Or find a medical supply place in your town or city. Submit Your Request for a Breast Pump Today Now you can get a superior breast pump partially or completely covered by insurance with the help of your physician and Liberty Medical Specialties.
Breast Pump Opry Medical Group
If you are filling out this form for a mom-to-be please fill her information.
How to fill a breast pump prescription. Get all your questions answered by calling 1-855-406-7867. When can I receive my breast pump. Bill your insurance company for you.
Due to the nature of the product returns based on a change in product preference will not be accepted. Can I just drop it off at Walgreens or is there more to it. Please fill out the form completely to ensure a timely process.
Whether or not you have or need a breast pump prescription get in contact with The Breastfeeding Shop. Your physician can use any code which is applicable to your pregnancy but it may differ. Your script must specifically have a request for a breast pump on it.
Request for a breast pump. Pick a top-of-the-line breast pump and get it shipped to you for FREE. We make it much easier to get a breast pump helping you every step of the way.
Step by step process of why when and how to get a FREE breast pump through TRICARE with Baby Pavilion. To file a claim. Complete the DD Form 2642.
My dr wrote a prescription for the breast pump. One breast pump kit is covered per birth event but may not be reimbursed separately. Z391 but it is up to your healthcare provider to determine which.
How to Return Your Breast Pump. If you are expecting your physician to fax one over please note that in the comments section our fax number is 866 430-7882. We cannot process the order without a prescription.
Obtain a Return Merchandise Authorization number and. This information will help us communicate with you in the future and ship your breast pump to the right location. Prior to placing your order youll be asked to provide a breast pump prescription from your healthcare professional.
You can choose from a wide selection of premium electric and manual breast pumps from a variety of brands you know and trust. Your prescription must show the type of pump you bought manual or standard electric pump. Download and have your doctor fill out this prescription form.
This can be written by your OBGYN primary care doctor midwife nurse practitioner or if youve already given birth by your babys pediatrician. Your prescription doesnt have to specify a brand. Breast pumps should be free and covered by the Affirdable Health Care Act but you do need to process it properly trough insurance first so youre not stuck with a surprise bill when you pick it.
Simply fill out the form below and have your physician submit the Liberty Medical Specialties breast pump prescription form to get started. Your Breast Pump verifies coverage and does all of the work for you. After youve picked out which pump youd like well verify your insurance and contact your doctor for a prescription.
Identify which pumps you qualify for. Help get a prescription from your healthcare provider. Most insurance companies will fill your prescription for a breast pump after 27 weeks.
Get Your Pump in 3 Easy Steps. Were here to do whatever we can to get you the equipment you need to nourish your child. Please also note that the prescription MUST have a DX ie.
If you do not have a prescription at the time of your order no problem. Will I require a prescription. Contact Edgepark Customer Care after receiving the breast pump to initiate a return.
Effective July 5 2018 the following replacement supplies are covered without an additional prescription. Attach a copy of your prescription and receipt. What type of breast pump is covered with my plan.
Its helpful to have your pump before you deliver but some insurances will have you wait until baby is here. Provide your insurance information to discover breast pump coverage. Verify your insurance.
The prescription must include the type of breast pump needed and specify the number of weeks the beneficiary is pregnant or the age of the infant. Our team will guide you throughthe rest of the process. A diagnosis code is a necessity for your script to be valid.
Talk to Your Insurance Provider. Acceptable phrases are simply breast pump double-electric breast pump or bilateral breast pump Hospital-grade is not an accepted term. If you have a prescription or if youre still trying to decide if you should pump exclusively thats okay.
Next we need to know a little bit about you the mom-to-be. First youll want to see which pumps are covered by your insurance and pick one thats right for you. Breast Pump Insurance Order Form.
We suggest you make a copy of your prescription for your records. Arrange for Order Pickup or home delivery. Get a prescription and start the process as soon as you can preferably around 27 weeks but ask anytime within the 1st year post partum too.
Most providers will require you to receive your breast pump through an in-network provider. The first step is to speak with your insurance provider and ask the right questions.