Per the Affordable Care Act, health insurance companies are required to cover breast feeding supplies and equipment at little-to-no cost to consumers. Most insurance policies are compliant – while some are self funded, grandfathered, or have opted out of certain parts of the Affordable Care Act (which will cause these items to be excluded). You may be asking why, if pumps are covered by your insurance company, would you have to pay out of pocket for certain pumps. We will discuss these upgrade breast pump options here, and where the upgrade fees stem from.
Aeroflow Breastpumps helps moms qualify for a breast pump through their insurance, and typically these pumps are standard, double-electric pumps that might not come with all of the bells and whistles you are looking for. This is where upgrade breast pump options come in.
Aeroflow Breastpumps strives to offer the best possible products to your family, at the lowest possible costs. Ourmost popularly ordered upgrades are the Medela PNSA Tote, Backpack, Metro, or Freestyle. We also offer the Spectra S1, as well as other brands. These packages are so popular because they come with amenities that afford mommy the ability to pump on-the-go. Most standard pumps (such as the Spectra S2 or Medela PNSA Starter set) are only operable when plugged into the wall- this can be an issue, as you will not always have convenient and private access to an outlet or power source, especially if you are planning to go back to work, or are just a busy woman.
Upgrade breast pump options come with items that are not billable to insurance companies. The main difference between standard pumps and upgrade models (such as the difference between the Spectra S2 and the Spectra S1) is that the upgrade item comes with a battery (which will free you from the wall). The upgraded Medela packages comes with the battery, bags, cooler, ice packs, etc.
These items are not billable to insurance companies because they are not medically necessary- therefore, there is no code to bill your insurance for the battery, ice packs, cooler, or tote/messenger bags. Since distributors pay for these items when obtaining the pumps from the manufacturer, they must be adequately compensated by the consumer when providing them- not being able to bill to insurance and often not being adequately reimbursed means there must be an upgrade fee.
Aeroflow Breastpumps can quickly and easily help you find out if your insurance company offers a breast pump as a covered benefit. Simply complete our simple three-step, Qualify Through Insurance form , and your Breastpump Specialist will contact your insurance company, and within 3-5 business days, let you know your network status and coverage.
If you have additional questions about upgrade breast pump options or qualifying for your breast pump through insurance, give us a call today at 844-867-9890; we’re here to help!