Getting a Breast Pump

Fidelis Care members can get either a manual or double electric single-user breast pump up to 60 days after a baby’s birth.

• Manual pumps are for short-term, infrequent use. They do not maintain your breast milk supply. To get a manual pump, a prescription from your healthcare provider needs to be sent to an in-network Durable Medical Equipment (DME) supplier. The hospital where you gave birth may be able to help you get a manual pump.
  
  
•  Double electric single-user pumps are for long-term use and maintain your breast milk supply while you are away from your baby. To obtain coverage for a double electric single-user breast pump, a prescription from your healthcare provider is required and needs to be sent to the in-network DME supplier.

Find an In-Network DME Vendor for Breast Pumps

• For Fidelis Care Medicaid members and HealthierLife (HARP) members, visit member.emedny.org to search for a Medical Equipment Supplier.
• For all other Fidelis Care plans including Qualified Health Plans (“metal level”) and Essential Plan, use the Find a Doctor tool at fideliscare.org/findadoctor and search “durable medical equipment.” Some in-network DME companies may not carry breast pumps; please call the DME supplier to confirm they have breast pumps .

At any time in your pregnancy, you can contact an in-network DME supplier to set up a personal account and to find out the types of breast pumps they carry. Members can get one breast pump per calendar year , with a Medicaid lifetime maximum of two breast pumps.

Some Fidelis Care coverage may require a copay or coinsurance; check your plan benefits.

Breastfeeding and Lactation Support