Breast Pumps are covered through most health plans
Breast pumps are covered through most health plans including Medicaid, Children’s Health Insurance Program (CHIP), and Tricare. Some plans offer additional breastfeeding support services such as breastfeeding consultations. As soon as you know the mother needs a breast pump, have her call her health plan to get the process started.
Ordering a breast pump for a patient who has Medicaid
Mothers who have full coverage Medicaid during their pregnancy are eligible for a breast pump under their plan once they deliver.
Breast pumps can also be covered under the infant’s Medicaid or CHIP plan.
According to the Texas Medicaid Provider Procedures Manual, any provider who is familiar with the mother’s or infant’s health may order a breast pump.
What if my patient can’t get a pump from her health plan when she needs one?
The WIC program continues to provide pumps to mothers who:
- Are enrolled in the WIC program.
- Are unable to get pumps from their health plans or are uninsured.
- Did not contact their health plan to get a pump because they were unaware of the benefit.
- Received a pump from another source, including their health plan, but the pump is not meeting their needs.
Mothers enrolled in WIC who receive pumps from their health plans can also come to WIC to get all the support they need to use the pump successfully. They will learn about how to assemble, operate and clean their pump, how to establish their breastmilk supply, and how to maintain their supply after returning to work or school. WIC helps breastfeeding mothers get off to a great start.
Interested in a downloadable client-facing resource or a poster for your health care facility outlining breast pump coverage? Download and print, or email WICM[email protected] to order.
For more information and printable handouts visit HCPbreastfeeding.com.
Program Contact
Pump Program Coordinator
WIC[email protected]
Have any questions?
