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  • Top 10 Breast Pump Suction Issues

    Top 10 Breast Pump Suction Issues

    You sit down, get your pump station and supplies ready, and turn on your pump only to find out there’s no suction! Maybe you still have some suction, but you notice a definite difference in the amount and strength of suction.

    Panic starts to set in. What should you do? Take a deep breath. Here are the top 10 most common reasons why your pump has no suction and how to troubleshoot.

     

    Top 10 Ways to Troubleshoot a Pump with Reduced or No Suction

     

    Hand holding breast pump valve

    1. Valve isn’t in place

    One of the first and easiest things to check is the valve and membrane. While air may look like it’s moving from the backflow protector, if the valve isn’t in place, there will not be suction.

     

    2. Valve has a tear

    If you’ve confirmed the valve is in place, look to see if there is a tear somewhere in it. Even just a small tear or disformed piece of the valve can cause you to lose suction. To prevent this issue, replace valves every 3 – 6 months.

     

    Breast pump backflow protector with water on it

    3. Water in one of the components

    Since the CDC recommends washing pump parts after each use, it’s easy for water to stay on the components. To help prevent this from being an issue, keep a spare set of pumping parts to switch back and forth between each pump session.

     

    Breast pump backflow protector with condensation on it

    4. Condensation in the backflow protector

    Even just a small amount of condensation is enough to affect suction. After each pumping session, be sure to take apart all components, including the backflow protectors. Clean and allow to air dry according to the manufacturer’s recommendations. This is another example where having a spare set of pumping parts can be extremely helpful.

     

    Breast pump tubing that is pinched

    5. Tubing is pinched or has a hole

    If the tubing is pinched, something is placed on the tube, or the tube is at an extreme angle, suction can be reduced or diminished. The same is the case if there is a hole or any tears in it. Slowly run your hands along the tubing to look for these issues.

     

    Breast pump with tubing port cover opened

    6. Tubing is not attached or cap is not in place

    This can be common when single pumping with a double electric pump. If the cap that closes one of the suction ports is not in place, there will be no suction. The same rule applies if one of the tubes is not in place correctly when double pumping.

     

    Breast pump tubing with milk in it

    7. Tubing has condensation or milk in it

    This is less likely to happen with a closed system breast pump, but still something to look for when troubleshooting. Any type of liquid in the tube will reduce or eliminate suction. If there is milk in the tubing, be sure to thoroughly wash and air dry it or replace depending on manufacturer recommendations.

     

    Lansinoh breast pump collection kit

    8. Pump or collection kit assembly issue

    If you are unable to determine where the issue is, take apart all the components, put your thumb over the airports, and turn the pump on. If you feel suction, the issue probably lies with the collection kit assembly or one of the components.

     

    Breast pump flange fitting properly against skin

    9. Flange is not flush with the skin

    Often a result of clothing in the way, if the flange is not flush with the skin, a seal will not be created, and suction will not happen. Check to make sure the flange is firmly against the skin and there is nothing between the shield and breast. Your flange size can change during your breastfeeding and pumping journey. If this continues to be an issue, consider changing flange sizes.

     

    10. Check the battery/batteries

    The amount of suction can also be affected by the power source. If you are using a rechargeable pump, it may be time to plug in. If you are using a pump with standard batteries, try replacing them.

     

    Use the manufacturer as a resource

    What if none of these corrected the issue? All breast pump manufacturers have a warranty. If you received your pump through Acelleron, the manufacturer contact information can be found here. You can reach out to the manufacturer directly for additional troubleshooting and warranty information.

    Thankfully, in most cases, a simple walk through of the steps above will help you determine the issue and get back on your pumping journey. If by chance you find yourself talking with the manufacturer and are in need of a replacement, learn how to hand express breastmilk and look to use a manual pump like the Haakaa Gen 2 Silicone Pump in the meantime.

  • Exercise After Baby

    Exercise After Baby

    You’ve just had your little one. Congratulations! Even if your baby isn’t on any kind of schedule, you are itching to get back into some sort of exercise routine. Maybe you are still waiting for the big day, trying to understand how to get back into the swing of things after baby.  You find yourself asking, “When can I start working out? What exercises are safe after pregnancy? Where exactly do I start?”

     

    Your body, mind, and breastfeeding with exercise

     

    Benefits of Exercise

    Working out is more than just losing the baby weight. It can help you start to get back to a sense of normalcy, gives you some much needed “me” time, and sets a great example for any older children you have. Getting back into a consistent workout routine also provides a number of both physical and mental benefits, which are crucial for moms recovering from childbirth.

    When your caregiver gives you the approval to introduce exercise back into your routine, you’ll likely begin to see the following benefits:

    • Reduced symptoms of postpartum depression and baby blues
    • Relieved stress
    • Improved sleep
    • Boosted energy levels
    • Healthy weight loss
    • Increased cardiovascular health
    • Strengthened and toned muscles, helping abdominal area return to pre-baby state

     

    Exercise and Breastfeeding

    Many breastfeeding moms are concerned how exercise will affect their milk supply. The short answer is, it won’t. Kellymom.com, an International Board-Certified Lactation Consultant and trusted resource for breastfeeding moms, provides some peace of mind. Studies have found no difference in milk production or nutrient composition when moms exercise regularly. Contrary to popular thinking in the 90’s, there is also no indication from recent studies that suggest babies reject milk after mom works out, whether the exercise is moderate or exhaustive (high intensity). Moms can feel confident that exercising will not negatively impact their breastfeeding efforts.

     

    When to start?

    First, it’s important to get approval from your doctor before you begin any sort of exercise regimen after baby. In many cases, providers, including the American College of Obstetricians and Gynecologists, agree it is okay for women who have had an uncomplicated, vaginal birth to engage in certain exercises as soon as a couple of days after delivery. This guidance may change if there were complications or a c-section. Before you are discharged from the hospital you can ask the attending physician when you can start working out again, or you can call your OBGYN to get clarification before your return visit. Once you get the go ahead from your doctor, you can start to work on the exercises below.

     

    Exercises

     

    Elvie Trainer components

     

    Kegels – Locate your pelvic floor muscles. Pretend you are stopping the flow of urine or tightening up against a tampon. Contract and release a few times to become aware of these muscles. Now that you have located them, tighten them for 5 – 10 seconds. Relax them. Repeat. For added variation and effectiveness, you could use the award-winning Elvie Trainer, a device that connects to an app on your phone and guides you through targeted exercises with trackable results.

