Getting A Breast Pump Through Regence Insurance

 
 

As a preferred provider with Regence Blue Shield, we are able to offer a full service experience for our patients in WA, OR, UT, and ID. Our extensive knowledge and experience with billing insurance assures each and every person we work with is in great hands. Our job is to understand the current insurance fee schedules (what they pay) and with that information, provide specific pump options based on those numbers. Some insurance companies will even allow the mom to select a β€œdeluxe upgrade” if she desires something outside of standard coverage. If you qualify for a deluxe upgrade, you will be given a list of those options when it’s time to select your pump through Regence insurance. Many breast pump companies out there will limit options to β€œstandard only” however we feel that having more choices is better! That’s the PMSI difference. 

The Process

 

Register With PMSI

You are welcome to complete this form any time during your pregnancy and up to 11 months postpartum. Completing this form does not obligate you in any way/ However, you must complete all fields accurately & thoroughly.

Insurance Verification

Our staff manually reviews every submission we receive and works directly with Regence insurance company. This can take 24-48 hours (sometimes longer during high volume times or with certain insurance providers). Please contact us if it has been more than 48hours.

Select Your Breast Pump

Select your pump from the customized list of options. We will email you with a link to view and select your pump (check your spam folder!) All standard and upgrade (if eligible) options will be there to view along with any pricing.  You may select from our shipping or local pickup options

 

Relax & Receive

We will provide your pump according to Regence insurance guidelines. PMSI will follow through with your order based on your insurer's timeline.

 

FAQs

  • Some policies require a prescription for a pump and some don't. We'll let you know if your policy needs anything extra and will assist in providing forms to make it faster and easier for everyone!

  • When can I order a breast pump? Each insurance provider determines when a mom can receive her pump, though customarily it's universally covered up to one year postpartum. You may apply for a pump at any time during your pregnancy and we will supply the pump according to your provider's specifications. For example, Kaiser Permanente of WA allows a mom to receive her pump up to 30 days prior to expected delivery date.

  • Most insurance companies will cover what's called a "consumer-grade electric breast pump". This is a pump designed to be used by one mom and is purchased for the patient rather than rented. Examples of this type of pump would be Spectra S2, Medela Pump in Style with Maxflow, etc. 

  • According to the ACA, all insurance plans are required to cover a breast pump however there are still policies out there that are exceptions to the rule. We'll do our best to help determine your coverage based on our vast history with many policies. 

  • Our team is always here to help, however we always recommend contacting the manufacturer immediately. All pump manufacturers require replacements and repairs to go directly through them due to the fact that these are registered medical devices. 

  • Most insurance providers will allow for one pump per pregnancy, though there are some that will allow for a second pump upon the next calendar year. If you are wanting a second pump, we always suggest contacting your customer service specialist at Regence insurance company to inquire about your options.

 

Featured Breast Pumps

Here are just a few of our favorite breast pumps. With so many options out there, there is something for everyone. If you aren’t sure, chat with one of us today! We can walk you through the different features and options available through your Regence Insurance.

 
 
Spectra S1 Breast Pump

Spectra S1

Elvie Stride Breast Pump

Elvie Stride

Luna Motif Breast Pump

Luna Motif

 

Not sure which pump is right for you? Chat with one of our specialists today!

Other Insurance Partners

Baby's Hand In Mother's Hand

About PMSI

A small, local, woman-owned business, started in 1973 with the sole purpose of supporting the needs of our community.

 Our team is here and ready to help. Certified lactation specialists, certified compression therapy fitters, and insurance billing specialists are on staff and ready to assist. Have questions? Give us a call, we actually answer the phone! Need follow-up care or guidance? That’s always included in our service to our patients. From breast pumps to walkers and everything in-between. Serving our community since 1973 and counting!