Find your Insurance-Covered Ardo Breast Pump Order Now Get Started 1Start Your Order2Select Your Pump3Select Your Accessories4Mom's Information5Insurance Information6Schedule Lactation Consulting7Submit Your Order Email Address(Required) Would you like to place your order privately or through your insurance?(Required) privately, without insurance with my insurance Proceed to private ordering Mother's Date Of Birth(Required) MM slash DD slash YYYY Baby's Due Date(Required) MM slash DD slash YYYY Where do you live?(Required)-- Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingInsurance Provider(Required)– Fill Out Other Fields –Policy Number / Member ID(Required) Group Number(Required) If you do not have a group number please enter 0000Email Updates I would like to receive updates from breastpumps.comBreast pump to be provided by Enos Home Oxygen and Medical Supply, Inc., in collaboration with BreastPumps.com and Healthy Baby Essentials.Enos Home Oxygen and Medical Supply, Inc., founded in 1950, is in its third generation of family ownership. They strive to meet every patient’s individual needs by providing the best equipment and service possible. They have been accredited by the Joint Commission’s Home Care Accreditation Program (JCAHO) since 1993.Breast pump to be provided by ACA Ventures LLC, owned by Enos Home Oxygen Therapy, Inc dba Breast Pumps.com.Enos Home Oxygen and Medical Supply, Inc., founded in 1950, is in its third generation of family ownership. They strive to meet every patient’s individual needs by providing the best equipment and service possible. They have been accredited by the Joint Commission’s Home Care Accreditation Program (JCAHO) since 1993.Breast pump to be provided by SunMed Medical LLC of New Jersey in collaboration with BreastPumps.com and Healthy Baby Essentials.SunMed was established in 2002 as a national provider of specialty medical equipment; providing the most clinically superior brands and sought-after models of each product they carry. SunMed has been accredited by the HQAA since 2010.Breast Pump to be provided by Bump Health Inc.Bump Health is a preferred partner of Enos Home Health and Oxygen Supply, Inc. Bump Health has been accredited by the BOC since 2020.Breast pump to be provided by SunMed Medical LLC of New Jersey via Prism in collaboration with BreastPumps.com and Healthy Baby Essentials. SunMed was established in 2002 as a national provider of specialty medical equipment; providing the most clinically superior brands and sought-after models of each product they carry. SunMed has been accredited by the HQAA since 2010.Please complete the information on the following pages to complete your insurance breast pump inquiry.HiddenOrder Object Member Reimbursement NoticeYou will be charged $95 along with any upgrade fees associated to your pump of choice. The $95 accounts for the expected reimbursement which will be paid directly to you as the member and not us as the provider. We will submit your insurance claim but payment for the claim will be directed to you as the plan member and not our organization. Flange Size(Required)- Select -15mm17mm19mm21mmWillow Flange Size(Required)- Select -21mm24mm27mm (+19.99)Click here for sizing guide. Click here to download our printable nipple measure tool. Please note that 27mm pumps will be shipped as 24mm pumps with 27mm flanges. Would you like to make your pump hands-free?(Required) Yes No Thanks Your Pump(Required) Your Pump Price (USD)(Required)Please enter a number greater than or equal to 0.Member Reimbursement Acknowledgement(Required) I acknowledge and understand the following charges:You will be charged $95 along with any upgrade fees associated to your pump of choice. The $95 accounts for the expected reimbursement which will be paid directly to you as the member and not us as the provider. We will submit your insurance claim but payment for the claim will be directed to you as the plan member and not our organization. Selected Accessories Your Accessories PricePlease enter a number greater than or equal to 0. Mom's Name(Required) First Last Phone Number(Required)Shipping Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Insurance InformationInsurance Service Phone Number(Required)Upload Insurance Card(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 3 MB, Max. files: 2. Are you the primary policy holder?YesNoPrimary Policy Holder InformationPrimary Policy Holder Name First Last Primary Policy Holder Date of Birth(Required) MM slash DD slash YYYY Monther's Relationship to Subscriber(Required)SelfSpouseParentGrandparentOtherRelationship to Subscriber (other)(Required) Prescription InformationDo you have a prescription?YesNoUpload Prescription(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 5 MB, Max. files: 2. OBGYN / Midwife Name(Required) First Last OBGYN / Midwife Phone Number(Required)Referral InformationHow did you hear about us?