     

     

     

     

    Woman performing pelvic tilt on exercise mat

     

    Pelvic tilts – Lie on your back with your knees bent, feet flat on the floor, and your arms at your sides. Inhale, on the exhale draw your abs in and tuck your pelvis under slightly. To add even more intention to this move, do a kegel while you tuck your pelvis in. Hold for 5 – 10 seconds. Release and repeat.

     

     

     

     

     

     

    Woman performing glute bridge on exercise mat

     

    Glute bridges – Lie on your back with your knees bent, feet flat on the floor hip-width apart. Inhale, on the exhale draw your hips and abs up, lifting your hips off the floor into a bridge, hips and back in a straight line. Squeeze your glutes as if you are pinching a penny between your butt cheeks. Release to the floor and repeat.

     

     

     

     

     

    Woman performing heal slide on exercise mat

     

    Heal slides – Lie on your back with your knees bent, feet flat on the floor hip-width apart. Draw your abs into the spine. Inhale and flex one of your feet. As you exhale, slowly push your flexed heel away from your body until your leg is extended, engaging your deep abdominal muscles. On the inhale, return to starting position, using your deep abdominal muscles to bring your leg back in. Alternate sides.

     

     

     

     

     

     

    Forearm planks – As you start to regain core strength, you can progress to more intensive abdominal exercises such as different plank variations.  Lie face down on the floor with your elbows directly beneath your shoulders, forearms in front, and palms on the floor. Tighten your abs as you raise your legs and core off the ground, keeping neck, core, and legs in a straight line. Modify by keeping your knees on the ground. Hold for 30 – 60 seconds. Repeat.

     

     

     

     

     

    Woman performing side plank on exercise mat

     

    Side planks – Slightly more advanced than the forearm plank, is the side plank. From a forearm plank, shift your weight to one elbow, place your other hand on your hip, or point it up towards the sky. Stack your feet. Lift your hips so your neck, back, and legs are in a straight line. To modify, put the bottom knee on the ground. Hold for 30 – 60 seconds. Repeat.

     

     

     

     

     

    Woman performing forward lunge on exercise mat

     

    Forward lunges – From a standing position, take a long step forward. Lower your back knee to the floor. Keep your front leg at a 90-degree angle, making sure your knee doesn’t go past your toes and the weight is in the heel of your front leg. Raise back up. Stay on one side or alternate between sides to increase balance and cardio.

     

     

     

     

     

    Woman performing squat on exercise mat

     

    Squats – Stand with your feet hip-width apart. Lower your butt as if you are going to sit in a chair, keeping your knees behind the toes. As you lower, keep the weight backwards through your glutes and draw your pelvic muscles in, doing a kegel. Come back up to standing position, push your glutes forward and squeeze your lower abs. Repeat.

     

     

     

     

     

    Woman performing standing march on exercise mat

     

    Seated and standing marches – Sit at the edge of a chair with your feet hip-width apart, back tall, and spine straight. Lean back enough so you feel your core engage but not too far that your spine is no longer in a straight line. On the exhale, slowly bring one foot off the floor a few inches, hold, then release back to the floor. Alternate sides. Progress to standing marches.

     

     

     

    Cardio – Strength training will help you regain muscle, tone, and increase balance. Cardio will help you lose the extra weight gained during pregnancy. There are many ways to get cardio in. Dance, swim, do a kickboxing routine, jump on an indoor cycle or go for a bike ride, use a rowing machine, put your baby in the stroller and go for a walk or light jog. The important thing is to get moving and get your heart rate up.

     

    Things to keep in mind

     

    • Get approval from your caregiver to begin an exercise routine
    • Warm up and cool down
    • Progress slowly but steadily
    • Nurse or pump before working out for comfort
    • Wear a supportive bra
    • Stay hydrated
    • Stop if you feel pain, start bleeding, or leak fluid
    • Your balance may be off while you are breastfeeding or pumping

     

    A note on Diastasis Recti

    Abdominal separation, also known as diastasis recti, is when the right and left sides of the abs or “six-pack” muscles widen and no longer connect. As one of the main contributors to the “mummy tummy”, it’s important to identify and correct diastasis recti. Certain exercises such as sit-ups and crunches can actually increase the separation, having the opposite effect of flattening the tummy area. For more information on how to diagnose and correct diastasis recti, read “Diastasis Recti in Pregnancy: Ab Separation Cause & Treatment” from What to Expect, talk to your healthcare provider, or a personal trainer.

    Remember, your body just went through the amazing process of growing and giving birth to a baby. Give yourself, your body, and your baby time and grace.

  • Breastfeeding and Pumping: Then & Now

    Breastfeeding and Pumping: Then & Now

    Back in 1991, when I had my first child, breastfeeding was not very common. I never saw a mother in public breastfeeding her baby. Pumping and breastfeeding have come a long way in the past 30 years. I can remember my first breast pump. It was a manual pump that was very time consuming to use and resulted in a small amount of milk. While technology has contributed to pumping and breastfeeding growing over the years, laws and regulations have also been implemented to make moms feel confident and comfortable breastfeeding when it is convenient for them.

    Breast pumps were considered a medical device and only used to express milk to feed premature babies that were too weak to breastfeed. It was as recent as 1996 that the now well-known breast pump company Medela made the hospital-grade, personal use breast pumps popular. Medela quickly recognized the high demand for personal use breast pumps and improved on their technology.

    According to the largest study on pumping, “Infant Feeding Practices Study II,” it was not until 2005 and 2006 when 85% of breastfeeding mothers with healthy single-born infants expressed milk from their breasts. Since then, it is common to see breast pumps on baby registries along with all the other baby necessities.

    Acelleron Medical Products employee lactation room
    Acelleron’s Employee Lactation Room

    Since I started working at Acelleron in 2016, I have been amazed to see the different styles and sizes of electric breast pumps. One day at work, a colleague came up to me and asked if I could hear anything. I was perplexed and replied, “No?” She responded with, “Good, because I am pumping.” I couldn’t help but laugh in the moment. Later in the day I was still thinking of this interaction because during my pregnancies, you didn’t really discuss the fact that you may be pumping never mind bringing it up at work. It was a topic you only ever discussed with your mom and your doctor. Pumping was always done in your home, now many offices have separate rooms for the mothers to pump. For the comfort of mothers, these rooms are meant to be decorated in a relaxing and soothing aesthetic.

