Medela Insurance Breast Pumps

Get Started

You have a lot to prepare for when you are expecting—that’s why we make getting your free insurance breast pump easy. You don’t even have to give us your personal information to see your selection – just provide your insurance and location information and we’ll handle the rest.

Don’t see your insurance? Check your insurance ID card for the following partnerships and select them as your insurance provider from the dropdown list. If you do not see any additional partnered plans on your insurance ID card, then sorry, we do not accept your insurance at this time. We are constantly adding new contracts and, if you are not due for a while, you can check back again later. If you would like to purchase a pump without using your insurance, please contact our office by phone or e-mail*

1Start Your Order

2Select Your Pump

3Select Your Accessories

4Mom's Information

5Insurance Information

6Schedule Lactation Consulting

7Submit 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)

Insurance Provider(Required)

Email Updates

I would like to receive updates from breastpumps.com

Breast 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.

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 MedEquip

Medequip, established in 1992, is a family-owned Durable Medical Equipment supplier. We partner with the top manufacturers across maternity support, orthopedics, and beyond. MedEquip is an accredited provider and strives to provide high-quality solutions for all of our patients.

Breast pump to be provided by SunMed Medical LLC of New Jersey via Prism in collaboration with BreastPumps.com and Healthy Baby Essentials.

Please complete the information on the following pages to complete your insurance breast pump inquiry.

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Order Object

Member Reimbursement Notice

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.

Flange Size(Required)

Willow Flange Size(Required)

Click here for sizing guide.
Click here to download our printable nipple measure tool.

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:

Selected Accessories

Your Accessories Price

Please 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 State ZIP Code

Insurance Information

Policy Number / Member ID(Required)

Group Number(Required)

If you do not have a group number please enter 0000

Insurance Service Phone Number(Required)

Example: back of insurance card with customer service phone number circled.

Upload Insurance Card(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, gif, Max. file size: 3 MB, Max. files: 2.

Are you the primary policy holder?

Primary Policy Holder Information

Primary Policy Holder Name

First Last

Primary Policy Holder Date of Birth(Required)

MM slash DD slash YYYY

Monther's Relationship to Subscriber(Required)

Relationship to Subscriber (other)(Required)

Prescription Information

Do you have a prescription?

Upload Prescription(Required)

Drop files here or

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 Information

How did you hear about us?(Required)

Referral Details(Required)

Please provide the name of the hospital, insurance, manufacturer, etc. that referred you to this site.

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Milk 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

Milk Bags Order

Depending 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

There are no Milk Bags Orders.

Maximum number of milk bags orders reached.

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Liviliti 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

There are no Sanitizer Orders.

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.

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In-Form Ad: Secondary Presentation

Are you sure?

(Required)

Yes, I am interested

No Thanks

Order Summary

Promotional Discount Provided

Hidden

Insurance Discount Provided

Please enter a number greater than or equal to 0.

Your Subtotal

Billing Information

Your Order

Price: $0.00

Tax

$0.00

Total Due

Billing Details(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address(Required)

Same as shipping address?

Street Address Address Line 2 City 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 such

Cardholder Signature(Required)

Acknowledgements and Disclaimers

Acknowledgement(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)

I understand that to process my order you will need a prescription. I understand that you will contact me directly for any missing items.

I understand that, once approved, my pump will not be shipped until 2 months prior to your due date.

I agree that I have not placed another insurance breast pump order for this birth.

Upgrade Authorization Waiver(Required)

I agree to the terms of the upgrade authorization waiver

I 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 Program

We 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)

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Additional Documentation

Drop files here or

Accepted file types: pdf, jpg, gif, png, Max. file size: 5 MB.

Comments

This field is for validation purposes and should be left unchanged.

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Medela Insurance Breast Pumps

Get Started

Breast pump to be provided by Enos Home Oxygen and Medical Supply, Inc., in collaboration with BreastPumps.com and Healthy Baby Essentials.

Breast pump to be provided by ACA Ventures LLC, owned by Enos Home Oxygen Therapy, Inc dba Breast Pumps.com.

Breast pump to be provided by SunMed Medical LLC of New Jersey in collaboration with BreastPumps.com and Healthy Baby Essentials.

Breast Pump to be provided by Bump Health Inc.

Breast Pump to be provided by MedEquip

Breast pump to be provided by SunMed Medical LLC of New Jersey via Prism in collaboration with BreastPumps.com and Healthy Baby Essentials.

Member Reimbursement Notice

Insurance Information

Primary Policy Holder Information

Prescription Information

Referral Information

Milk Bags Offer

Did you know that your insurance benefit covers free breast milk storage bags?

Liviliti Sanitizer Offer

Order your Liviliti UV Sanitizer today!

In-Form Ad: Secondary Presentation

Are you sure?

Order Summary

Billing Information

Acknowledgements and Disclaimers

Popular Medela Products

Medela 3 in 1 Nursing & Pumping Bra BL

Medela Breast Milk Bottle Set – 5oz.

Medela Breast Milk Collections & Storage 100ct

Medela Disposable Nursing Pads

Do I Qualify?

Not Sure If You’re Covered?

Get In Touch

Follow Us

Quick Links