Why do I need a prescription (Rx) to order a breast pump through insurance?

Each insurance company issues their own guidelines for claim approval/denial.

United Health Care:  Lucina Care requires all UHC members (commercial and Medicaid) to have a prescription or doctor’s order in the mother's name for a double electric breast pump.  

Please place your order first, and then you can choose to upload or fax the Rx with your order number and name noted on it. Our secure fax number is 1-800-961-4859. If you do not supply us with your Rx, we will contact the doctor listed on your order form to obtain it. For Medicaid insurance you need to request a prescription from your doctor yourself.  

Tricare or UHC Military: Lucina Care requires a prescription in mothers name stating baby in NICU for all Tricare members. If your baby is not in NICU, Tricare will not cover you for a breast pump.

POMCO and Humana: Members are not required to send a prescription for purchase pumps.If your baby is in NICU and you wish to get the hospital grade rental breast pump then you need to attach a doctor’s note with your order or fax it. It should state mother’s name and baby in NICU.   

Aetna:  Members are not required to submit a prescription. 

How Can I upload my Prescription?

You can upload the prescription from your computer when you sign up OR if you don't have your prescription to hand then you can upload it later from your customer dashboard.  Or fax it to us at 1-800-961-4859

When am I eligible to receive a breastpump?

Once coverage is verified, and we have your perscription (if your plan calls for one) we can ship one month prior to the baby’s birth.  

When will my pump be shipped?

Your order will be “queued” upon our receiving it.   We will update the status when your Rx is received, and when coverage verification is completed.   We are only able to ship the pump within one month of your baby’s birth. So, order early to secure your order but remember that you won't receive it until the last month of your pregnancy.

When should I place my order?

If you are planning on breast feeding you can order anytime.  

What kind of breast pump do I qualify for?

Please contact your insurance company for specific plan benefits.   Generally, the majority of plans that participate in the Affordable Care Act qualify most members for a single patient use double electric breast pump.  Your coverage will be verified and compared to your pump choice during processing.   A Lucina care representative will contact you if regarding your pump choice if needed.  Please see our order form for the most current pumps offered.

 United Health Care and Oxford:  

• Lansinoh Affinity Pro double electric breast pump
•  Rumble Tuff double electric breast pump
• NUK double electric breast pump

Aetna:

• Lansinoh Affinity Pro double electric breast pump
• Rumble Tuff double electric breast pump
• NUK double electric breast pump
• Hygeia Enjoyee
• Melodi One

Medicaid/ Community Plan:

• Lansinoh Affinity Pro double electric breast pump
• Rumble Tuff double electric breast pump
• Melodi One
• Hygeia Enjoyee
• NUK double electric breast pump

Tricare:

• Melodi One (Rental, For NICU babies only)

Pomco:

• Lansinoh Affinity Pro double electric breast pump
• Rumble Tuff double electric breast pump
• NUK double electric breast pump
• Melodi One (Rental, for NICU babies only)

Humana:

• Lansinoh Affinity Pro double electric breast pump
• Rumble Tuff double electric breast pump
• Melodi One (Rental, for NICU babies only)

Note: Single patient use pumps are non-refundable, please be aware of this when you place your order.