    Each time Acelleron holds a new product demonstration to show the latest and greatest breast pump, I am more amazed at what the pumps can do. In fact, some pump manufacturers now have an app that you can download on your phone that helps track the amount of milk you are pumping, how much time you spend pumping, and the amount of milk your baby is receiving. Furthermore, these apps have alarms to remind you when to pump. There are even freestanding apps, such as those in this exculsivepumping.com article, that offer the same tracking options without connecting to a pump. I used to have to manually track these, and let me tell you, my sleepy self, and pumping in the wee hours in the morning probably wasn’t the most accurate tracking.

    Mom looking down at breastfeeding babyAll 50 states have legalized breastfeeding in any public or private location and employers are obligated to allow you to breastfeed or pump on your breaks in a place other than a bathroom. These laws and regulations have made breastfeeding and pumping much more convenient. The convenience does not stop there – moms can now breastfeed in an instant. I can say that this would have been an incredible benefit during my pregnancies – I just think of the times I was waiting for a bottle to heat up with a screaming baby in my arms.

    There has been a movement by modern moms to breastfeed in public. While I agree that moms should be able to breastfeed wherever they see fit, however, to produce more milk you must feel comfortable in your environment. So, if you are like me and do not like others staring at you, the best option is to cover up. With the influx of moms breastfeeding, laws and regulations have been instated to ensure your safety and comfort. If you are ever in the scenario where an adult is harassing you for breastfeeding, it is in your rights to contact the police. This What To Expect article has some great tips for breastfeeding in public success and what to do if someone challenges your right to do so.

    Although there has much progress over the past 30 years, we still have a way to go. Will we ever get to the point where breastfeeding in public is accepted by all? Only time will tell but with more and more moms joining together, I am confident positive change will continue to happen.

     

    Written by Terri Pomerleau, Operations Specialist at Acelleron.

  • Getting a Breast Pump Through MaineCare and Acelleron

    Getting a Breast Pump Through MaineCare and Acelleron

    If you have Maine Medicaid, also known as MaineCare, Acelleron can help you get your free breast pump!

    The Affordable Care Act

    According to the Office on Women’s Health, “The Affordable Care Act (2010) requires most health insurance plans to cover the cost of a breast pump as part of the women’s preventive health services. These rules apply to most commercial and private insurance plans, except grandfathered plans. The majority of state Medicaid plans also cover a breast pump, however because states run their own Medicaid programs within federal guidelines, different states have different rules.”  The good news is, Maine Medicaid covers breast pumps!

    Medicaid logo

    MaineCare Breast Pump Coverage Details

    MaineCare allows you to obtain one electric breast pump per pregnancy at no cost to you. You can place your order with Acelleron at any point during your pregnancy. Keep in mind, MaineCare only allows the pump to be shipped one month prior to your baby’s due date.

    Additionally, MaineCare covers up to 120 breastmilk storage bags a month while you are. Just fill out this form to get your breastmilk storage bags.

    Acelleron Helps You Get Your Breast Pump With MaineCare

    Choosing Your Pump

    With all the options out there, we know it can be overwhelming to decide what pump works best for you and your baby. That’s why we offer a FREE Pump Exploration Webinar to help make this decision easier. During this on-demand webinar, you learn about types of breast pumps, things to consider, breast pump brands, general use, and more! For a quick look at the differences between the pumps, check out our Breast Pump Comparison Grid.

    It’s As Easy As 1, 2, 3…

    Getting your breast pump covered by MaineCare has never been so easy!

    1. Select your MaineCare insurance plan and state of Maine on our form: We will verify your coverage, and if needed, obtain a prescription from your doctor.
    2. Pick your pump: Use our brand and feature filters to find the pump that will be best for you and your baby. Then, fill in the rest of the form to submit your order!
    3. Free shipping to your door: Your pump will arrive approximately 30 days prior to your due date. If you are a UHC Community Plan of NJ member, we can ship any time during your pregnancy.

    MaineCare Moms, get started now!

    The Acelleron Difference

    After you get your pump, we are still here to support you! Learn the ins and outs of your pump with a FREE Unbox Your Pump virtual consult. One of our pump experts will give you a brief overview of your pump, key features and benefits, what it comes with, how to setup and clean it, and give you some great tips & tricks!

    MaineCare expecting families can start their breastfeeding journey off on the right foot with our FREE online Breastfeeding Education Classes after you order your pump.

    Plus, have access to our Knowledge Center, Baby, Breast, and Beyond blog, and become part of our online community for support, inspiration, and exclusive access to special deals and discounts.

    Additional Maternity Support Products

    MaineCare also covers blood pressure monitors for gestational hypertension, as well as maternity support products such as a support band and compression socks, if they are medically necessary. To get your maternity support products, answer these qualifying questions.

  • Which Pump Is Best?

    Which Pump Is Best?

    Out of all the things that come with preparing for a new baby, choosing your breast pump is often the last thing on the list. Whether this is your first baby, or you are a seasoned pro at this mom thing, choosing a breast pump can be overwhelming. There are so many choices out there. How do you know which one is the best? The truth is there is no “best” breast pump. Sure, your provider or friend may recommend one but ultimately, your breastfeeding (and pumping!) journey is unique to you and your baby. The best pump for you is determined by your individual needs and wants. When determining which pump is right for you, there are a handful of things to keep in mind.

     

    Choosing the best pump for you

     

    Types of breast pumps

    Breast pumps can be divided into four categories:

    • Hospital-grade breast pumps: Heavy duty, double electric, multi-user breast pump built for a hospital setting. Typically used to establish milk supply for moms whose babies either cannot latch to their breast or are having a difficult time with breastfeeding. If you will be exclusively pumping, a hospital grade pump may be the best option for you. Most moms who choose to use a hospital grade pump rent them as they are very expensive to purchase. If you find you would like to purchase or rent a hospital grade pump, we can help you with that!
    • Electric breast pumps: These are the most common type of breast pump, as they are usually covered by your insurance and more affordable than the hospital grade pumps. Most electric breast pumps in the U.S. are double electric pumps, which enable you to pump both breasts simultaneously, saving time. Whereas the single electric you can only pump one breast at a time. Electric breast pumps usually are powered via a cord plugged into an electrical or USB outlet and/or have battery option capability.
    • Wearable breast pumps: These are quiet and compact pumps that fit over each breast. They have gained popularity over the past couple of years as they are completely hands-free (no tubing or wires and fit right into your bra) and completely portable. They are expensive, as they typically cost around $500, but not as expensive as a hospital-grade pump. We recommend this type of pump to either an experienced pumper with an established milk supply, or as a portable backup pump (e.g. pumping at work).
    • Manual breast pumps: These are generally, more affordable, smaller, and lighter than the other types of pumps, but typically require more effort and time to pump. These are useful in the absence of electricity, on car rides, and for moms to who do not frequently pump.