(Required)-- Select --Community Health CenterClassHospitalInsuranceManufacturerWICOB OfficeOtherReferral Details(Required) Please provide the name of the hospital, insurance, manufacturer, etc. that referred you to this site.HiddenMilk Bags Offer Did you know that your insurance benefit covers free breast milk storage bags? Some insurance plans allow access to the benefit immediately while others do so at the anniversary of your policy renewal. Are you interested in placing a milkbags order at this time?(Required) Yes No Milk Bags OrderDepending on your insurance plan you may be eligible for a 1 month supply or 3 month supply at no cost to you. Simply place an order on our website so we can verify your insurance benefit, obtain a prescription if we don't already have one and we will ship out your order. Row ID Name Actions Edit Delete There are no Milk Bags Orders. Add Milk Bags Order Maximum number of milk bags orders reached. HiddenLiviliti Sanitizer Offer Order your Liviliti UV Sanitizer today! $259.00 Fast, reliable, and proven technology Safe and easy for anyone to use. No ozone, No mercury, No Voided Warranties No filters, costly adapters or maintenance required. Can disinfect a multitude of everyday items. Compact, portable, and affordable Liviliti Sanitizer Order Row ID Mom's Name Actions Edit Delete There are no Sanitizer Orders. Add Sanitizer Order Maximum number of sanitizer orders reached. (Required) Yes, I am interested No Thanks Are you interested in compression garments?Maternity & postpartum compression garments provide gentle support and relief for new and expectant mamas. Made of soft, breathable fabric, medical-grade compression garments are meant to provide strength where it’s needed most: areas like the lower back and core that are weakened during pregnancy, or feet and ankles that are swollen and retaining fluid. Let us know if you're interested in learning more about our compression garments. Yes I'm Interested in Compression Garments. HiddenIn-Form Ad: Secondary PresentationAre you sure?(Required) Yes, I am interested No Thanks Order SummaryPromotional Discount Provided HiddenInsurance Discount ProvidedPlease enter a number greater than or equal to 0.Your SubtotalBilling InformationYour Order Price: $0.00 Tax $0.00 Total Due Billing Details(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address(Required) Same as shipping address? Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment Acknowledgement(Required) I agree to the payment acknowledgement.Charges seen on your credit card statement will reflect LACTATION SERVICES LLC. Your credit card will be authorized for the full amount of purchase price for the pump and accessories but will only be charged the discounted price of pump and accessories. If your insurance denies the claim we will charge the balance at that time (discount given) and provide you with the reason for such denial. Sometimes insurance companies deny claims because you may have already received a breast pump during this pregnancy, you may have terminated your insurance plan or your specific plan requires a deductible. If in our opinion an appeal of the insurance companies decision is warranted we will still charge your credit card for the discount given, file the appeal and if successfully appealed and payment subsequently received we will credit your credit card account and will notify you of suchCardholder Signature(Required)Acknowledgements and DisclaimersAcknowledgement(Required) I have not received a breast pump order based on my benefit limit for this pregnancy.If I have already received a breast pump for this pregnancy with another provider, and my insurance claim denies for max benefit, I will be responsible for paying the expected reimbursement amount set by my insurance provider. Upgrade Invoice Acknowledgement(Required) I will not submit any invoice on my own behalf to my insurance company for any upgrade fee that has been paid. Date of Service Acknowledgement(Required) I understand that the dates of service which will be included on my insurance claim submission is the date of shipment and NOT the date of my online order. Insurance Coverage Change Notification Acknowledgement(Required) I acknowledge my insurance coverage is NOT changing or termination within 30 days of the order and/or in the near future. If my coverage is changing or terminating I am required to inform breastpumps.com. Blue Cross(Required) If we identify your Aetna plan is classified as a self-insured payer you will be required to sign an additional form identifying your responsibility in the event your employer group does not cover the expected benefit. Blue Cross(Required) If we identify your United plan is classified as a self-insured payer you will be required to sign an additional form identifying your responsibility in the event your employer group does not cover the expected benefit. Aetna Self Insured Notice(Required) If