Questions to Ask Your Private Insurance Company

Does my insurance plan cover Women’s Preventive Services under the Affordable Care Act?


I am expecting in month/year, or, I gave birth on month/day/year.

What breast pump(s) does my plan cover?

  • Do I need an order (prescription) from my doctor? YES NO
  • Is there a time frame (how soon before birth or how long after birth) for when I may obtain a pump)?
  • Do I have coverage for an E0603 Personal Use Pump? YES NO
  • How often may I obtain a pump under my insurance coverage (e.g. one per pregnancy, one per lifetime, one every 3-5 years)?
  • Is MilkWorks in network for breast pumps? YES NO If out of network, is there any DME or preventative coverage for a pump obtained at MilkWorks?

Does my plan cover breastfeeding consultations by an IBCLC (International Board Certified Lactation Consultant)? YES NO

  • Are there any restrictions?
  • If you know the name of the MilkWorks IBCLC you are scheduled to see, you may ask if they are in network. Otherwise, ask if any of the following MilkWorks providers are in network with your plan. All of our providers are in network with the same plans: Dr. Kathryn Leeper, Debra Erikson, Teresa Flattery, Suzanne Meyers, Anne Easterday, Meghan Gerken, Kaye Lidolph, Jennifer Maestas, Christina Schill, Ann Seacrest, Melinda Tockey

Are breastfeeding classes covered? YES NO
Are there any other benefits or restrictions related to breastfeeding support under my plan?

If NO:

I am expecting in month/year, or, I gave birth on month/day/year.

Do I have benefits under my medical DME (durable medical equipment) coverage for a breast pump? YES NO

  • Is this coverage subject to any deductibles or coinsurance? YES NO
  • Are there other details I need to know about my coverage?