EmblemHealth's Coverage of Manual and Electric Breast Pumps
Date Issued: 8/13/2013
Manual and electric breast pumps (E0602 and E0603) are available with a prescription to our members* through EmblemHealth participating durable medical equipment (DME) vendors. No prior approval needed.
E0602 and E0603 pumps are individual-use items to be kept by the member. Members are entitled to one breast pump in a 12-month period.
Getting a Prescription
Members may obtain a prescription from one of the following health professionals:
- Physician (e.g., obstetrician, neonatologist, pediatrician, primary care)
- Nurse practitioner
- Physician assistant
- International board certified lactation consultant (IBCLC) (IBCLCs can be nurses, midwives, dietitians, physicians)
Members should request a prescription in the last trimester of their pregnancy, but can obtain one at any time pre- or post-delivery. The member must provide the prescription to the DME vendor.
Participating DME Breast Pump Vendors
Members should contact one of the DME vendors in the table below to find out any associated costs with obtaining a covered breast pump. Most members will have no out-of-pocket costs for an E0602 or E0603 breast pump.
Worldwide Surgical Equipment
Local phone: 1-718-648-8130
Toll-free phone: 1-877-605-6005
Phone: 1-855-87-YUMMY (1-855-879-8669)
Better Living Now
Toll-free phone: 1-800-854-5729
Toll-free fax: 1-800-654-7515
Local phone: 1-631-348-0032
Local fax: 1-631-348-7704
E-mail (general inquiries): firstname.lastname@example.org