Common questions about breast pumps 

For Medicaid/BadgerCare members

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

We cover 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.

After SSM Health at Home confirms your insurance information, they'll call you within 24-48 hours to determine how you'll get the breast pump.

We don't cover breast pump or feeding accessories that aren't included with the pump starter kit. Non-covered accessories include:

  • Extra tubing, breast shields, valves, and membranes
  • Breast milk storage bags and bottles
  • Feeding bottles and nipples
  • Extra power adapters for electric pumps such as car adapters or extra battery packs

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

We don't reimburse members for breast pumps that are purchased outside of our policy. We don't provide stipends for upgrades or pumps not covered under the current policy.

We cover visits with a lactation counselor in clinics and hospitals. We don't cover lactation support services provided by private lactation counselors or organizations.

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

For more information related to benefits, you can call Member Services at 800-279-1301. For more information on case management support or to enroll, please contact 866-905-7430.