Health Partners (Medicaid) and KidzPartners (CHIP) members are eligible to receive an electric breast pump beginning in the 3rd trimester (after 28 weeks) of pregnancy or throughout the postpartum period without prior authorization. Members can receive one breast pump per pregnancy. Breast pumps can be ordered by any participating physician involved in the care of the mother and baby.

Ordering a breast pump on behalf of a member

• The Breast Pump Order Form is located on at HPPlans.com/forms.
• Complete all sections to ensure prompt, accurate shipping.
• Fax the form using the contact information below or on the form.

Members should receive breast pump within 48 hours of receipt of completed request.

Breast pump suppliers include:

Rental of Hospital Grade Breast Pump

A rental is available but requires prior authorization. Rental is appropriate when the baby is in the NICU for an extended stay.

To request prior authorization, download the DME Authorization Request Form from HPPlans.com/forms and fax the completed form, along with appropriate supporting documentation, to 215-849-4749 (Medicaid) or 267-515–6636 (Medicare).

After the baby is discharged, the mother may receive a purchased pump as outlined above.

Our Baby Partners program offers 24/7 breastfeeding support from certified lactation counselors. If you have questions, or if a member would like to speak to a Baby Partners lactation counselor, please call the Breastfeeding Support Line at 215-307-6791.

* Jefferson Health Plans is the marketing name for Health Partners Plans, Inc., and includes the following lines of business:  Jefferson Health Plans (Individual and Family Plans); Jefferson Health Plans (Medicare); Health Partners (Medicaid); and KidzPartners (CHIP). If information in a communication pertains to a specific line of business, Jefferson Health Plans will specify within the content.