HDHP, Standard Option and High Option offer resources and rewards for your growing family.
GEHA covers one double-channel electric breast pump for personal use. This benefit is limited to one pump every two years. A new prescription is required when requesting a new or replacement pump. There is no cost to the member when the designated pump is obtained through a contracted provider.
If you decide to purchase a second pump within a two-year period, or choose to purchase a manual breast pump or hospital-grade (multi-user) pump, it will not be covered by the plan. You may also upgrade to a different model, but will be responsible for the difference in cost.
GEHA will also cover all necessary supplies needed for the pump to operate at no cost to the member. Some manufacturers include these supplies with the pump as a kit. Others require the supplies be ordered individually. All necessary supplies are covered by the Plan two times in a 12-month period, when purchased through a contracted provider.
When to order your pump
Members can order a pump as early as 30 days prior to their due date or once baby is born if they deliver prematurely.
Where to get your pump
You may obtain the breast pump and supplies from a contracted (in-network) provider (such as your OB/GYN). Not all providers are contracted to supply breast pumps (or associated supplies), so confirm with your provider if they are contracted with your medical network to supply pumps. A list of nationwide breast pump providers is included below- these providers can ship on a nationwide basis. Providers may have different brands or models in stock, which are subject to change.
If you choose to use a non-contracted (out-of-network) provider, you will be responsible for all costs as outlined in the plan brochure. You will not be reimbursed for a pump or supplies purchased at a retail store.
Your home network is listed on your GEHA ID card. Please refer to the chart below to determine your home network to identify a nationwide breast pump provider.
|Home network||Home state||Contracted breast pump provider|
|Aetna Signature Administrators||Alaska, Arizona, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont and Washington||A+ Breast Pumps by Yummy Mummy Store 855-879-8669
A Breast Pump and More 855-786-7296
A Pumping Essentials 866-688-4203
Adapt Health (formerly McKesson Patient Care Solutions) 855-404-6727
Aeroflow Inc. 888-345-1780
Amoena USA 877-726-7701
Byram HealthCare 877-902-9726
Edgepark Medical Supplies 800-321-0591
Edwards Health Care Services 888-344-3434
Genadyne Biotechnologies 888-809-9750
Medline Industries 866-356-4997
Omega Medical Health System 866-716-6342
|UnitedHealthcare Choice Plus/ Select Plus/ Options PPO||Alabama, Arkansas, California, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming||
Adapt Health (formerly McKesson Patient Care) 855-404-6727
Medline Industries 833-718-2229
Q: Where can I find an explanation of maternity benefits?
A: Your GEHA plan brochure is your best source of information. Generally speaking, if you use in-network providers and have a pregnancy without complications, you will be covered at 100%. There may be circumstances in which this does not apply. Please call GEHA Customer Care at 800.821.6136 for clarification if needed.
Q: What about lab work?
A: GEHA recommends that you always use the Lab Card program offered by Quest Diagnostics. Click Lab Card for more information or call GEHA Customer Care at 800.821.6136 with any questions.
Q: How much time do I have to add my baby to my GEHA policy?
A: You have up to 60 days to add your baby to your plan. You should contact our Enrollment Department at 800.821.6136 for details.
Q: Is my baby covered under my maternity benefits while he/she is in the hospital?
A: The baby will be covered for normal nursery charges only. If your baby requires special or non-routine care, he/she will be considered under the general medical benefits as a separate person on your policy. This includes circumcision. Please see your GEHA plan brochure if you need clarification.