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Does Medicare Cover Breast Pumps?

If you are researching whether Medicare covers breast pumps, the short answer is that traditional Medicare (Original Medicare, Parts A and B) generally does not cover breast pumps. Medicare primarily serves people 65 and older and certain younger individuals with disabilities, and breast pumps are not part of the standard Medicare benefit package. However, some Medicare Advantage plans may offer additional maternity-related benefits, and you may have other insurance that does cover a breast pump. This page explains your options.
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Why Traditional Medicare Does Not Cover Breast Pumps

Traditional Medicare — also called Original Medicare, consisting of Part A (hospital insurance) and Part B (medical insurance) — is designed primarily for Americans age 65 and older and younger individuals with qualifying disabilities. Because the vast majority of Medicare beneficiaries are beyond childbearing age, breast pumps and breastfeeding supplies are not included in Medicare’s standard benefit package.

Medicare Part B does cover some durable medical equipment (DME), but breast pumps are not on the list of covered DME items under traditional Medicare. Unlike employer or marketplace health plans that must follow ACA preventive care mandates (which require breast pump coverage), traditional Medicare is not subject to the same ACA preventive care rules for breastfeeding supplies.

Medicare Advantage Plans: A Possible Exception

Medicare Advantage (Part C) plans are offered by private insurance companies like UnitedHealthcare, Humana, Aetna, and others as an alternative to Original Medicare. These plans must cover everything Original Medicare covers, but they can add additional benefits that go beyond the standard package.

In rare cases, a Medicare Advantage plan may include supplemental maternity or women’s health benefits that could potentially cover a breast pump. This is uncommon because the Medicare Advantage population is predominantly seniors, but it is not impossible — particularly for younger Medicare beneficiaries who qualify due to disability.

If you have a Medicare Advantage plan and believe you may be eligible for breast pump coverage, contact your plan directly or enter your information on Pumps for Mom to check. We can determine whether your specific Medicare Advantage plan includes any breast pump benefits.

Takes less than 60 seconds. Most moms pay $0.

Do You Have Other Insurance?

If you are a Medicare beneficiary who is also pregnant or planning to breastfeed, you may have other insurance coverage that does cover breast pumps:

Employer insurance: If you or your spouse have employer-sponsored health insurance in addition to Medicare, that plan likely covers breast pumps under the ACA. Check your employer plan through Pumps for Mom.

Medicaid: If you qualify for both Medicare and Medicaid (known as being “dual eligible”), your state Medicaid program may cover breast pumps as part of maternity benefits.

Marketplace plan: If you have an ACA marketplace plan, it is required to cover breast pumps as a preventive benefit.

Spouse’s insurance: If you are covered as a dependent on your spouse’s health plan, that plan likely covers a breast pump.

We encourage you to check all of your insurance options. Pumps for Mom can verify coverage for employer, Medicaid, and marketplace plans — enter any insurance you have to see if a breast pump is covered at no cost.

What If I Only Have Medicare?

If Medicare is your only health insurance and your plan does not cover breast pumps, you still have options:

WIC programs: The WIC (Women, Infants, and Children) program in your state may provide manual breast pumps to enrolled mothers at no cost. WIC is a federal nutrition program, not insurance, but it can be a resource for breast pumps.

Hospital lactation programs: Many hospitals offer breast pump loaner or rental programs through their lactation departments, particularly for mothers with medical need.

Purchase directly: If no insurance or program covers your breast pump, purchasing one directly is always an option. Reliable double electric pumps are available starting around $100 to $200.

Takes less than 60 seconds. Most moms pay $0.

Breast Pumps Available Through Insurance

Spectra S2 Plus

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Most insurance plans cover a breast pump at no cost to you.

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Medicare and Breast Pumps FAQ

Does Medicare Part B cover breast pumps as DME?

No, traditional Medicare Part B does not cover breast pumps as durable medical equipment. While Part B does cover certain DME items, breast pumps are not included in the standard Medicare benefit package.

Can I get a breast pump through Medicare Advantage?

It depends on your specific Medicare Advantage plan. Some plans offer supplemental benefits beyond what Original Medicare covers, and in rare cases, this may include breast pump coverage. Check with your Medicare Advantage plan directly or enter your plan information on Pumps for Mom.

I have both Medicare and Medicaid. Can I get a breast pump?

If you are dual eligible (Medicare and Medicaid), your state Medicaid program may cover breast pumps as part of maternity benefits. Enter your Medicaid information on Pumps for Mom to check your state’s coverage.

Why does Medicare not cover breast pumps if the ACA requires it?

The ACA preventive care mandate that requires breast pump coverage applies to commercial health plans (employer, individual, and marketplace plans). Traditional Medicare is governed by different federal rules and is not subject to the same ACA preventive care requirements for breastfeeding supplies.

Have Other Insurance? Check Your Coverage

If you have employer, Medicaid, or marketplace insurance in addition to Medicare, you may qualify for a free breast pump. Check now.

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