How to Order a Breast Pump Through Anthem Insurance
Getting a breast pump can be an essential part of preparing for the arrival of your baby, and if you’re covered by Anthem Insurance, the good news is that you may be able to order one at no cost to you. Anthem, like many insurance providers, offers coverage for breast pumps under the Affordable Care Act, ensuring that new and expectant mothers have access to this critical breastfeeding equipment.
In this comprehensive guide, we’ll walk you through everything you need to know about ordering a breast pump through Anthem Insurance, from eligibility and different pump options to the step-by-step process for placing your order. How to Order a Breast Pump Through Anthem Insurance
Eligibility for a Free Breast Pump Through Anthem Insurance
Under the Affordable Care Act (ACA), most health insurance plans, including Anthem, are required to cover breastfeeding support, supplies, and counseling for the duration of breastfeeding. This coverage typically includes a breast pump, either manual or electric, but there are important details to understand about eligibility and what is covered.
Basic Eligibility Requirements:
- Must be enrolled in Anthem Insurance.
- Coverage generally applies to new and expectant mothers.
- Coverage may vary depending on the state and specific Anthem plan.
- You are usually eligible to order your breast pump either during your pregnancy or within one year after delivery.
Before placing your order, it’s advisable to check with Anthem customer service or review your plan’s specific benefits.
Types of Breast Pumps Covered by Anthem Insurance
Anthem provides coverage for several types of breast pumps, giving mothers a range of options to meet their needs.
- Manual Breast Pumps: A basic option that requires you to manually pump milk. These are usually covered fully by Anthem and are perfect for mothers who plan to express milk occasionally.
- Electric Breast Pumps: These pumps are more efficient and require less effort, making them ideal for mothers who plan to pump regularly. Anthem typically covers standard single or double electric breast pumps.
- Hospital-Grade Breast Pumps: These are higher-end pumps designed for frequent pumping, often used by mothers of premature infants or those with medical needs. While Anthem may cover the rental of hospital-grade breast pumps, it’s important to confirm with the insurer beforehand.
Step-by-Step Guide to Ordering a Breast Pump Through Anthem Insurance
Follow these steps to ensure a smooth process when ordering your breast pump through Anthem:
1. Confirm Coverage
Before placing your order, contact Anthem’s customer service or visit their website to confirm the details of your coverage. This is essential to ensure that you meet all eligibility requirements and that you understand any limitations or conditions. You can also refer to Anthem’s Breast Pump Coverage Form here%3B%20TTY%20711%203).
2. Choose a Provider
Anthem partners with several durable medical equipment (DME) suppliers who provide breast pumps. Some of the top options include:
- Aeroflow Breast Pumps
- Edgepark Medical Supplies
- Byram Healthcare
These suppliers typically work directly with Anthem, handling the verification of your insurance and shipping the pump to your address. Visit their websites to browse available pumps and select the model that best suits your needs.
3. Get a Prescription
Some Anthem plans may require a doctor’s prescription for a breast pump, especially for electric or hospital-grade models. Check with your provider to see if a prescription is necessary, and if so, request one from your OB-GYN or healthcare provider.
4. Submit Your Request
Once you’ve confirmed your coverage, selected a supplier, and obtained a prescription (if necessary), you can submit your order directly through the supplier’s website. Most DME suppliers have online forms that allow you to enter your insurance details and place an order. Alternatively, you can call the supplier for assistance.
5. Receive Your Breast Pump
After your order has been submitted and processed, the breast pump will be shipped to your home at no cost. Delivery times vary depending on the supplier and your location, but you can expect to receive your pump within a few weeks. Some suppliers may offer expedited shipping for an additional fee.
Tips for a Smooth Ordering Process
To make the process of ordering your breast pump through Anthem Insurance as seamless as possible, keep these tips in mind:
- Order early: You can typically order your breast pump up to 30 days before your due date, so don’t wait until the last minute.
- Check your plan: Benefits and coverage details can vary between different Anthem plans. Always verify with your insurer before making any decisions.
- Work with your OB-GYN: Your healthcare provider is a great resource and can help you navigate the process, including providing a prescription if needed.
- Consider your pumping needs: Think about how often you plan to pump and in what settings (at home, at work, etc.) to choose the best pump for your lifestyle.
Other Breastfeeding Resources Provided by Anthem
In addition to covering breast pumps, Anthem Insurance may offer other breastfeeding resources, such as:
- Lactation Counseling: Some Anthem plans cover visits to a lactation consultant for advice on breastfeeding techniques and troubleshooting any issues.
- Breastfeeding Supplies: Some plans may cover other breastfeeding accessories like storage bags or nursing bras.
- Postpartum Support: Anthem also provides access to postpartum care, which may include mental health support for new mothers dealing with conditions like postpartum depression.
Conclusion
Ordering a breast pump through Anthem Insurance can be a stress-free process if you follow the right steps and ensure you understand your coverage. From confirming your eligibility to choosing the right pump and submitting your order, Anthem makes it simple for new mothers to get the breastfeeding equipment they need. By taking advantage of this benefit, you can focus on what’s most important: the health and well-being of you and your baby.
