross Blue Shield may still be eligible for a free breast pump. The Affordable Health Care Act mandates that insurance companies provide you a breast pump. Each company has the option of choosing what kind of pump they will provide. While some companies are only willing to provide a hand pump, many companies will provide you a double electric pump. Just bring in your prescription and your insurance card, and the wonderful insurance experts will be able to verify your coverage quite quickly.

If you've received a pump paid for by insurance, take just a minute to tell your story in the comments!


15 comments:

  1. I called my insurance, told them my due date, they gave me a number to call for their medical equipment rep and then I recieved the pump within a week. I got the Bailey pump seen above... and it is frustrating to have no hands free and if you are pumping double.. you have NO HANDS free!

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    1. I'm so sorry you had that experience. It does seem that some insurance companies are providing the pump themselves. However, if you have the opportunity to at least let us try to get you what you want, we just might have success. There are no guarantees because every insurance company is different, but the insurance gurus we're sending stuff to know how to get the job done!

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  2. I'm in mobile and have blue cross blue shield of alabama ppo plan and have a prescription from my daughters doctor for a breast pump. I called bcbs and they said they will only cover a pump for multiple births or premies. My baby is 4 months old and deff doent meet the criteria. Am I out of luck?

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    1. Misty, if you fax your scrip and a copy of your insurance card to us, we can let the DME provider we work with try to run it. No guarantees....a lot seems to depend on the particular plan you have. We just had a mom call us to say that her insurance had billed her directly for the pump after telling the DME provider she could get it. VERY FRUSTRATING!!!!

      Our fax is 256-489-2584
      Also email me at anm@knology.net with your name, address, phone number, baby's date of birth and your date of birth. If you'd rather scan and email the scrip and insurance card (front and back) that's fine.

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    2. Thanks! Ill fax it tomorrow. And email the necessary info :)

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  3. I have BCBS of AL but I live in Maryland. I'm finding it difficult to get my pump up here because the DME's here can only give me a certain type of pump and I'd really like a Medela. How can you be of assistance? My email is desireeisrael@gmail.com. Thank you

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  4. Desiree,
    I sent you an email. However, I just found out that MedSouth is only allowed to distribute within the state of AL for BCBS of Alabama. However, they suggested that you contact BCBS of AL and ask if they will reimburse you for the purchase price of a Medela OR if they can give you the name of a DME provider near you who DOES have Medela.

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  5. Is this only for first time mommies? I am expecting my second child and I breastfed my first child using a borrowed pump, with new parts of course, and I no longer have the option of borrowing the pump. I have insurance with PEEHIP through BCBS. Is it best to call BCBS to see if I am eligible or do I need to ask my doctor or pediatrician for a prescription before contacting them?

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  6. Ashley,
    It doesn't matter what number baby you are having. The PEEHIP plans seem to be covering the pumps completely, from my experience. You can get your prescription, then bring in your card, and we will take care of you!

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  7. One more question...is the prescription suppose to be from my doctor or from our pediatrician? Also, I live in south Alabama is that a problem or can I fax you the prescription and insurance card?

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  8. Ashley,
    The prescription usually comes from the Ob/Gyn. You can fax the prescription and insurance card, and we will have our DME provider get in touch with you!

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  9. Hello. If I have BCBS of AL, but I work in Texas (the business i work for is based in Alabama so our insurance is an BCBS of AL), am i out of luck on getting a breast pump mailed to me? (Due Feb 2014)
    Cristina2dlf@yahoo.com

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    Replies
    1. Kristina, you can give Med-South a call to see if they can help you. 256-883-0505

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  10. I am on my dad's bcbs of AL, but he works in AR. We both live in AR. How do I find out if it covers a breast pump.

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  11. One option might be to try a national site that deals with a wide variety of insurance providers like Better Living Now. www.BetterLivingNow.com

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