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MedicallyModern

Maternal & Infant

Breast Pumps & Maternity Supplies, Covered by Insurance

Insurance-covered breast pumps under the ACA preventive benefit, double electric and wearable models, plus maternity compression, shipped before your due date to families across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York.

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Double electric breast pump through insurance with bottles and a maternity compression garment

Key takeaways

  • A standard breast pump may carry no cost sharing under many plans as a preventive benefit. Wearable or premium models may carry an upgrade charge. Maternity and postpartum compression is a separate medical benefit with its own criteria and possible cost sharing, and replacement parts are plan- and code-specific rather than automatically covered on a schedule. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.
  • 2 maternal & infant bundles available, billed to Medicare, New York Medicaid, and major commercial plans.
  • Same-day benefit verification, with your expected out-of-pocket sent to you in writing before anything ships.
  • Delivery across the five boroughs, Long Island, Westchester, Putnam County, Dutchess County including Poughkeepsie, and all of New York. Eligible supplies can be shipped statewide. Items requiring measurement, customization, fitting, or adjustment are handled through an in-person delivery or fitting process.

What we offer

Insurance-covered breast pumps and maternity compression

  • Breast Pumps & Resupplies

    Standard double-electric models, for example Medela Pump in Style or Spectra S1/S2, that many plans cover without cost sharing, plus wearable premium models such as Elvie or Willow that may carry an upgrade charge. Your plan's covered list varies. Includes replacement flanges, valves, membranes, and tubing so suction doesn't fade at month three.

  • Maternity Compression Garments

    Maternity support stockings, typically 15-20 or 20-30 mmHg graduated compression, and postpartum compression for swelling, varicose veins, and recovery, including after a C-section. A prescription may be required for the 20-30 mmHg range. This is a separate medical benefit from the breast pump, with its own criteria and possible cost sharing.

Coverage explained

How to get a breast pump through insurance, step by step

The Affordable Care Act requires most non-grandfathered plans to cover breastfeeding equipment and support without cost sharing for covered models. Which models your plan covers, and how early you can order, vary by plan. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  1. 1

    Order during pregnancy

    Most plans allow ordering during the third trimester, around week 28 and later, and some allow it earlier. Tell us your due date and we confirm the earliest ship date your plan allows and time delivery to that date. Benefit verification comes back the same business day, in writing.

  2. 2

    We confirm which pumps your plan covers

    Plans cover specific standard double-electric models, for example Medela Pump in Style or Spectra S1/S2, without cost sharing, and offer wearable or premium models such as Elvie or Willow with an upgrade cost. Your plan's covered list varies; we show you both options and the quoted price difference.

  3. 3

    Prescription from your OB or midwife

    Most plans require a simple prescription. We request it directly from your provider, you don't have to make the call.

  4. 4

    Replacement parts

    Flanges, valves, and membranes wear out on a plan-specific schedule, some plans renew valves and membranes every few months, others only on a documented request. Whether replacement parts are covered is plan- and code-specific rather than automatic, so during verification we tell you your plan's exact replacement intervals, which parts qualify, and what the rest would cost.

What patients typically pay

A standard breast pump may carry no cost sharing under many plans as a preventive benefit. Wearable or premium models may carry an upgrade charge. Maternity and postpartum compression is a separate medical benefit with its own criteria and possible cost sharing, and replacement parts are plan- and code-specific rather than automatically covered on a schedule. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

Want the specifics for your plan? Read how our insurance process works or check your coverage.

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We use your information to verify benefits and, if you choose to proceed, to coordinate documentation, fulfillment, billing, and support. See our Privacy Policy and Notice of Privacy Practices.

Why Medically Modern

Why patients choose Medically Modern for maternal & infant

New parents have no time for hold music. We verify your benefit, request the order from your OB or midwife, and ship at the earliest date your plan allows.

  • In-network with all major insurances

    Medicare, Medicaid, and the major commercial carriers. We verify your current benefits and provide an estimate of your expected out-of-pocket cost before shipment. Benefit information is not a guarantee of payment; final coverage and patient responsibility are determined when your plan processes the claim.

  • White-glove, high-touch service

    A named care coordinator who contacts your doctor's office and handles prior authorization. We support or submit an appeal where permitted and authorized. You never sit on hold chasing paperwork.

  • Plan-specific pump selection, timed to your due date

    We confirm which models your plan covers and what an upgrade would cost, then ship at the earliest date your plan allows for your due date.

Maternal & Infant covered by the plans we bill every day

  • Medicare A&B
  • NY Medicaid
  • Aetna
  • Humana
  • Fidelis
  • NYSHIP Empire
  • Anthem BCBS
  • MagnaCare
  • UnitedHealthcare

Participation varies by plan and product, we verify your specific plan before anything ships.

Plus most regional Medicaid, Medicare Advantage, and commercial plans. Not sure? We'll check for you.

Maternal & Infant FAQ

Breast pump insurance questions

Official coverage sources

Read the payer rules directly, then let us verify what your own plan allows.

Three steps: we verify which pumps your plan covers, request a short prescription from your OB or midwife, and ship on the earliest date your plan allows. You don't call anyone.

Generally yes. Under the Affordable Care Act, most non-grandfathered plans cover a breast pump without cost sharing for the models they designate as covered. New York Medicaid and managed care plans cover pumps as well.

Plans cover specific standard double-electric models, for example Medela Pump in Style or Spectra S1/S2, without cost sharing, and offer wearable premium models such as Elvie or Willow with an upgrade cost. Your plan's covered list varies; we show you both options and the quoted price difference before you decide.

Most plans allow ordering during the third trimester, around week 28 and later, and some allow it earlier. Give us your due date and we confirm the earliest ship date your plan allows and time delivery to that date. Verification comes back the same business day, in writing.

Flanges, valves, and membranes wear out on a plan-specific schedule. Coverage is plan- and code-specific rather than automatic, so during verification we tell you your plan's exact replacement intervals, which parts qualify, and what the rest would cost. Refills are confirmed with you before they ship.

Yes. We ship insurance-covered breast pumps to families across the five boroughs, Long Island, Westchester, Putnam County, Poughkeepsie, and all of New York.

Coverage varies by plan and diagnosis. Maternity support stockings are typically 15-20 or 20-30 mmHg graduated compression, and a prescription may be required for the higher range. We verify your benefits and tell you your expected cost in writing before shipping.

See what your plan covers for maternal & infant

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