Breastfeeding supplies, support, and counseling
Pregnant and postpartum women have access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment if they are enrolled in a university medical insurance plan (This holds true for other insurance plans across the nation, too, since it is a requirement of the Patient Protection and Affordable Care Act.)
Support and counseling
Lactation support and counseling is generally available through the hospital in which your child was delivered or the health care provider who helped deliver your child.
To receive coverage with no out-of-pocket costs, faculty and staff, or their dependents, covered by a UM System medical insurance plan must obtain manual breast pumps from in-network durable medical equipment (DME) providers. Insurance plan members may also obtain electric breast pumps through an in-network DME provider subject to the applicable plan deductible and co-insurance.
The appropriate DME provider for you depends on your insurance plan:
- For members of the Healthy Savings Plan or the PPO Plan—Homelink assists plan members. Members may contact Homelink at 319-235-7173, and they will provide the equipment or locate a local DME provider to supply the item(s).
- For members of the Custom Network Plan—Provider Plus or Edgepark serve assist plan members. Contact Edgepark at 1-800-321-0591, or Provider Plus at 573-634-0048.
Frequently asked questions
Is a prescription required? Yes, for DME. You will need to provide a prescription from your physician to obtain durable medical equipment as described above. A prescription is not needed for lactation support and counseling.
Does there have to be a medical necessity for breast pumps? No.
Are both breast pump rentals and purchases covered? Yes. You may purchase or rent a breast pump. After 10 months of rental the item would convert to a purchase.
Is there a dollar limit on coverage? No. However, only select manual breast pump models and supplies are covered at 100%. The appropriate DME provider for your insurance plan (as listed above) can assist you in determining which models are covered at 100%.
Are electric breast pumps covered? Yes. Electric breast pumps are covered under the durable medical equipment provision of your health plan with member responsibility. Durable medical equipment is subject to your annual deductible and applicable co-insurance.
Reviewed June 27, 2015.