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Billing & Payment

Do you want to know how our upgrade fees are determined and how we calculate your copay or deductible?

Why is there an upgrade fee?

According to the Affordable Care Act (ACA) requirements, insurance companies are required to cover a “basic” breast pump. This is mostly classified as “enough to get started”. Items that fall outside of this range would be considered deluxe “upgrade”

What is the cost for upgrade pumps?

The fully covered options you receive depend on your insurance plan and our contract rate with them. Every plan has one or more fully covered “basic” pump options. Again, as stated in the previous section, your plan pays us a flat rate (contract rate

Will insurance reimburse me for my upgrade fee?

No, upgrade fees are not covered by your plan. The insurance will only pay the single contract rate, which covers only your basic choices. The upgrade fee is a completely voluntary choice made by you to receive a deluxe pump model, and pay the differ

Can I use my Health Savings Account/Flexible Spending Account (HSA/FSA) to purchase an upgraded breast pump through Pumping Essentials?

Yes! Your HSA and FSA funds can be used anytime to purchase qualified medical expenses, such as breast pump upgrades.

Why would I have received a bill for the breast pump delivered to me?

Most insurances only cover ONE breast pump per pregnancy. By completing the initial form and requesting a pump through Pumping Essentials, you acknowledge that you have not received a personal use breast pump through the same insurance policy or any