     

    Features to consider

     

    Woman stretching while wearing breast pump

    • Size and Weight: If you plan on returning to work or traveling for pleasure, you may want to consider a small, lightweight, electric breast pump. As a quick example, the Spectra S1 pump is much larger and less discrete than the Ameda Mya Joy, or Medela Freestyle Flex. These pumps can fit discreetly into your purse, bag for work, or a dedicated breast pump bag.
    • Battery Operated: Another feature to strongly consider no matter if you are pumping at home, going back to work, or traveling. While most electric pumps are powered via a cord plugged into an electrical outlet, some come with the option of inserting AA batteries, a rechargeable battery or even a USB charger, making it easier for you to pump while moving around your house, at work, or on the go.
    • Adjustable Settings: A pump with adjustable suction strength and cycle speed settings will allow you to customize your pumping experience. The more suction and cycle levels a breast pump offers, the more comfortable and effective your pumping experience will be.
    • Ease of Use: While some moms like lots of buttons and functionality, others feel the easier to use the better. For those moms, we recommend a pump like the Medela Pump In Style. This is a great pump for simplicity and ease of use.
    • Warranty: Electric breast pumps typically come with either a 1- or 2-year warranty on the motor and a 90-day warranty on the parts (tubing, shields, valves). Make sure you check the warranty length for each pump you are interested in.
    • Noise Level: If you’ll be pumping around people or at work, you may want a pump that is quiet. The decibel levels of electric breast pumps have improved over the last 5 to 10 years but there still are some differences! The wearable pumps tend to be the quietest.
    • Connectivity: If you want to track and monitor your pumping time and the amount of milk you are expressing, then you should consider a breast pump with Bluetooth connectivity and an app. Typically these apps allow you to track your pumping sessions and allow you to enter the amount of milk you expressed. Some of the pumps with Bluetooth connectivity include but are not limited to Elvie, Willow, Lansinoh Smartpump 2.0, and the Medela Flex and Sonata.
    • Ease of Access: Another thing to consider is how easily and quickly replacement parts can be obtained. Do you prefer to purchase a pump brand that is sold in retail stores near you or are you okay with purchasing spare parts online? We recommend the peace of mind approach! You should purchase an extra set of replacement parts to have handy and in case something happens to the ones that came with your pump. Imagine how stressful it can be if all of a sudden a valve tears and you have no suction?

     

    How Acelleron can help make this decision even easier

     

    To help make this decision easier for you, we have several other resources. Download our Breast Pump Selection Guide or register for our free On-demand Pump Exploration Webinar. Our Pump Experts review key breast pump parts, top brands, how to choose and use the best breast pump for your needs and preferences, as well as pumping tips, accessories to consider, and more! Best of all, you can access this webinar at your own pace.

    Each mom’s breastfeeding journey is unique. The “best” pump is the one that suits you and your baby’s individual situation. Remember, we are here to help! When you order your pump, feel free to ask as many questions as you like. We have product experts and lactation consultants ready to answer any question you may have.

    We got you mama!

  • Your Personal Guide to Ordering a Breast Pump Online

    Your Personal Guide to Ordering a Breast Pump Online

    Whether you are a first-time mom or one who has breastfed multiple times, we know you have countless decisions to make throughout your pregnancy. Let us make choosing and receiving your breast pump, simple and easy.

    Acelleron’s mission is to help mothers achieve their breastfeeding goals, whether that’s one month, six months, one year or more. Everyone’s journey looks different, and it can take some time to figure out what will work best for you. For many breastfeeding moms, pumping becomes a necessity at some point, whether you are going back to work, traveling, or have other children to take care of.

    We hope that by providing high-quality, top-rated breast pumps, and many cost-effective mom and baby essentials, you will be able to start this exciting journey with your new little one, with one less thing to worry about. Getting your breast pump should not be a difficult task; if anything, it should be fun and easy! Pumps are now more comfortable, quiet, efficient, and more portable than ever, making it easy to pick one to best fit your ever-changing lifestyle. Our simple online ordering tool allows you to review and select from many pump brands, based on your insurance coverage. Place your online order, and we will take care of the rest!

     

    Women on bed using computer

    Your Personal Guide to Ordering a Breast Pump Online

     

    In this guide, we will answer the most frequently asked questions when placing an online order.

    What information will you need?

    • The correct insurance information, specifically your most up-to-date primary and secondary (if applicable). We need your insurance name, and member/policy ID number listed on your insurance card. Some member/policy numbers will have a leading letter prefix, which we also need. Selecting the incorrect insurance plan online may delay the order.
    • Your date of birth is vital for verifying your insurance coverage; in most cases, we cannot verify insurance without it.
    • The best phone number to contact you.
    • Your most up-to-date address, including any Apt or Unit numbers. This information is crucial when it is time to ship your breast pump. However, if you need to change your address before we ship your pump, just contact our customer care team.
    • Your full name as it appears on your insurance card. If your last name is hyphenated, please provide both.
    • An email address is a must. This is important when trying to contact you with the status of your order. When your pump is shipped you will also receive the tracking information directly from the shipping carrier, so you can track your package.

     

    Does my insurance cover the breast pump?

    • Most insurance plans cover breast pumps for expectant or lactating mothers under the Affordable Care Act (ACA). Under the ACA, signed into law in 2010, insurance companies were required to cover preventive health services and breastfeeding equipment for pregnant and postpartum women. Coverage can vary by the insurance company and policy type. We will verify your breast pump coverage once you have placed your order.

     

    Find out what pumps your insurance covers here!

     

    Why isn’t my insurance listed?

