Receiving a prescription for a breast pump is the first step toward obtaining the necessary equipment. This prescription acts as a medical order, signaling that your health insurance will likely cover the cost. The next stages involve navigating the administrative process with your insurer, selecting the appropriate device, and mastering the physical setup for effective use.
Navigating Insurance and Ordering
The Affordable Care Act (ACA) requires most health insurance plans to cover the cost of a breast pump and supplies for pregnant and postpartum women. This coverage typically applies to non-grandfathered plans. However, the specific type of pump covered and the timing of acquisition can vary significantly between insurance providers.
The process begins by identifying an authorized supplier, often referred to as a Durable Medical Equipment (DME) provider. Your insurance company will have a list of in-network DME suppliers. Avoid purchasing a pump from a standard retail store, as these are generally not considered DME suppliers and may not be covered or reimbursed.
Once you select a DME provider, submit your prescription and insurance information to them. They will confirm your coverage and present a selection of pumps that meet your plan’s criteria. Some plans may only cover a basic manual pump unless medical necessity is documented for an electric pump, so verify your specific benefits.
The timing for receiving your pump also depends on your plan; some allow ordering weeks before your due date, while others require waiting until after the baby is born. In some cases, you may be able to use the covered amount toward a more expensive pump by paying the difference, often called an upgrade option.
Selecting the Right Pump Type
Choosing the correct pump involves considering your lifestyle and anticipated pumping frequency. Pumps are broadly categorized as either manual or electric, and the best choice depends on whether you plan to pump occasionally or regularly. Manual pumps are hand-operated, highly portable, and suitable for occasional use or for relieving engorgement, but they can be tiring and slower for frequent expression.
Electric pumps are ideal if you plan to pump daily or exclusively, as they offer stronger suction and faster milk expression, often allowing for double pumping. A closed-system pump incorporates a barrier between the milk collection kit and the pump motor, preventing milk from entering the tubing and motor.
Closed systems are preferred because the barrier protects the motor from moisture and reduces the risk of contamination within the pump mechanism. Open systems lack this barrier, meaning milk particles can be drawn into the tubing and motor, which is difficult or impossible to clean.
For specialized circumstances, such as having a premature infant or needing to establish a milk supply, a hospital-grade electric pump may be recommended. These multi-user pumps are more powerful and durable, and they are typically rented rather than purchased outright. Modern pumps also include wearable options, which offer increased discretion and mobility.
Essential Setup and Sizing
Before using your new breast pump for the first time, all components that come into contact with milk, such as the flanges, bottles, and valves, must be cleaned and sanitized. After sanitizing, follow the manufacturer’s instructions to correctly assemble the parts, ensuring a tight seal for optimal suction.
Selecting the correct flange size is essential for comfortable and efficient pumping, as an improper fit can cause pain and reduce milk output. The flange, also known as the breast shield, is the cup that fits over your nipple and areola to create the vacuum seal. Most pumps include a standard 24mm flange, but many individuals require a different size.
To find your size, measure the diameter of your nipple at the base in millimeters, excluding the areola, and then add a few millimeters to determine the appropriate flange size. During pumping, the nipple should be centered and move freely within the flange tunnel without rubbing against the sides. If too much of the areola is pulled into the tunnel, the flange is likely too large. Conversely, a too-small flange can pinch the nipple, leading to pain or incomplete milk drainage.
Signs of incorrect sizing include pain, nipple irritation, or feeling that your breast is not completely emptied after a session. If you are unsure about your size, a lactation consultant can provide a personalized fitting. Ensuring the correct fit maximizes comfort and milk yield.