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How Many Times Can You Get a Breast Pump Through Insurance?

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Tehreem Fatima . 2.1 minutes .  Jan 31, 2025

how many breast pumps can you get through insurance

According to the Affordable Care Act, breast pumps are considered a covered medical device; therefore, most insurance plans must provide them at no cost to the new mother.

However, many women are left wondering how many breast pumps they can get through insurance.  In this article, we will explore the details of insurance coverage for breast pumps and provide insight into how many you can receive through your insurance plan.

Let’s dive into the world of breast pumps and insurance coverage. 

How Many Breast Pumps Does Insurance Cover?

The number of breast pumps covered by insurance depends on your specific plan and its policies. Generally, most insurance plans cover one breast pump per pregnancy, considering it sufficient for breastfeeding needs.

However, there are exceptions. Some plans may cover a breast pump annually or provide an additional one if it’s medically necessary or if the original pump is damaged.

To avoid surprises, check with your insurance provider for coverage details, including the types of pumps covered (manual, electric, or hospital-grade) and any eligibility timelines.

How Many Free Breast Pumps Can You Get Through Insurance?

The answer is yes and no. While you may be able to get a replacement pump in certain circumstances (e.g., damage or malfunction), it’s generally not possible to obtain multiple free pumps for the same pregnancy.

However, each pregnancy is considered separately when it comes to insurance coverage. If you become pregnant again and your previous child was born within the past year, you would likely be eligible for another covered breast pump under your insurance plan.

    How Long Do You Have to Wait Between Breast Pumps?

    There isn’t a specific waiting period for obtaining breast pumps through insurance.

    Most plans follow a rule of covering one breast pump per pregnancy, meaning you would typically need to wait until a new pregnancy to qualify for another one.

    However, some insurance policies may offer more frequent coverage, such as one pump per year, especially if you are still breastfeeding.

    If your breast pump is damaged or no longer functioning correctly, some plans may allow for a replacement without requiring a waiting period, provided you can demonstrate the need for a new one.

    Additionally, certain medical conditions or circumstances, such as having a preterm infant, may enable you to request an additional pump.

    Conclusion

    In summary, the number of breast pumps covered by insurance depends on your specific plan and its policies. Most plans typically cover one breast pump per pregnancy, though some allow annual or medically necessary replacements.

    Reviewing your coverage details and eligibility timelines is essential to avoid unexpected costs. If you’re unsure about your benefits, contact your insurance provider for clarification.

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