    • The insurances in the drop-down menu are the insurances we either are in-network with or have a trusted partner to refer you to. However, if your insurance name or state of residence is not available, this is an indication that we are not in-network with that insurance and do not know a trusted provider to send you to. If you are unsure, you may contact us or call (877) 932-6327 to speak with our knowledgeable customer care team.
    • In-network provider refers to a health care provider that has a contract with the health insurance company to provide care and services to plan members for a specific allowable rate.
    • Out-of–network provider refers to a health care provider that does not have a contract with your health insurance company. Going to an out-of-network provider may result in you receiving a bill for a product or service.

     

    What is a deductible, and how do I know if I have one? 

    • Under the ACA, breast pumps are not subject to a deductible or co-insurance like other medical products or services. The deductible is the out-of-pocket responsibility of the policy holder before the insurance company will pay for medical products or services. Keep in mind, breast pump upgrades are different.
    • You should always speak with your insurance provider directly when determining whether a service is applied to your deductible.

     

    What if I have more than one insurance plan?

    • You can provide this information in the insurance fields on the order form if you are covered under more than one insurance plan. This information is crucial when verifying your eligibility and determining which plan will provide coverage for the breast pump. Not providing all insurance coverage plans at the time of your order, could result in your claim getting denied directly from your insurance provider.

    Ex: If you have commercial insurance through your employer this will always be primary to any Medicaid (state-funded) insurance coverage you may have.

     

    Do I need a prescription? What if I do no have a prescription? 

    • A prescription is needed to submit the claim to your insurance. If you do not have one before placing your order, not to worry! We can request a prescription on your behalf. You will have the option to upload a prescription with your order; your doctor may have provided this to you. Otherwise, you can enter your OBGYN or midwife’s name and office information, which we will then contact.
    • We will submit a prescription request twice to your physician’s office. Please keep in mind that we prioritize orders by delivery/due date. Once we obtain a prescription, we will call or email to confirm and finalize your order.

     

    When can I receive my pump? 

    • You may be eligible to receive your breast pump before your baby is born, but this is dependent upon your insurance plan’s guidelines. Many insurance plans allow dispensing of the pump between 1 to 4 months prior to your due date. However, some insurance and Medicaid plans require the baby to be born before receiving your breast pump. We will notify you of these specific guidelines.
    • If your insurance plan requires the baby be born before we can ship your pump, do not worry. Our shipping carrier delivers Monday through Friday and on weekends. Weekend deliveries will depend on your area.

     

    Can I return my breast pump once it has been opened? 

    • Breast Pumps are considered a personal hygiene product, and therefore, cannot be returned or exchanged if the seal on the box has been broken. The breast pumps we carry come with a warranty directly from the manufacturer. Most of the pump brands provide a one- or two-year warranty. If your product is not performing as expected, we encourage you to call the breast pump manufacturer’s customer service department for assistance.

     

    Acelleron is here for you, mama!

     

    OrderMyPump.com

  • Knowing Your Insurance Plan

    Knowing Your Insurance Plan

    At a recent visit to your doctor’s office, it was determined you may benefit from a certain type of home medical equipment (i.e. a breast pump, nebulizer, blood pressure monitor, etc.); so your physician faxed us a prescription and either provided the product directly to you, or we shipped to you! Your doctor may have explained that your insurance “covers” this product.

    Weeks later, you receive an explanation of benefits (“EOB”) from your insurance. Shortly thereafter, you receive a bill from Acelleron and you may be asking yourself:

    • Who is Acelleron?
    • What are these charges for?
    • I thought my insurance was billed for this equipment?
    • Why isn’t the equipment “covered” by my insurance?

    Do not worry! These are common questions when it comes to a commercial/private health insurance plan, and thus we want to educate you. Before we get started, here are some key terms you should understand:

    • Deductible – the amount of money the member/family must pay out-of-pocket each year before your insurance begins to pay.
    • Co-insurance – the percentage of health service cost the member/family must pay after your deductible has been met (i.e. 80%/20% means your insurance pays 80% and the member pays 20% of the product or service).
    • Co-pay – the amount due at the time of your service, per office visit.
    • Out-of-Pocket Maximum – The maximum amount of medical expenses the member/family will have to pay each year before your insurance will cover remaining expenses for that plan year.

    To calculate how close you are to reaching your out-of-pocket maximum, you would add your deductible, co-insurance payments, co-payments and then subtract that from your plan’s designated out-of-pocket maximum. Once you reach the maximum, your insurance should cover all costs.

    These key components to your insurance are typically found on the front or back of your insurance card and will help you understand why you are receiving a bill from Acelleron. And by the way, who is Acelleron? That’s easy! Acelleron was the home medical equipment provider your physician sent your order/prescription to. Physicians will typically refer their patients to home medical providers that provide high quality products and services that meet their patient’s needs.

    What does “covered” mean?

    And, what about your question about the equipment being “covered” by your insurance? Due to the rise of deductible insurance plans there has been increased confusion about what is a “covered” product or service. The truth is, “covered” now means your insurance recognizes and will pay for that product or service code, however if your plan has a deductible or co-insurance, you will be responsible for meeting those thresholds before your insurance picks up the tab.

    If you have further questions about your insurance plan, we always recommend you call your insurance member services hotline as they can help you understand the key components to your specific insurance plan. The member services phone number should be on the front or back of your insurance card.

    And while you are on the phone with member services, do not hesitate to ask a few more critical questions that will help you make better decisions when it comes using your insurance. Below are some other questions you may want to ask:

    • When can I get new equipment?
      Your specific plan may have restrictions on how often you can receive (or replace) this equipment. For example, most insurance plans cover one breast pump per pregnancy/birth. Yet, there are a few that have more restrictions, such as one breast pump every two or three years. If your insurance is the same as when you last received this equipment and the equipment no longer works, check the warranty, and if under warranty, call the manufacturer to have the device repaired or replaced. 
    • Are accessories or replacement parts covered by my insurance?
      Depending on your insurance and the specific accessory or replacement part, it may or may not be covered. Your insurance can explain if and how often these parts can be replaced so that they are covered through your insurance. For example, most health insurance plans in the northeast do not have sufficient coverage for breast pump replacement parts. If they are not covered, we suggest purchasing these products online. However, a nebulizer cup and tubing kit is typically covered one every six months.
    • Are breast pumps free through my insurance?
      Usually, but there are exceptions. Under the Affordable Care Act (“ACA”), health insurance companies must cover a breast pump with no out-of-pocket costs. While most plans follow the ACA and will allow one (1) breast pump per pregnancy, there are instances where the ACA is not followed (specifically grandfathered plans and individuals under age 26 covered under a parent plan.)  Knowing your plan guidelines for receiving/accepting a breast pump is important.

