Coverage for Breast Pumps

Does insurance cover breast pumps?

Dean Health Plan members can receive a manual or electric breast pump covered at 100 percent under members’ Durable Medical Equipment (DME) benefit when the breast pump is obtained from our supplier, SSM Health at Home.

Your doctor’s office will need to submit the required breast pump order form or information to SSM Health at Home at 866-553-0824. Once SSM Health at Home receives your breast pump order, they will contact you to arrange for pick-up or delivery. See below for more details about Commercial and Medicaid breast pump coverage.

See our frequently asked questions for details about the types of breast pumps provided and what is included:

Eligible members may also rent a hospital-grade dual electric pump only with required prior authorization from Dean Health Plan’s Managed Care division. The rental may be subject to deductible/coinsurance. See the Durable Medical Equipment benefit under your plan. will contact you to pick up the pump. They may also deliver it to the hospital or to your home after you deliver.

Commercial members
Dean Health Plan covers one breast pump per birth under its Commercial policy.  Commercial members may receive a breast pump up to four weeks before their estimated delivery date.
Your doctor’s office can submit the breast pump order form or submit the following information by fax or electronic medical record to SSM Health at Home:

  • Your full name
  • Your date of birth
  • Your mailing address
  • Your phone number
  • Your Dean Health Plan member ID number
  • Explanation of need (example "Patient has delivered a baby on mm/dd/yyyy and will need a breast pump to help with breastfeeding")
  • Type of breast pump you are requesting
    • Manual
    • Electric
    • Hospital grade rental (prior authorization required)
  • Provider name, address/location and signature

If you are a BadgerCare member

Medicaid covers one breast pump per lifetime for BadgerCare Plus members at the time of delivery.  

If you have not already received a breast pump covered by Medicaid, your doctor’s office will need to submit the required Medicaid breast pump order form to SSM Health at Home after you deliver.

If you already received a breast pump covered by Medicaid, or are unsure if you have and are in need of a pump (old, broken, no longer have it, etc.), have your doctor’s office submit the Medicaid breast pump order form anyway.

Important: SSM Health at Home cannot accept breast pump orders for Medicaid members through the electronic medical record system. Make sure your doctor’s office submits the required Medicaid breast pump order form to avoid delaying or canceling your breast pump order.