It went into effect at the beginning of 2013, but there are plenty of rules around it. For one, the Act didn't specify what kind of pump so some cover hospital grade rentals and others cover only a handpump. You also have to go through the DME supplier that contracts through your insurance company, so you have to get the brand they cover - you may have a preference for Medela but that might not be what they offer. It's possible that you could buy a pump you like at Target (or wherever) and submit for reimbursement, but that is going to depend on your insurance company and type of insurance plan - I really doubt most plans will do this.

I believe prior authorization is also required, although I don't believe you have to have a medical need for it (whatever that even means) you just have to have a doctor certify that your baby was born somewhat recently.

Here's some info on how different insurance companies scored when it came to providing appropriate pumps:
http://www.nbfcenter.com/NBfC_Breastfeeding-Policy-Scorecard-09.2013.pdf
http://www.bestforbabes.org/booby-traps-series-grade-insurer-get-new-breastfeeding-scorecard

I also think that went into effect in 2013..

I would call your insurance company and ask them what's covered and what isn't -- my doctor gave me a "gift certificate" for a local specialty store that fully covers the cost of a Medela Pump In Style Advanced (electric and double).

dandelyon - GREAT links; thanks for sharing!! (:

Yes, call your insurance company because they are all covering it differently. My insurance only gives you a manual pump unless the baby has issues latching or you can't breastfeed for any other reason. Then they will cover an electric pump. But, you won't know this until after birth. I'm exclusively pumping, so a manual was out of the question. I bought one using my Flex Spending Plan.

I was happily surprised to find out that my insurance covers at 100% using an in-network DME. Now I am just trying to find out if any of them offer a Hygeia, as that is my first choice

If your insurance company is confused when you call them, make sure to remind them that breast pumps fall under durable medical supplies in most cases and that is where they will have to look up your coverage.

I have gestational diabetes so I am going through the hospital's medical supply company to get my lancets, strips, etc. They gave me a form about the pumps being reimbursed if you order them through them as well.

I have put money in an FSA account for the last few years. When I was pregnant with my son, I bought the pump and was able to use that money. I kept the pump, so this time I might use some of my money to buy extra parts, tubes, etc. I also just found out that nursing pads are a reimbursable expense. I spent a small fortune on them last time - so I'm excited for this!