    Written by Cheryl Fillmore, Director of Revenue Cycle at Acelleron.

  • Hands-Free and Happy

    Hands-Free and Happy

    I guess I am dating myself by saying the only option out there when I first started pumping was the Medela “basic” breast pump, and I was not even aware that I could get one through my insurance. It’s amazing that there are so many breast pump options available now to accommodate both stay-at-home moms and working moms, and the huge plus of it all, they are covered by insurance!

    I was given a Medela breast pump by my sister-in-law who never used hers. Holding the flanges on and feeling tied down to my pump was emotionally and physically exhausting. I had a really hard time pumping and nursing with my first baby (he was in the NICU at first) because I was not fully educated, and I was told to pump every hour around the clock by a nurse, which lead to an overproduction and borderline mastitis! I gave up, which is so disheartening to a mom, especially a first-time mom.

    The life-changing pumping accessory

    Fast forward two years later, when my second baby was born. A friend told me about a hands-free pumping bra and how much it changed her life when she pumped, and wow, changing my life while pumping was an understatement! According to undercovermama.com:

    “If you’re pumping more than once a day, a hands-free bra can be life-changing. Instead of holding the breast shields up for 15 minutes or more, you’re free to work on a laptop, read a book, or eat dinner while you pump!”

    Especially after having my second with a toddler in tow, being able to multitask was so important; sitting with him and reading him a book while I pumped, holding my newborn while pumping extra milk, or being able to hold my phone in the middle of the night to binge watch Greys Anatomy on Netflix. This was life changing! I ended up purchasing two more of the hands-free bras because I used them so much, and I could barely keep up with washing them. And, you know what else? It helped me avoid spilling breast milk, and we all know how we cry over spilled milk…literally!

    Another benefit about being hands-free was the ability to pump in the car while my husband was driving as we were on our way out to our first date night. Hands-free pumping bra, pumping cover, and I was ready to go!  I had finished my pumping session by the time we got to the restaurant!

    Pumps have become more portable, too

    I’m not sure if moms these days are aware of all the portable breast pump options available to them (I had to plug my pump in and be tied to it most of the time). For example, there are many portable options that have built-in rechargeable batteries and using one of those pumps, along with a hands-free bra, completely sets you up for success! Did you know there are even a couple wearable pump options that can go right into a nursing bra, making the entire pumping session completely hands-free?! For example, the Elvie breast pump is the world’s first silent wearable breast pump that fits in to your bra with no tubes, wires, or noise. This pump also automatically switches from stimulation into expression mode when it detects let-down and will pause when the bottle is full.

    Looking back, I wish I was aware of these essential items to help make pumping easier. No one tells you about the difficult things that come along with an amazing bundle of joy. I can truly say that one of the hardest things for me, other than no sleep, was learning how to nurse and pump to the best of my ability. I only pumped for five weeks with my first baby, but with my second, eight months. A lot of this had to do with not only how much more I was learning about nursing and pumping, but the fact that I could be hands-free! The possibilities about what I could do while using the hands-free bra were endless. Also, before I started using the bra, I would time sessions and become bored, anxiously waiting for the 15 minutes to be up. Being hands-free, I would sometimes lose track of time and pump a little more, which was great for my milk supply!

    These little things to make pumping and nursing easier when you are adjusting to be a first-time mom, or maybe a second or third-time mom, are essential in being a happy and more relaxed mama!

     

    Guest Post Written by Shelby McLaughlin, mama of two.

  • Food Allergy Basics: A Mom’s Story

    Food Allergy Basics: A Mom’s Story

    When you think of food allergies, I bet one of the first things that comes to mind is “PEANUTS!” Up until I had children of my own, that is exactly what I thought of whenever I heard about food allergies or EpiPens.

    I gave birth to my first child, a son, in July of 2015. My husband and I were so excited to finally have a child of our own, and I was very passionate about breastfeeding. Our baby arrived three weeks early and from the get-go he was full of surprises.

    I had a difficult time breastfeeding (thank goodness for my breast pump), and my son had a hard time gaining weight due to the astronomical amount of times he spit up. His pediatrician told us he may have a dairy intolerance and asked us to bring a stool sample to be tested. The results came back negative, and he was diagnosed with acid reflux at his one month well visit.

    I continued to breastfeed, and I also decided to eliminate dairy from my own diet to see if that helped at all. And it did! He was thriving and nursing so much better within a few weeks. Plus, I was able to quickly get rid of the baby weight I had gained. Seemed like a win/win situation.

    Fast forward to when he was 7 months old, my niece, who was 13 months at the time, wanted to share her yogurt with her cousin. He barely tasted it, and I received a frantic call from my sister saying that he was very swollen all over and had red hives. I ran out of work and called his pediatrician immediately. Thankfully, the swelling went down, and he was back to being a happy baby after some Benadryl.

    The next day we were seen by his pediatrician. She ordered blood work and tested him for dairy allergies. We received a call later that night stating what we had suspected – he had a severe food allergy to dairy and all dairy products. Suddenly, it all made sense… what appeared to be reflux was actually a dairy food allergy. He would spit up so much in the first few weeks of life because his little body was rejecting my breastmilk that had dairy traces in it.

    So of course, as any parent would, I started doing some research. We brought him to an allergist, and they confirmed many food allergies by a skin test: dairy, any dairy products, peanuts, all tree nuts, sesame, and sunflower. Already feeling defeated from the dairy diagnosis, I felt even worse because we had used almond milk instead of cow’s milk to wean him off breastmilk at 13 months.

    This is when the real challenge began. I had to read and re-read all food labels and educate myself on what the key words were to avoid. Suddenly, anything that was easy to cook or a quick snack I could grab for him were out of the question. No yogurt, no cheese, nothing with butter, no peanut butter sandwiches, which translated to no granola bars and pretty much any food that was prepared by anyone else but me. Going out to eat was impossible and terrifying!

