Common questions about breast pumps 

For Medicaid/BadgerCare members

Dean Health Plan partners with SSM Health at Home to provide members with either an electric or manual breast pump. SSM Health at Home determines the brand and model of pumps to provide. SSM Health at Home may change the brand and/or model of breast pumps they provide at any time.

Dean Health Plan covers one breast pump (manual or electric) per delivery for all members, including those with Medicaid. This is an exception to Medicaid’s policy which covers a maximum of three breast pumps per member; see ForwardHealth Update No. 2022-39 for details.

BadgerCare Plus members must follow Medicaid’s breast pump policy to request the electric or manual breast pump after delivery.   

You can request a breast pump by having your doctor complete the ForwardHealth (Medicaid) Breast Pump order form after delivery and sending it to SSM Health at Home in Epic or by fax to 866-553-0824.

The breast pump order form (PDF) is available on the Wisconsin Department of Health Services website. 

View form

After SSM Health at Home confirms insurance information, they will contact you by phone within 24 to 48 hours to confirm how the member will receive the breast pump.

Dean Health Plan does not cover breast pump or feeding accessories that are not included with the electric or manual pump starter kit.

Examples of non-covered accessories include:

  • Extra tubing, breast shields, valves and membranes
  • Breast milk storage bags/bottles
  • Feeding bottles, nipples
  • Extra power adapters for electric pump (car, extra battery pack)

Dean Health Plan only covers the electric and manual breast pumps that are provided through the partnered durable medical equipment (DME) supplier (SSM Health at Home).

Dean Health Plan does not reimburse members for breast pumps that are purchased (or received as a gift) outside of our breast pump coverage policy. Dean Health Plan does not provide stipends for breast pump upgrades or for pumps that are not covered under the current policy.

Visits with a lactation counselor in the clinics, hospitals, and through telephone support provided by Health Plan OB case managers are covered by Dean Health Plan. Dean Health Plan does not cover lactation support services received from private lactation counselors or organizations.

If you have additional questions, call SSM Health at Home directly at 800-924-2273.

For more information, or to enroll, please visit our pregnancy page. You can also call our Strong Beginnings program at 608-830-5908 or Customer Care Center at 800-279-1301