Frequently Asked Questions: Insurance Covered Breast Pumps

We understand how important it is to have clarity on costs, and our team is here to help. We work closely with your insurance provider to verify coverage and keep you informed every step of the way. While many plans cover breast pumps at no cost, some may require a copay, deductible, or partial payment for upgraded pumps or accessories. To ensure a smooth experience, please keep an eye on your email-if your insurance provider needs additional details, we'll reach out. Responding quickly helps prevent delays or unexpected costs.

We strive to make this process as seamless and hands-free as possible for you. Our team works directly with your insurance provider to verify your coverage and handle the details on your behalf. However, insurance policies can have limitations or change over time, which may affect what is covered.

If you ever feel unsure or need additional reassurance, you are always welcome to contact your insurance provider directly to confirm your benefits. While we do everything we can to provide accurate information, plan updates, policy restrictions, or changes to your coverage may impact eligibility. Your insurer is the best source for the most up-to-date details, and no matter what, our team is here to guide you every step of the way.

We know insurance details can feel overwhelming, and we're here to help make the process as simple as possible. Our team works with your insurance provider to determine whether we are considered an in-network or out-of-network provider under your plan. Being in-network often means lower costs for you, while out-of-network coverage may require additional steps or out-of-pocket expenses.

We do everything we can to provide accurate coverage details upfront, but because insurance plans can change, we always recommend reaching out to your provider if you'd like extra reassurance. We are also continuously working to expand our network of in-network partners to help more families access their benefits with ease. If you have any questions, our team is always here to help guide you through the process.

Most insurance plans require a prescription as part of the coverage process, and we secure one for documentation purposes to ensure a smooth experience. While some insurers may not need it upfront, we keep it on file since most plans request it. This applies not only to breast pumps but also to additional supplies that may be covered under your policy.

Our team will verify your insurance requirements and handle the process for you. If your insurance requires a prescription, we'll guide you on how to get one. Typically, your OB-GYN, primary care provider, or midwife can write it for you. To prevent delays, we encourage you to check your email for any updates from our team. If you'd like extra reassurance, you're always welcome to confirm the requirements directly with your insurance provider. No matter what, we're here to support you every step of the way.

We understand how frustrating it can be to receive an unexpected bill, and we want to help clarify why this may happen. While your insurance plan may indicate that breast pumps are covered, coverage does not always mean 100% free. Some plans require copays, deductibles, or cost-sharing depending on the model selected, plan limitations, or other factors.

Additionally, insurance policies have specific rules about when and how often a breast pump is covered. Some insurers, for example, only allow one breast pump every three years or limit coverage to a specific timeframe before or after birth.

Our team works hard to verify your coverage upfront and keep you informed about any costs. However, changes in your policy or insurer processing delays can sometimes result in unexpected charges. If you have any concerns, we encourage you to check with your insurance provider to confirm the details of your coverage. We're always here to support you and help navigate any questions you may have.

We understand that insurance billing can feel complicated, and we're here to make it as smooth as possible for you. Insurance claims are processed after your breast pump has been shipped-this date is known as the "date of service." Once your pump ships, we submit the insurance claim on your behalf. The processing time for your claim depends on your insurance provider and can take anywhere from a few weeks to a few months to finalize.

In most cases, insurance covers the cost of the pump fully or partially. However, if your insurance does not cover the full amount, we will notify you and walk you through your next steps.

Our team actively works with insurance providers to appeal claim denials when appropriate, particularly if a claim is denied due to a documentation issue. If the denial is based on policy limitations, you may need to appeal directly to your insurer, but we are always here to provide guidance.

For those facing unexpected costs due to a denied claim, we offer flexible payment plans to help make the process more manageable.

What you can do:

• Keep an eye on your email for any updates regarding your claim.
• If you receive a bill you weren't expecting, check your Explanation of Benefits (EOB) from your insurance provider to see how your claim was processed.
• If you need assistance with an appeal or setting up a payment plan, our customer service team is happy to help.

We want you to feel confident about your order, and we strive to provide clear cost information upfront. While browsing, you will see which breast pumps are covered by your insurance and which options may require an upgrade fee.

As you go through the ordering process you will see an estimated cost for any upgrades or additional products based on the insurance details you provide. Please note that pricing shown is an estimate and not a guarantee of coverage, as final approval depends on your insurance provider.

Once you complete your order, you will receive a confirmation email with a breakdown of your selection. For some items-such as compression garments covered under the Durable Medical Equipment (“DME”) benefit-we may provide an out-of-pocket cost estimate if your deductible has been partially met. If your deductible is still too high, these items may not be offered for purchase.

Because insurance policies vary and claims are processed after shipment, it is important to understand that final out-of-pocket costs are determined once the claim is submitted. If you have any questions about your estimate, our team is happy to provide guidance before you place your order.

At 1 Natural Way, we know how important it is to feel confident in your order. Because breast pumps and many of our products are classified as medical devices, we are generally unable to accept returns or exchanges. However, we are always here to support you if something isn't right.