    Having learned so much in my journey, I would like to share some facts1 about food allergies:

    • What exactly is a food allergy? A food allergy is when your body’s immune system reacts to a food protein because it has mistaken that food protein as a threat. Symptoms can range from mild to life-threatening.
    • You can have an allergy to literally ANY type of food, but there are 8 top food allergens:

    1). Milk (cow’s milk)
    2). Egg
    3). Peanut
    4). Soy
    5). Wheat
    6). Tree nut
    7). Shellfish
    8). Fish
    9). Sesame (quickly becoming the unofficial 9th allergy)

    • There are 32 million Americans with food allergies, 6 million of those people are children.
    • Some children may outgrow allergies such as milk, egg, wheat, and soy, but peanut, tree nut, fish, and shellfish are usually lifelong.
    • There are two types of allergy testing: skin test and blood work.

    One aspect I am thrilled about is that allergy friendly foods are a lot more accessible now, even from just 5 years ago. By the time I had my daughter in 2017, it was much easier to manage her allergies due to all the options that became mainstream after she was born.

    Here are some of my go-to brands for top 8 allergens:

    Whether your child has allergies or not, I hope my experience can help you understand the challenges, as well as some tips to overcome those challenges. No matter what, moms will do just about anything for their children’s safety and well-being, even if it means pushing yourself to your culinary limits!

    1 Source: www.foodallergy.org

     

    Written by Connie Gregorio, human resources specialist at Acelleron and mom of 2 food allergy kids.

  • Aetna changes breast pump policy for the better!

    Aetna changes breast pump policy for the better!

    Being an Aetna in-network breast pump provider, Acelleron is excited to learn that Aetna has revised their Breast Pump Clinical Policy Bulletin to state that a “replacement standard electrical breast pump is considered medically necessary for each subsequent pregnancy, for initiation or continuation of breastfeeding during pregnancy or following delivery.”

    Previously, Aetna only covered one breast pump every three years since the Affordable Care Act went into effect back in 2013. This brings Aetna’s coverage in line with most of the insurance companies we work with.

    • Aetna considers “a manual or standard electric breast pump medically necessary during pregnancy or at any time following delivery for breastfeeding.”
    • Aetna considers “a manual or standard electric breast pump medically necessary for women who plan to breastfeed an adopted infant when the above listed criteria are met.”

    If you qualify for a replacement breast pump through Aetna, click here to submit your order.

    It is also important to understand that some Aetna plans do not follow the Affordable Care Act requirements for coverage of breast pumps. This includes grandfathered plans, or otherwise exempt plans. Employers with grandfathered plans may choose not to cover breast pumps, or include cost share (deductible, copay or coinsurance).

    Lastly, Aetna’s policy on breast pump replacement supplies remains the same: “for comfort and convenience (replacement polycarbonate bottle; replacement cap, nipple or lid for breast pump bottle; and replacement locking ring) are not covered.”

    Order your breast pump today!

    About Aetna and CVS Health

    Founded in 1853 in Hartford, CT, Aetna is one our nations’ largest commercial and Medicaid health insurance providers for individuals, employers, health care professionals, and producers. Aetna is now a subsidiary company of CVS Health Corporation.

    CVS Health is the nation’s premier health innovation company helping people on their path to better health. Whether in one of its pharmacies or through its health services and plans, CVS Health is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless.

  • Labor Support: Introducing the “Don’t Ask, Lead” Strategy

    Labor Support: Introducing the “Don’t Ask, Lead” Strategy

    A Breakdown in Decision-Making

    If you have ever experienced brain fog, forgetfulness, or a difficulty in making decisions during pregnancy, you are not alone. These symptoms, often referred to as “baby brain,” have actually been studied and validated in several published research studies.[1] Results conclude that pregnancy does in fact alter the brain, and one of the changes that many women experience is a difficulty in decision-making.

    Some real-life examples that we have witnessed include:

    • Feeling like the mind is stuck in a loop while trying to figure out which swaddle blanket should be added to the registry
    • Getting irritated when a partner asks the question “What should we order for dinner?”
    • Second-guessing a choice of crib, glider, or diaper pail
    • Flip-flopping on a decision about the baby’s middle name

    Making decisions during pregnancy can be difficult and making decisions while in labor can be close to impossible. However, learning about how the brain’s ability to make decisions during pregnancy is impaired will help partners plan their strategy for labor support more effectively. We recommend a strategy we call “Don’t Ask, Lead.”

    Breaking Down the Don’t Ask, Lead Strategy

    The key to this strategy is to avoid asking questions. It might take a bit of creativity, but usually any question can be transformed into a statement. We recommend partners providing support to avoid phrases like “Do you want…” and “Which…” and “Are you…” because these will all require you to make decisions, causing further stress. Instead, they can turn these questions into phrases like “How about we..” and “Let’s try…”

    Here are some real-life examples from the labor and delivery room that demonstrate this technique:

    • Instead of “Do you want to change positions?” use the phrase “Let’s try the hands and knees position.”
    • Instead of “Do you need to go to the bathroom?” use the phrase “How about you go to the bathroom after the next contraction.”
    • Instead of “Do you want a sip of water?” use the phrase “Here is a sip of water” – and specifically, say this while holding the straw of a water bottle close to her mouth

    Next Steps for Families

    This strategy is simple, but it might feel uncomfortable at first. To overcome this initial awkwardness, we recommend that partners practice using statements instead of questions during the lead up to labor.

    The first and most important step is to make sure that everyone is aware of the strategy. I have heard from partners that they don’t think it will be effective if they tell their partner what to do. Keep in mind, though, that leading is different from demanding. A lot of this difference stems from the tone of what is being said. For example, the phrase “How about you go to the bathroom” has a gentler tone than “Go to the bathroom.” If there are problems trying to figure out how to phrase something, they can stick with the following three phrases: “How about,” “Why don’t we,” and “Let’s try.”

    Finally, if there is annoyance that results from this strategy during labor and birth, partners can always blame the strategy itself.  They can use the phrase “just trying out the don’t ask, lead strategy” so you know that communication has changed for your benefit, even if it might initially seem annoying. More importantly, try not to let criticism put an end to valuable support in labor. Ready to start this conversation? How about you forward this blog to your partner?

    For more tips, techniques and actionable skills for Dads and partners preparing for labor, check out the SupportingHer online course.

