Thank you for being a participating Jefferson Health Plans provider. Effective immediately, Jefferson Health Plans has updated their dispensing guidelines for members needing a breast pump.

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 provider involved in the care of the mother and baby.

Ordering a Breast Pump on Behalf of a Member

• The HDIS Breast Pump order form is located 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.

Additional breast pump suppliers include:

For members who may require a hospital grade breast pump because the baby is still in the hospital, see our website for information on submitting a prior authorization for the rental. After the baby is discharged, the mother may receive a purchased breast 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.

If you have any questions, contact our Provider Services Helpline at 1-888-991-9023 (Monday-Friday 9:00 a.m. to 5:30 p.m.)