Hospital-grade, fully in-bra
360° leak-proof pumping
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Save with insurance: Most moms can save $95-159 on a Willow Pump Verify insurance →
Save with insurance: Most moms can save $95-159 on a Willow Pump Verify and save →
Fill out the insurance form. The insurance form captures your basic health insurance information. Using this information, our partner* will contact your insurance company to obtain specific information regarding your coverage and any out of pocket costs that may be applicable. A representative may need to contact you for additional information.
Please note that you are eligible to seek insurance coverage for your pump at any point during your pregnancy and up to one year postpartum. Insurance coverage for breast pumps varies from plan to plan, and is limited to a maximum of 1 pump per birth. If you have recently received another pump through insurance, you will not be eligible for coverage.
Select Breast Pump and Accessories
Our partner will investigate your health insurance coverage and submit all necessary paperwork on your behalf.
Your insurance-covered items will ship free, straight to your door!
As a result of the Affordable Care Act (ACA) implementation in 2010, your health insurance plan must cover the cost of a breast pump. Your plan may have guidelines on whether the covered pump is manual or electric, rental or personal, the length of the rental, and when you’ll receive it (before or after birth).
Each insurance plan is different in what pump they will cover. We can support your efforts by investigating your insurance benefits through our insurance verification program. There may be out-of-pocket expenses for you in obtaining your Willow Pump, but you may be able to use FSA or HSA dollars to cover these costs. Alternatively, you can contact your insurance company directly to learn more about your options.
Your prescription should be written within 90 days of when you order your breast pump, and it should be signed by an MD, CNM or NP. It does not have to say that you are getting a Willow breast pump, but it does need to have the following codes:
If your prescription was not written this way, or was signed too early in your pregnancy, we will need to reach out to your OB for an updated copy.
Our partner quotes according to their contract with your insurance. Some insurances offer direct reimbursement where members can submit their own claims and be paid back directly. They may also be quoting you rates from a different year than our partner's contract was created so there may haven been changes which do not apply to our partner's contracted rate.
When you choose a non-contracted insurance plan, we ask that you pay for the pump up front since our partner does not have a contracted rate with your insurer and therefore do not know what they may pay for the pump. However, you will be refunded whatever portion your insurance pays after the billing. We understand you will be waiting anxiously for updates. Out of network billing process can take several weeks to several months depending on your insurance company.
• Does my plan cover an electric breast pump?
• When am I eligible to receive a breast pump through insurance?
• Do I have to purchase your In-Network “recommended” breast pump(s) or can I purchase an Out-of-Network pump and get reimbursed?
• What is the dollar limit to coverage? Do I need to hit a deductible first?
• Do I need a prescription and from whom (e.g., pediatrician, OBGYN, nurse practitioner)? What information does it need to include?
• Do you cover breast pump supplies like flanges, storage bags, etc?
• Are specific reimbursement codes required?
• Can I purchase a Willow Pump now and provide a receipt for reimbursement?
If you have already purchased a Willow pump and would like to seek reimbursement from your insurance company, contact them directly to determine what specific documentation you need in order to be reimbursed.
Please note, Willow is not a healthcare provider and should not be listed as “Provider” on any reimbursement request.
In the area requesting a HCPCS code for your pump, you should enter E0603 (this is the specific code for an electric breast pump).
Questions to ask your insurer if you have already purchased a pump:
You can pay for your pump, milk bags, milk container, and pump replacement parts with money from an FSA or HSA. Simply pay with your FSA/HSA debit card at checkout, or pay with another credit card and submit your receipt to your plan's administrator for reimbursement. If you run into any issues, the best thing to do is reach out to your card’s administrator to find out why. FSA or HSA funds are not applicable on products not directly used by your breast pump, such as pumping bras, cases, carrying bags, body care products, etc.
* Exact out of pocket cost may vary based on your insurance carrier and insurance plan. Breast pumps purchased through the insurance verification program will be provided by Enos Healthy Baby Essentials. In some instances depending on your insurance coverage, the breast pump may be provided in collaboration with SunMed Medical LLC or ACA Ventures LLC, a division of Enos Healthy Baby Essentials. All providers are accredited durable medical equipment providers. They are national suppliers of specialized medical equipment for over two decades and have been providing the most clinically superior brands and sought-after models of each product they carry.
† This is informational only, general in nature and does not cover all payers’ rules and policies. Moms, health plans and their healthcare providers should utilize the codes that most accurately describe the mother’s medical condition and the products used. This information represents no promise or guarantee by Willow regarding coverage or payment by insurance payers and Willow makes no representation or warranty regarding its accuracy or completeness or any undertaking to update or correct it at any time. This information does not replace seeking billing and coding advice from the insurance company and/or your own healthcare provider and is not intended as, and shall not be construed as, legal or medical advice. The ultimate responsibility for correct billing and coding lies with the provider of services.
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