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Thank you for choosing to obtain your breast pump at MilkWorks- your community breastfeeding center! We are in-network with all major private insurance plans and all NE Medicaid plans for high quality, double electric breast pumps.* We offer Medela, Spectra, and BabyBuddha breast pumps and our Pump Service Plan is provided with all of our Personal Use Pumps (PUPs).

Please fill out the information below and we will send you forms. Note: an actual person processes this request and it may take up to 2 business days. If you would like to pick up your breast pump sooner, feel free to stop by to complete e-forms onsite.

*We encourage that you call insurance to verify that a PUP is a covered benefit under your specific plan as we cannot guarantee coverage. Please bring your insurance card (we'll take a copy!) as well as a prescription from your healthcare provider (breast pumps filing through NE Medicaid must be signed by a MD/DO). 

Eligibility for shipping option here.

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Month/Date/Year
(i.e. Blue Cross Blue Shield, NE Medicaid, UnitedHealthcare, Aetna, TriCare, etc.)
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Month/Date/Year
Location Preference for Breast Pump Pick Up
Once forms are complete, you can pick up your breast pump at either location Monday - Saturday 9am-5pm and until 8pm every Tuesday. If you choose to pick up at a different location than selected on this form, please inform front desk staff at arrival.