    Guest post written by Alice Turner. Alice is passionate about helping families have a positive birth experience. In addition to her work as a birth doula and childbirth educator, Alice created an online childbirth class specifically for partners called SupportingHer.

     

    [1] https://www.mja.com.au/journal/2018/208/1/cognitive-impairment-during-pregnEancy-meta-analysis

  • Mama, we are in this together

    Mama, we are in this together

    The world as we know it is undergoing a lot of change and so are you, mama. If you are expecting, it is likely that you are experiencing some extra emotions as you prepare to welcome your new baby. While COVID-19 data is still being processed and some of your questions are still left unanswered, healthcare professionals are recommending that pregnant women take extra precautions to stay safe.

    You may be asking yourself how will my birth experience change? Which baby items will be essential to have? How can I manage my stress and anxiety during such an unsettling time? As we all continue to navigate through this ever-changing situation, what we do know is that we are all in this together, and without a doubt, we will get through it. Community is important now more than ever, and we are here for you – let’s stick together.

    We have rounded up some helpful resources and tips to guide you as you prepare to meet your little one.

     

    Embrace What is in Your Control

    While some things may be out of your control, your energy and mindset can be shifted towards the things that you do have control of so that you can stay positive.

    Your Home

    If you are hunkered down at home, now may be a good time to work on the nursery, a guest room, or anything else around the house that you planned to get done before your baby’s arrival. This is a great opportunity to get organized and spend some quality time with your partner, in the safety of your cozy home. Trying to stay active? Setting up an area for workouts, yoga, meditation, or a home gym can help you to stay on track with exercising, before and after your bundle of joy arrives.

    Finances

    Due to the economic shift that the pandemic has triggered, many people around the world are experiencing changes in their employment status and finances. One way to gain better control of your funds is to build a baby budget. Creating a budget can be a helpful way to prepare for new expenses and prioritize new goals. This is also a good opportunity to set up any accounts that you planned to create for the baby’s college fund since the market is low.

    Ordering the Essentials

    Perhaps your baby shower is being postponed or you just want to make sure that you have the necessities that you will need. Create a list of your holy-grail products and essentials (for you and baby) so that you have them ready. Don’t forget to order your breastfeeding supplies like breastmilk storage bags, bras, and of course your breast pump, which is covered by insurance.

     

    Managing Stress and Anxiety

    Whether it’s from catching up on the latest news or hearing from a concerned family member, it’s normal to feel worried or overwhelmed with emotions. Here are some simple tips on how to manage those uneasy feelings.

    Prenatal Yoga

    Yoga is an excellent way to relax so that you can feel calm and centered, even when the world around you may seem chaotic. It is also a great way to stay fit and prepare your body for childbirth. Not only does yoga help to reduce stress, but some of the other health benefits include improved sleep, decreased lower back pain, reduced nausea and headaches. We found a 20-minute prenatal calming yoga routine that you can do right from home. If you prefer a live studio experience, there are some sites that offer online yoga classes with instructors such as, Flow Yoga or the Peloton App, which is currently offering a 90-day free trial.

    Meditation & Breathing Practice

    Like prenatal yoga, there are many health benefits to meditation and breathing exercises. This is another great way to embrace mindfulness and help you feel as cool as a cucumber. Click here for a 10-minute meditation and deep breathing practice for expecting parents.

    Create a Playlist

    Music is good for the soul! It can be soothing, therapeutic, improve blood flow, and lower your stress-related hormones. You can practically create a playlist for anything these days, whether it be spiritual, motivational for your workouts, or even a birth playlist to get you through those contractions. Mama, sometimes all you can do is dance. Have fun with it and let those endorphins roll!

    Song suggestions:

    • Here comes the Sun – The Beatles
    • Brave – Sara Bareilles
    • Hallelujah – Jeff Buckley
    • Just Breathe – Pearl Jam
    • You Can Do It – Ice Cube/Mack 10
    • Run the World – Beyoncé
    • Push It – Salt and Peppa

    Take a Walk or Spend Time Outdoors

    Staying home doesn’t necessarily have to mean staying inside. Spring is here, and it’s time to enjoy some fresh air and sunshine. Vitamin D has many benefits, and the good news is that you can get a little extra from the sun – just don’t forget to wear your sunscreen. Remember that it’s not always safe to walk too far from home while pregnant, so grab your partner to see if they want to join you for a healthy stroll.

     

    Classes and Doctors’ Appointments

    It is likely that your upcoming childbirth, infant care, or breastfeeding classes may have been canceled or that your in-house OB office visits are now conducted via telehealth phone calls. I assure you that your health care providers are doing everything they can to create a game plan too, so it’s important to work together. Explore and keep track of what prescriptions you may need in the coming weeks, such as a script for prenatal vitamins or your breast pump. I also recommend staying in touch with your providers on any upcoming changes or policies that they foresee impacting your situation or birth plan.

    Another good idea is to keep a journal in case you experience any changes to your health and to document your Q&A’s in between appointments. After all, you do have a lot on your mind, so jotting it all down may be a helpful way to stay organized. Depending on your health, your providers may also suggest using a scale to document your weight or ordering some things like a home blood pressure monitor or urine protein testing strips that you can use from home. But, always follow the guidance of your caregiver as it relates to your health and the health of your baby.

    While in-person hospital tours and classes may not be an option right now, here are some alternatives for education and support.

    Online Childbirth Classes

    Breastfeeding Education

    Support and Community

    Exploring online support groups and community forums is another alternative to interact with expectant moms or new parents, especially during times where we may feel isolated. You may be able to find conversations that relate to some of the same things that you are experiencing. Many of these groups can be found online or through social media platforms.

    Resources and Additional Education

    Knowledge is power, and we want to help you to stay informed and safe. Here are some supporting articles and resources to safely guide you through this time.

    Lastly, it is so important to remember that although you may be facing some challenging times, where there is life, there is hope. Bringing your baby into the world is going to be one of the most incredible days of your life. Take care of yourself. Take things day-by-day and do what is best for you and your family. While your birth experience and the days soon after may look a little different than you expected, these moments will still be just as monumental. Remember that the goal is for you and your baby to remain healthy and safe. You are strong, you are resilient, and you can do this.

    Written by Kristen Quinn, mama and Certified Lactation Counselor at Acelleron.