We will gladly assist if:

• You received the wrong item. We will make it right.
• Your order was damaged in transit. We will work with the shipping carrier to resolve the issue.

If you have any concerns about your order, our customer service team is here to listen and help in any way we can.

We know an unexpected bill can be stressful. If your insurance denies coverage after you've received your breast pump, returns are typically not accepted. However, you are not alone-please reach out to us.

Our team is committed to helping however we can:

• If the denial was due to a documentation issue, we automatically submit appeals to help resolve it.
• If your claim is denied for another reason, we can guide you through next steps and discuss flexible payment options to help make things more manageable.

For additional information about insurance and what to do if your insurance is denied, check out this article by our insurance expert and Customer Service Manager, Cindy Puppos.

We encourage you to reach out as soon as you receive notice of a denial so we can explore solutions together.

We understand that choosing a breast pump is a big decision, and we encourage you to carefully review your options before placing your order. Because breast pumps are personal-use medical devices, once they are shipped, they cannot be returned or exchanged-even if they remain unopened.

Once a claim has been submitted to insurance, the benefit is considered used, and insurance does not allow for a second claim. If you have any questions before ordering, our team is happy to walk you through your options to ensure you feel confident in your selection.

Since returns are very limited due to the nature of our products, we encourage you to contact us if you have any concerns about your order.

A return may be considered if:

• The wrong item was sent to you.
• Your order was damaged in transit and requires a replacement.

If your situation falls under these categories, please reach out as soon as possible so we can assist you. We are here to help and will do everything we can to make things right.

We know how essential your breast pump is to your feeding journey. If it stops working or seems to have an issue, the manufacturer provides a warranty to cover defects and will assist with troubleshooting and replacements.

To access warranty support, you can:

• Check the product page on our website, where the warranty details and manufacturer's contact information are listed under "Product Specifications."
• Visit our Warranty Information page, where we provide a list of manufacturer contact details.
• Refer to your user manual, which includes warranty terms and steps for filing a claim.

If you need help locating this information, our team is more than happy to guide you in the right direction.

Each manufacturer offers its own warranty coverage, and we want to make sure you can easily access support if needed.

Here's how to find your warranty information:

• Visit the product page on our website. Under "Product Specifications," you'll find details on the warranty period and manufacturer's contact information.
• Check our Warranty Information page for a complete list of manufacturers and support phone numbers.
• Look at your user manual, which outlines the warranty terms and next steps for getting help.

If you're unsure where to start, we're happy to point you in the right direction-just let us know!

We understand that getting your breast pump on time is important, and we do everything we can to process and ship orders as quickly as possible. However, some factors may affect your order timeline:

• Prescription Requirements – If your insurance requires a prescription, we must obtain one before shipping.
• Insurance Restrictions – Some insurance plans require a certain number of weeks into pregnancy (e.g., Tricare at 27 weeks) or proof of birth before shipment (e.g., certain Medicaid plans).
• Shipping Carrier – Once shipped, delivery time depends on the carrier's transit estimates.

If you have concerns about your order's timing, please check your text messages and email for our updates on your shipment.

If you have questions or need a helping hand with your order or insurance, our Customer Care Team is here to support you with compassion and clarity.

You can reach us by phone at (888) 977-2229 during our regular hours: Mon-Fri, 8:30 AM - 5:00 PM ET.

If you're serving overseas, managing a newborn's schedule, or simply find it hard to call during business hours, please email us anytime at support@1naturalway.com. We keep a close eye on our inbox and do our best to respond quickly and in a way that works for you.

Yes, we do offer expedited shipping! While it is not available through our online checkout, customers who need faster delivery can contact our customer service team to discuss available shipping options and costs.

Some medical devices require special handling, and our team will guide you on the best option based on your needs.

Absolutely! As soon as your order ships, you'll receive an email confirmation and text messages with:

• A tracking number to monitor your shipment.
• Details about the item(s) shipped.
• Important information about additional items that may ship separately.

If you ever need help tracking your order, we're just a message away!

We understand how frustrating it can be to receive a damaged or incomplete order. Please reach out to us right away, and we will work to resolve the issue as quickly as possible.

• If your package was damaged in transit, we will file a claim with the shipping carrier and arrange a replacement.
• If you believe an item is missing, first check your shipping confirmation email. Some items-like storage bags or replacement parts-may be shipped separately due to insurance rules that require them to be sent after birth.
• If something is missing that should have arrived, let us know, and we will investigate and make it right.

We are always here to help!

If your order is delayed, don't worry-we are here to help! Here's what you can do:

• Check your tracking number – Your shipping confirmation email contains a tracking link with real-time updates.
• Confirm your shipping address – If you've moved recently, double-check that your package was sent to the correct location.
• Contact the shipping carrier – If your tracking hasn't updated, the carrier may have additional details.

If your package appears lost or stolen, please contact us. While we are not responsible for lost packages after delivery, we can assist with an investigation and provide next steps. We are also exploring affordable shipping insurance options for customers who want extra peace of mind.

We know how important it is to receive your breast pump on time, and we will do everything we can to assist you!