Insurance Coverage

The Affordable Care Act mandates that all health insurance policies must cover a breast pump. Translation: health insurance now covers the cheapest breast pumps.

The Naya Smart Breast Pump is currently an out-of-network breast pump. We are working with insurance companies to give you access to our product more affordably. Until then, we’ve compiled the best information to make sure you get the most from your benefits.

Insurance Coverage

Out-of-network means that health insurance companies providing benefits do not have a contract with Naya Health to sell our product for a specific pre-negotiated rate. We’re currently working on this, but until then, out-of-network means that you could have at least a part of the Naya Smart Breast Pump covered. Some insurance companies such as Tricare will reimburse 100% of the cost of any pump regardless of make or manufacturer. Be sure to contact your provider for more information.

  • How to get insurance benefits for the Naya Smart Breast Pump

    What does out-of-network mean? It means that health insurance companies providing benefits do not have a contract with Naya Health to sell our product for a specific pre-negotiated rate. We’re currently working on this, but until then, out-of-network means that you could have at least a part of the Naya Smart Breast Pump covered! The Affordable Care Act mandates that all health insurance policies must cover a breast pump, and you may have out-of-network coverage.

    Every insurance plan is different, but below are a two options to access out-of-network insurance coverage:

    Option #1: Put those Flexible Spending Account or Health Savings Account dollars to work!

    You can use your FSA or HSA funds to pay for our pump. Naya Health accepts HSA and FSA funds online using your HSA or FSA debit card, as long it is affiliated with a major credit card. If you have questions about whether or not you have an HSA or FSA, contact your employer.

    Option #2: Get Reimbursed.

    Your insurance provider might provide a certain reimbursement rate for out-of-network breast pumps like ours if you’ve hit your deductible. Every insurance provider is different. Call yours for the most up-to-date information.

  • Questions to ask your Insurance Provider

    Call your insurance provider and ask the following questions to understand your coverage:

    1. Is there out-of-network coverage for breast pumps like the Naya Smart Breast Pump?
    2. Have I met the deductible to qualify for the out-of-network coverage?
    3. What is the coverage after the deductible?

    If your insurance asks for a "CPT Code", the Naya Smart Breast Pump is categorized as a "hospital grade, electric pump" and its CPT code is E0604. It is also classified as an "electric breast pump" and that CPT code is E0603.

  • What kind of pump is the Naya Smart Breast Pump?

    The Naya Smart Breast Pump is an FDA-cleared, hospital-grade, Class II medical device. The Naya Smart Breast Pump is also the first and only pump to use water instead of air to stimulate the production of milk.

  • What does hospital-grade mean?

    Hospital-grade means that the Naya Smart Breast Pump is a closed system that can safely be shared between moms so as long as they have their own accessories to use with the pump.