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Breast Pumps May Be Covered Without Cost Share

Effective August 1, 2012: Members who are new mothers may have coverage for a breast pump and breastfeeding support without cost share. This means these services may be available without a copayment, co-insurance, or deductible.

How Do Members Know If They're Covered?
Members should review their durable medical equipment (DME) benefit to see if they're eligible for coverage. If covered, they must order the breast pump from a contracted DME supplier.

Note: This change applies to members on their health plan renewal date, and is subject to the overall benefits and network requirements of the member's specific plan.

Members can see when their health plan renews, or check their benefits, by logging in to Member Central and clicking on Review My Benefits.

How Do Members Find a Breast Pump Supplier?
Here's how members can find participating DME companies who supply breast pumps:

  • Visit Find a Doctor and click on Find Other Medical Services/Supplies
  • Select Detailed Search by Network and Location (top of page)
  • Select health plan
  • Select DME-Breast Pumps on the Select a Specialty menu
  • Enter location information at the bottom of the page
  • Click the Search Now button

For breastfeeding information, members can visit Living Healthy Babies.

As always, members can call the number on the front of their ID card for information about their coverage and benefits.

Questions?
Please contact your account executive.

 

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