Breast pump makers are having a hard time keeping pumps on the shelves thanks to a small provision in President Obama’s healthcare act, which took effect Jan.1, that requires insurance companies to cover breast pumps at no cost to the patient.
The provision also covers visits to lactation consultants at no cost to the patient! (Hooray!)
“We’re getting a lot of calls from prospective mothers and new mothers,” said Bruce Frishman, president of New Hampshire Pharmacy and Medical Equipment, a supplier based in the District. “We’ve started stocking a lot more pumps that would be purchased through insurance.”
“Yummy Mummy, a New York boutique that specializes in breast pumps and accessories, is in the process of acquiring a warehouse and call center to accommodate the increased demand.”
“I have three employees taking calls right now,” owner Amanda Cole said. “We’re still in the stage where we’re figuring out how to add fax machines and phone lines. It’s all very new to us.”…
“The government does not bear the costs of providing breast pumps. Instead, insurers will have to pay for the new benefit, likely with a slight increase to the premiums they charge their members.
“Administrators of insurance plans still have questions about how to best implement the rule. No state has ever required insurance companies to cover the benefit, although Louisiana did convene a study panel on the issue in 2002, according to the National Center for State Legislatures.”
The law does not specify whether insurance companies must cover certain brands or types of pumps. It only states that health plans should pay for “the costs of renting breastfeeding equipment” in conjunction with each birth.
But the rental pumps are often larger and more expensive so some insurance companies like UnitedHealthcare are offering women the option of buying a personal pump instead.
The article states that insurance companies are now recruiting lactation consultants to join their networks so they can abide by the law and cover their customers who need lactation help.
However, many lactation consultants don’t want to be covered by insurance because the payouts tend to be less than what they would normally charge.
You all know that I am huge supporter of women nursing when possible, and I am so glad this law helps women establish their breastfeeding with free (but invaluable) lactation support!
While nursing my three babies, I made many calls to Piedmont Hospital’s lactation consultant Julie Duncan. She was wonderful to have in your corner, but had Piedmont not provided her help for free I don’t think I could have afforded her help. I am glad that women won’t have to make that choice and can get assistance when they need it.
And by providing breast pumps, mothers can return to work and continue providing milk to their babies (and not have their breasts get infected if they suddenly stopped nursing).
Have you gotten your free breast pump yet? Has your insurance covered your lactation consultation? Did you know you had a right to these things? Will you use these benefits in the future?
Do you think these two items will increase the rate of breastfeeding and the percent of women who stay with it?
Are you outraged and don’t think insurance should cover lactation consultants or breast pumps?
55 comments Add your comment
motherjanegoose
January 8th, 2013
1:29 pm
I meant kids labeled as BAD kids.
missnadine
January 8th, 2013
6:02 pm
@MJG – I used ADD as an example but overall I meant that we treat kids for eveything these days, and new drugs are constantly introduced to “solve” whatever issues are now being labelled. That is obviously not the solution as this generation of kids will be more dependant than ever before. I know so many families where the parents have given their kids everything, and were never told no. They did lousy in college (even though they didn’t hold a job of any sort), and as a result they are living back home, ready to be completely catered to. It’s crazy.
That is an interesting article, and thanks for sharing.
BabaBinx
January 9th, 2013
3:50 pm
From what Theresa mentioned above, it seems the law centers around “renting” not reimbursing the pump. However it sounds like United Health Care is allowing reimbursement of purchasing them.
I agree that some schmucks will buy one and resell or else let it sit in a closet. But you know what? That’s freaking life – people constantly manipulate and work a system to their own advantage.
I will state that most places will not allow the resell of a pump due to the transmission of disease with sharing the tubing, etc. I am guessing it would have to be a completely unopened box for a store to take it back. Anyone who would buy a used pump from someone is crazy anyway. I do know the larger rental ones (from hospitals, etc) can be reused, but the level of pumps purchased in a regular store typically cannot be shared without the risk of transmitting disease. It will be interesting to see how return policies on pumps get altered at Babies R Us, Target, etc.
I used my Medela so much it would probably burst into flames if I turned it on today. And if I get pregnant again, I most absolutely will need a new one. The first one was used 3 times a day for 11 months probably 40 minutes at a time. And it was hauled back and forth to work daily, flew on an airplane, etc. That poor thing did its duty!
NoFreePass
January 10th, 2013
2:09 pm
Nothings free. The costs for pumps have been shifted to insurance companies and will be passed along to policy holders. Hospital grade breast pumps are medically necessary in certain siituation for short periods of time, but that is not what is being required to be covered. Insurance providers are being forced to pay for manual breast pumps and standard electric pumps that are not medically necessary. The price of a high quality electiric breast pump may be $300, but using the pump will save the purchaser hundreds of dollars in formula and may contribute to a heathier baby. A pump is not a cost but an investment. The benefits from buying a pump goes to the purchaser. In a time of scarce resources it is an entirely unnecessay shifting of costs from those who benefit from the purchase of a pump to insurance companies that should be using premium to cover what is truely medicallly necessay. With almost 4 miillion birhts annually in the US if every mother received a $300 breast pump the cost would be 1.2 billion dollars.
NICU Nurse
January 11th, 2013
4:33 pm
I work in a Neonatal Intensive Care Unit (NICU) and we support/encourage breastfeeding for all our moms due to the benefits for these fragile infants. Some insurances have provisions to cover some/all of the costs of breastpumps for at least as long as the mom and infant are seperated. It is with insurances that cover pumps without provisions that we see so much waste. Mom’s come back and request a third pump for their third child (it cannot be denied them), yet that child never sees a drop of breastmilk. At discharge they bring forward their WIC forms to be completed for their formula vouchers. All these programs are provided with the best of intentions, but no one every looks at the true consequences. Those in the system know how to work the system. Mandatory coverage for breastpumps under Obamacare merely throws all of us into the system. Nothing is more refreshing than telling a new NICU that we will get her a breastpump and provide all the support we can give to complete her dream/plan of breastfeeding her infant. Some of them already went and purchased their own. Where does personal responsibility begin?