This includes the Horizon Small Group Plans, Individual Plans, and Midsize plans. Does it matter which Horizon BCBS plan I have?įrom my research, the coverage is the same on all of the plans. On their website, Edgepark states you can order the pump earlier on in the pregnancy and they will hold the order from you until the fifteen day out mark. A few days after the call, we had the pump at our doorstep and the Horizon BCBS Omnia Silver plan covered it. I had a prescription ready to send over, but the office at Edgepark coordinated directly with our doctor and Horizon BCBS to make the process seamless for us. The pump can be ordered fifteen days before the expected date so I was asked to call back then.įast forward to fifteen days out, I called again to order the pump and there were no issues at all. I called Edgepark and they took my information including my health plan and also the expected delivery date. I will focus in on the process we went through using Edgepark, since it’s the only one we have used.ĭuring one of my wife’s visits to the doctor, he provided a prescription to order the pump. They also have a good website showing the models they have available. We used Edgepark, and the experience was fantastic. It may not be all of providers available as of this writing, but hopefully you will find one that works for you. We had trouble finding the list of providers that we could order the pump from, but I was able to come up with this list through a lot of searching. Most expecting moms have already done a lot of research on which pump they prefer, and you will be pleased that you can get the top models like:Ĭhoosing your Durable Medical Provider (DME) The process with Horizon BCBS was extremely easy and pain free. They can be ordered no sooner than fifteen days prior to your expected delivery date. So are breast pumps covered by Horizon BCBS? Yes! Breast pumps are covered without pre-authorization as long as the cost is below $250.00, and they are ordered through one of the durable medical providers that I will list below. I work in the business and had a difficult time getting the answers, so I’m sharing the information I learned here to help other Blue Cross members in NJ. When our family had a baby, we were trying to figure out the coverage for breast pumps with our Horizon BCBS Omnia plan.
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