U.S. Mommies To Be

[AuntBug]

Hi Sweet Mama - I was wondering the same thing. How are you

 

[lisaf]

hey girls.. so I've called my insurance 4 times now about this breast pump thing... they have given me 2 different answers about what is covered... 3 of the people I talked to said it was covered 90% to 70% (in vs. out of network)... one person said it was a limit of $150 and i needed a doctor to say it was medically necessary.

I really want to know how much I'll get reimbursed before I pick out the pump I get (I've been tempted by the Medela Freestyle but its $100 more than the Pump in Style). What should I do?
I hate stupid insurance sometimes, lol.

 

[MissFox]

I've been wondering too!! Been really busy working for a friend and I start back to work tomorrow. I'm pretty prepared for it already but jealous bc DH gets to stay home with Rosie now. We had her 8wk checkuo and she was 22.5 in long (my shortie lol) and 11lb 4oz. I've been expressing as much as I can and happily still haven't had to suppliment with formula! Its been hard work- waking up in between when Rosie would be awake at night to pump. And since I'm not working full time I'm going to spend the 3/4 days pumping as often as I can to get my supply up.

 

[DarlingMe]

hey girls.. so I've called my insurance 4 times now about this breast pump thing... they have given me 2 different answers about what is covered... 3 of the people I talked to said it was covered 90% to 70% (in vs. out of network)... one person said it was a limit of $150 and i needed a doctor to say it was medically necessary.

I really want to know how much I'll get reimbursed before I pick out the pump I get (I've been tempted by the Medela Freestyle but its $100 more than the Pump in Style). What should I do?
I hate stupid insurance sometimes, lol.

I called my insurance and they said that the doctor has to put in a request for it. They said usually if he requests it they will approve it. I dont see him for 3 weeks but I plan on asking him to put one through. If they deny it now, I will ask him again after delivery. They can always fudge a diagnosis (LO not gaining enough weight, breast pain, sucking problems, etc.) Even if you arent having breast pain while nursing, say you do so they can request the pump. Try having your doc request one or writing you a script. The worst they can do is tell you no! And then try again in a month! Its a game with insurance. I see it all the time at work. Most people give up on it and pay for it themselves.

Lisa I read reviews on the Avent Duo electric pump. It is $199 at Target and Im sure BRU. You could use a 20% there or buy buy baby, it might be a little cheaper on Amazon too. Anyhow not that I heard bad things about the Medela pumps, but I think they are over rated and just the "big name" in pumps, not necessarily better. The reviews I read on Amazon regarding the Avent said that some people liked it better or loved it and its the only pump they used. For $150 less than the Medelas, and great reviews, I think its a better option esp if you are paying for it.

 

[lisaf]

Thanks DarlingMe - I'm already using Medela and have a bunch of Medela accessories that go with the hospital pump I'm renting so thats another reason I wanted to stick with that brand. Its only $50 more or so for the Pump In Style... the Freestyle is where it gets very expensive. I'm not really sure the Freestyle is worth the extra price but if my insurance will pay I'd like to get it.

Oh and I won't have to lie about stuff, I've had so many issues and pain etc!

 

[DarlingMe]

Thanks DarlingMe - I'm already using Medela and have a bunch of Medela accessories that go with the hospital pump I'm renting so thats another reason I wanted to stick with that brand. Its only $50 more or so for the Pump In Style... the Freestyle is where it gets very expensive. I'm not really sure the Freestyle is worth the extra price but if my insurance will pay I'd like to get it.

Oh and I won't have to lie about stuff, I've had so many issues and pain etc!

I didnt say lie, I said "fudge" Either way have your doc put it through! Maybe more than once. Worse they can do is tell you no! Many insurance companies wont give you pre authorization, so that might be one of the problems. Good luck!

 

[Deni9271]

NC here!
[link=https://lilypie.com][img noborder]https://lbdf.lilypie.com/OvQ0m4.png[/img][/link]

 

[MissFox]

Well First day of work down. Currently starting my 2nd day. Rosie missed me yesterday! She was up 5x in 5.5 hrs this morning (starting at 2AM) SO I had a VERY hard time pumping enough milk for today (Reall, I'm about 3 oz short but DH is going to bring her to me this afternoon). I need to up my supply!!!

 

[Sweet_Mama]

Well First day of work down. Currently starting my 2nd day. Rosie missed me yesterday! She was up 5x in 5.5 hrs this morning (starting at 2AM) SO I had a VERY hard time pumping enough milk for today (Reall, I'm about 3 oz short but DH is going to bring her to me this afternoon). I need to up my supply!!!

Aw, I don't know how I'm going to do it, I really don't...

 

[southerngal2]

I'm already dreading going back to work and leaving Adrian!

 

[MissFox]

It sucks. I mean- really not so bad because Rosie has been in work with me for an hour each day but STILL!

 

[lisaf]

Aw, I'm not even letting myself think of it, but I know my time is almost half over and soon it will be 2/3 over. I dont' know how I'll handle it!!

 

[MissFox]

Well I'm hoping this is a growth spurt. Were doing better tgan last night but Rosie has been up more and been more fussy for the lasy 2 nights. Sound about right for a growth spurt?

 

[lisaf]

I think they blame everything on 'growth spurts' :rolf: But yes, not sleeping as well and feeding more are supposed to be signs of a growth spurt.

I'm just trying to clear this stupid clogged duct.. its really diminishing my supply and is quite uncomfortable.. grrrrrr

 

[Soph22]

I can't bear the idea of going back to work either! I keep hoping for some sort of financial windfall miracle that would allow me to stay home with him. I know tons of moms do it and everyone is fine, but I just can't think about it right now.

I have the Medela freestyle and it works great for me. I didn't even know there was a possibility for insurance reimbursement, but I still think I'm getting my money's worth. I haven't even tried the hands free part yet- not sure how essential that is, but I'm going to try it out soon.

 

[lisaf]

I was more interested in the digital display and timer feature on the freestyle The option they have for going hands free can be duplicated by using a few hair ties

 

[sara1786]

adrian has arrived!
6 lbs 13 ozs.
Will post pics soon!

congrats!!

 

[Sweet_Mama]

Well, just for the record... I weighed myself. I weigh exactly what I thought I did... about 10 pounds over what I did when getting pregnant. I think that's great! I'd like to lose 20 pounds before going back to work in a couple months... we'll see, lol.

 

[lisaf]

I better lose SOME weight before going back to work or else I'll have nothing but maternity pants to wear

 

[sma1588]

hi ladies just wanted to stop in and say hello.....seems like all the cali ladies have had there LOs already and im the only 1 left....

only a few more months and i will be joining you all again...
ive started to get things ready for her already though,all her clothes she has so far (before the baby shower) have been washd and folded, her bassinet is up and her side of the room is done. the only thing left to do is get all the stuff from the baby shower and put that up and wash everything.....i know im getting tons of clothes people have been telling me they have bags of clothes for my baby girl already....