Anthem Breast Pump Reimbursement Rate Change
Take Action to Help Breastfeeding Families!
- Anthem Blue Cross/Blue Shield has decreased reimbursement rates for breast pumps by 45%, from $169 to $95.
- Anthem chose to discreetly inform stakeholders of this change by announcing the new reimbursement rate to its durable medical equipment (DME) suppliers. The company did not inform Anthem plan holders directly. This means that most moms were not made aware of the change in coverage until after the effective date on April 1.
- An independent licensee of Blue Cross Blue Shield, Anthem provides coverage for about 1/3 of individuals and families in the U.S., including 40 million Medicaid enrollees, 40 million Private Insured members, and millions of others on affiliated plans.
State Breastfeeding Coalitions Taking Action
To add your organization's efforts to this compilation of State Breastfeeding Coalitions with current actions related to the reimbursement rate cut, contact firstname.lastname@example.org.
- Alabama Breastfeeding Committee:
- The Alabama Breastfeeding Committee hosted a campaign that led to a reversal of the reimbursement rate change in Alabama and has offered TA to coalitions who are interested in taking action in their state
- Colorado Breastfeeding Coalition
- Connecticut Breastfeeding Coalition
- Florida Breastfeeding Coalition
- Wisconsin Breastfeeding Coalition
- Slate: "Insurance Companies Should Be Investing More, Not Less, in Breastfeeding"
- Pilot Online: "Anthem is cutting support for breast pumps nearly in half, angering breastfeeding advocates"
- New Haven Register: "Cut in payments for breast milk pumps concerns Connecticut moms, advocates"
Voices from the Field
"I thought I knew everything about breastfeeding because I researched a lot before my child was born. Well, that went out the window two hours after he came out. I had patient nurses in the hospital, but if it hadn't been for insurance covering a pump, I wouldn't have been able to afford feeding my baby. I pumped from his second day of life...We made it through lip ties, clogged ducts, going back to work. If it weren't for my insurance covering a pump...I wouldn't have been able to breastfeed, let alone be still going strong a year later."
|"I was a first time mom who thought I was more than prepared to breastfeed without any issues. Unfortunately after birth, it was not the dream that I had hoped it would be. My daughter ended up in the NICU and I was given little instruction on what to do with breastfeeding once my supply was dwindled away to nothing. I had a wonderful case manager with [my insurance company], who actually informed me about the ACA and breastfeeding benefits. She hooked me up with a pump and a lactation consultant (which boy did I need!)...Without them, I would not be breastfeeding both my daughter and my son!"
— Autumn, Nevada