we identify your Blue Cross plan is classified as a self-insured payer you will be required to sign an additional form identifying your responsibility in the event your employer group does not cover the expected benefit. Aetna Acknowledgement(Required) I acknowledge that Aetna will require me to provide proof of pregnancy in order for this breast pump claim to be paid to the assigned provider through Healthy Baby Essentials/Breastpumps.com. Aetna does not accept an OBGYN prescription for a breast pump as proof of pregnancy. I understand that I must contact Aetna and provide them with the documentation that they require proving my pregnancy. I understand that if I choose not to provide Aetna with this information I will be billed by Healthy Baby Essentials/Breastpumps.com for the purchase of this breast pump. Provider Requirements Checkboxe(Required)Upgrade Authorization Waiver(Required) I agree to the terms of the upgrade authorization waiverI have been offered the standard double electric breast pump that is fully covered by my insurance: however, I am opting to upgrade to a deluxe model. I am aware that the breast pump I am ordering is a deluxe model and will be responsible for the difference between the reimbursement rate of the standard model and the deluxe model.Return Policy Acknowledgment(Required) I agree to the terms of the return policy:The product I am requesting is considered an FDA device and once the seal on the manufacturer box has been broken I am not able to request a return or exchange. If the seal on the manufacturer box has not been broken I will be able to request an exchange or return by contacting breastpumps.com. A sticker will be included on the exterior packaging of the breast pump indicating the box should not be open until the baby is born. This reminder is designed to allow me an opportunity to discuss and coordinate with my clinical team on the correct product selection and to avoid opening the package and then request an exchange which cannot be provided. In the event I have already broken the manufacturer seal on the package I will not be eligible for an exchange but can request a private purchase discount be made available for a different pump selection of my choice.Payment Obligation Agreement(Required) I agree to the payment obligation.I acknowledge that I am responsible for paying any difference between the allowed amount from my Insurers and the DME Providers charges for an upgraded breast pump, code E0603. My Plan allows for reimbursement to the Provider, for the least costly item that meets my needs. I am fully aware I am taking on all obligation beyond my insurance payment for my electric breast pump code E0603. I have chosen to select a pump that is not fully covered by my Insurance as it is an upgrade. I have been given the option of choosing a breast pump that does not require an out of pocket payment other than potential co insurance. In choosing an upgrade, I give up any right to dispute the remaining balance due, either with the provider (HBE) or to the primary insurer of record.Insurance Payment Acknowledgement I agree to the insurance payment acknowledgement.I request that payment of authorized insurance and other benefits be made on my behalf to Breastpumps.com (BP.com) or its affiliates for the products and services that they have provided for me. I authorize BP.com to bill my insurance company for the equipment listed above and I agree to pay any copays or other charges not covered by my insurance. BP.com will notify me prior to shipping of any listed copays. If, for any reason, my insurer denies the claims through no fault of BP.com, I will be billed, and will pay BP.com, for this pump. I further authorize a copy of this agreement to be used in place of the original and authorize any holder of medical information about me to release to BP.com any information needed to determine these benefits or compliance with current healthcare standards including HIPAA. By signing below I acknowledge I have read and understand this notice. BP.com is not the specific manufacturer of the breast pump options herein and therefore is not liable for the unanticipated malfunction of any pump. If, in the unlikely instance a breast pump does not function for its intended use for any reason, you can contact the manufacturer of your chosen pump and request a replacement pursuant to the specific warranty of that pump, as applicable.Continuum of Care ProgramWe want to ensure you have the best possible breastfeeding experience. Our Continuum of Care program will provide you with helpful breastfeeding and pumping information during your journey. Yes, please sign me up for Continuum of Care. Form Submitter Signature(Required)HiddenAdditional Documentation Drop files here or Select files Accepted file types: pdf, jpg, gif, png, Max. file size: 5 MB. NameThis field is for validation purposes and should be left unchanged.