Experience the Ameda difference for yourself.

Fill out the following form to see if you qualify for a free Ameda pump through your insurance. One of our trusted partners will be in contact with you once your form has been completed and received.


Nurturing your body to nourish your baby starts here.

  • Step Two

    Personal Information

  • Step Three

    Permissions

  • Step Four

    Summary & Submission


Personal Information

Please fill out the following information as it applies to the patient.



Female
Male
Yes
No
Enter the healthcare provider information of the doctor who prescribed the breast pump

Permission

Select "Yes" to allow us to share your information with one of our trusted partners.

Yes, I give my permission to share information with supplier.
No, I do not give my permission to share information with supplier.

*Please note: If you select no, we will be unable to share your information with a pump supplier.

We respect your privacy. To learn more about our HIPAA compliance, click here.

Summary & Submission


Shipping State :
Insurance Plan :
Baby Birth Date :
First Name :
Last Name :
Insurance ID :
Date of Birth :
Gender :
Address line 1 :
Address line 2 :
City :
State :
Zip :
Email :
OBGYN First Name :
OBGYN state :
OBGYN Last Name :
NPI# :
OBGYN Phone Number:
Relationship to Policy Holder :
Check to enroll in our free program and receive breastfeeding tips, education and access to experts.

Additional Resources:

MILK 101

The easy guide to getting a free breast pump through insurance.

FAQs

Got questions? We got answers! Check some of our most common questions and answers.

Meet Mya: Pump
On-The-Go.

Key Feature Comparison
Mya
Mya Joy
Size (L x W x H)
4 x 3.5 x 1.75″
4.3 x 3.6 x 2.16″
Kit Type
Mya Kit
HygieniKit*
Suction strength
up to 280mmHg
up to 250mmHg
Battery type
Lithium ion
4 AA batteries
Levels of expression
10 levels
12 levels
Massage stimulations
5 levels
6 levels
Battery life
2 hours
1.5 hours
Backlit digital LCD Display
True closed protection system
Double or single electric pumping options
2-year warranty
Automatic power off technology after 45 minutes
Timer display to track pumping time
Memory function to remember last used setting
Ultra quiet to allow discreet pumping anywhere
Independently adjustable speed & suction
Amada
Amada
Handle w/built-in nightlight for portability
Amada
Amada
Belt clip
Amada

*Only Use the Diaphragms and Valves that come inside the Mya Joy pump.