Blue Cross Blue Shield Illinois covers breast pumps as a medically necessary item, which means you'll need a prescription from your doctor to get one.
To get approved for a breast pump, you'll need to see your doctor and get a prescription that includes the specific type of pump you need.
The prescription will also need to include the reason for the pump, such as "for milk expression due to breast surgery."
Once you have your prescription, you can contact a supplier that works with BCBS Illinois to get a breast pump.
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Eligibility and Process
Our dedicated team of Specialists will help you navigate the process of getting a breast pump through your BCBS Illinois insurance plan. They are highly trained to verify your coverage and determine the full extent of benefits provided through your plan.
To start, you'll need to fill out our Qualify Through Insurance Form, which will prompt a Specialist to contact you via phone or email within 3-5 business days to discuss your options.
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Our Specialists will work with you every step of the way, verifying your eligibility for a breast pump and handling all paperwork and filing claims with your insurance provider. This includes contacting your physician for any required prescription and recommending the best breast pump for your lifestyle and breastfeeding goals.
Here's an overview of our process:
- Verifying your eligibility for a breast pump through your insurance plan.
- Contacting your physician for any required prescription.
- Recommending the best breast pump for your lifestyle and breastfeeding goals.
- Recommending supplies and accessories that will benefit your pumping experience and help you to reach your breastfeeding/pumping goals.
- Determining whether select supplies and accessories could also be available under your plan.
- Handling all paperwork and filing any claims with your insurance provider.
- Shipping your breast pump to your door, free of charge!
Breast Pump Coverage
Most insurance plans, including those in Illinois, cover the cost of a breast pump as part of the women's preventative benefit under the Affordable Care Act.
You can order your breast pump through Blue Cross Blue Shield in 3 easy steps.
Coverage varies by plan, so you'll need to check which breast pumps are available through your BCBS plan.
Your BCBS pump benefits depend on the state plan under which you are covered and/or the state in which you live.
You can choose from many breast pumps that are 100% covered by insurance.
Some plans allow you to choose an "upgrade" pump with extra bells and whistles, but you'll be required to pay an upgrade fee for these pumps.
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