Breastfeeding Supplies, Support and Counseling
Under provisions of the Affordable Care Act (ACA) Pregnant and postpartum women will have access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment.
Members must obtain manual breast pumps from in-network durable medical equipment (DME) providers to receive coverage with no member responsibility. Members may also obtain electric breast pumps through an in-network DME provider subject to applicable plan deductible and co-insurance. Coventry has established a relationship with Homelink to assist in this process. 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) to the member.
Lactation support and counseling is generally available though the hospital.
Is a Prescription Required? Yes. You will need to provide a prescription from your physician.
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 covert to a purchase.
Is there a dollar limit on coverage? No. However, only select manual breast pump models and supplies are covered at 100%. Homelink, or other network DME provider 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.