Medicaid Breast Pump Coverage and Other Benefits
Looking for a free breast pump through Medicaid? Let us help!
If you have health care coverage through your state’s Medicaid plan or one of its chosen Managed Care Organizations (MCO), you are likely eligible for a free breast pump under the Affordable Care Act (ACA). However, since Medicaid programs are funded by the states, benefits can vary a lot from one to the next.
Many states will cover a personal use double-electric breast pump, but there are some that offer a manual breast pump or breast pump rental instead. Still others offer no breast pump coverage or require medical necessity (i.e. premature birth or inverted nipples) to get a breast pump with Medicaid.
Yeah, it can be confusing! That’s why 1 Natural Way will help you every step of the way - see our How to Get a Breast Pump through Medicaid section below for more detail. Ready to find out more about your Medicaid coverage? Fill out our simple qualification form!
Click here to see the Medicaid plans accepted by 1 Natural Way.
- Alaska Medicaid
- Ohio Medicaid
- Aetna Better Health - Ohio
- CareSource - Ohio
- Molina - Ohio
- Paramount Advantage
- United Healthcare Community Plan - Ohio
How to Get a Breast Pump through Medicaid
1 Natural Way makes it easy to get a high-quality breast pump through Medicaid.
- Provide us with the necessary information by filling out the form below.
- Select the breast pump you are interested in - from the best breast pump brands! Moms with Medicaid plans can choose from models by Spectra, Medela, Ameda, Lansinoh, Motif, Ardo, and Freemie! Not sure what pump is best for you? That’s OK! Check out our breast pump reviews to see or let us help!
- We’ll verify your Medicaid coverage to ensure your eligibility for a breast pump and check for coverage of other products like support bands and compression stockings.
- Medicaid requires a prescription for your breast pump - submit one or we’ll help you get it by working with your physician's office.
Once we receive your prescription (or when your Medicaid plan allows), your breast pump ships free!
Get started now by filling out the form below!
Frequently Asked Questions: Medicaid Breast Pumps and 1 Natural Way
What breast pumps does Medicaid cover?
With 1 Natural Way, you have a lot of great pump options to choose from. The Medicaid plans accepted by 1 Natural Way cover models from Spectra, Medela, Ameda, Lansinoh, Motif, Ardo, and Freemie. Just a few examples are the Medela Pump In-Style with MaxFlow, Spectra S2, Ameda Mya Joy and the Freemie Independence II.
Unfortunately, breast pumps that would require us to collect an out-of-pocket contribution (“upgrade fee”) from you are not options. The Medicaid and MCO plans that we work with prohibit us from allowing you to share in the cost of a breast pump.
What other Medicaid benefits can 1 Natural Way help me with?
In addition to a breast pump through Medicaid, some moms (depending on the state or MCO) can also receive:
- Pregnancy support bands - ease discomfort by relieving pregnancy-related pressure from the abdomen, hips, and lower back.
- Maternity compression stockings - help reduce swelling and discomfort and promote circulation in the legs.
We’ll let you know if you are eligible for these products after we verify your benefits.
I am covered by Medicaid and another insurance plan. Why can’t I get my insurance-covered breast pump through Medicaid?
States require that Medicaid be used as your secondary insurance if you are covered by Medicaid and another insurance provider (“primary insurance”). If your primary insurance does not provide any coverage of a breast pump (including manual pumps and rentals), you may be eligible to receive one through Medicaid.
The only exception is when a mom has Medicaid and TRICARE (military) coverage. In such cases, Medicaid becomes the primary insurance.
I can get a free breast pump through Medicaid but not breast pump accessories and supplies. Why?
The Medicaid plans that we work with do not cover breast pump parts, breastfeeding supplies, breast milk storage options, etc. This is a decision that was made by those states and MCOs when determining benefits. Other states and MCO plans may provide coverage.
Do I have to have a prescription to get a Medicaid breast pump?
Yes, a prescription for your breast pump is required to submit your claim to Medicaid. This is also true for any Medicaid-covered maternity or postpartum benefit you receive through 1 Natural Way.
I live in Ohio and have Buckeye Community Health. Can I use 1 Natural Way?
Unfortunately, Buckeye Community Health has limited their breast pump provider network to just one or two options. Call the number on the back of your ID card and speak to a representative to find out who to contact to receive your breast pump.