Check your health insurance plan’s maternity or durable medical equipment benefits
Call the customer service number on your insurance card
Ask whether breast pumps are covered under the Affordable Care Act
Confirm which pump types are covered: manual, electric, or hospital-grade
Ask whether you need a prescription or a letter of medical necessity
Ask which suppliers or pharmacies are in-network
Choose an approved breast pump provider from your insurer’s list
Submit any required prescription, claim form, or preauthorization request
Ask when you can order the pump, such as before or after delivery
Verify whether you can get a free pump or only a covered amount with possible upgrade costs
Ask about replacement parts, accessories, and lactation support coverage
Keep copies of all forms, receipts, and approval notices
Follow up with the insurer and supplier until the pump is shipped
If denied, ask for the denial reason and file an appeal
Contact your OB-GYN, midwife, or pediatrician for help obtaining the prescription
Use your employer benefits portal if your insurance is through work
Check whether Medicaid or state programs in your area provide a breast pump
