Ameda | Insurance

Experience powerful pumping on the go with the Ameda family of pumps.

Qualifying for a free Ameda pump just takes three short steps.

Step 1
Submit contact form

Step 2
Supply some patient information

Step 3
Submit form and our
providers will contact you!

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.

The journey to an insurance-covered pump starts here.

First Name*

Last Name*

Email*

State related to your Insurance Plan

Primary Insurance Plan

Baby's Birth/Due Date

By clicking next, you are agreeing that Ameda can contact you with updates about qualifying for your free pump.

Congratulations mama on your decision to provide breast milk to your baby. Let's see if you qualify for an Ameda breast pump at no charge!

Submit the form.
Have a few things on hand.
Sit tight! A provider will be in touch.

Personal Information

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

First Name*

Last Name*

Insurance ID*

Date of Birth*

Gender

Female
Male

Address Line 1*

Address Line 2

City*

State*

Zip*

Email*

Phone Number*

Confirm Email*

What is your baby's date of birth/due date?

Is the Patient the Policy Holder/Primary Subscriber for this claim?*

Yes

Please attach a digital copy of your insurance card to help us speed up the process (Optional).

Front View

Back View

Enter the healthcare provider information of the doctor who prescribed the breast pump

State where the OBGYN is located?*

Please begin typing the last name of your OBGYN to select your provider below. Don't see your provider? Don't panic! Please just enter the info manually if your provider is not listed.

OBGYN Last Name*

OBGYN First Name (Optional)

NPI #

OBGYN Phone Number

By checking this box and selecting next, you're allowing us to share your information with one of our trusted pump suppliers. Don't worry! Your privacy is our priority. To learn more about HIPAA compliance, click here.

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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.

MILK 101

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

LEARN MORE

FAQs

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

LEARN MORE

Meet Mya: Pump
On-The-Go.

Key Feature Comparison	Mya Joy Plus	Mya Joy
Size (L x W x H)	4.3 x 3.6 x 2.16″	4.3 x 3.6 x 2.16″
Kit Type	HygieniKit*	HygieniKit*
Suction strength	up to 250mmHg	up to 250mmHg
Battery type	Lithium ion	4 AA batteries
Levels of expression	12 levels	12 levels
Massage stimulations	6 levels	6 levels
Battery life	2.5 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
USB charging capability		Amada
Wrist wrap		Amada
Belt clip	Amada

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

Experience powerful pumping on the go with the Ameda family of pumps.

Qualifying for a free Ameda pump just takes three short steps.

Step 1
Submit contact form

Step 2
Supply some patient information

Step 3
Submit form and our
providers will contact you!

The journey to an insurance-covered pump starts here.

Congratulations mama on your decision to provide breast milk to your baby. Let's see if you qualify for an Ameda breast pump at no charge!

Personal Information

Summary & Submission

Additional Resources:

MILK 101

FAQs

Meet Mya: Pump
On-The-Go.

AMEDA PARENTCARE

AMEDA CUSTOMERCARE

Experience powerful pumping on the go with the Ameda family of pumps.

Qualifying for a free Ameda pump just takes three short steps.

Step 1 Submit contact form

Step 2 Supply some patient information

Step 3 Submit form and our providers will contact you!

The journey to an insurance-covered pump starts here.

Congratulations mama on your decision to provide breast milk to your baby. Let's see if you qualify for an Ameda breast pump at no charge!

Personal Information

Summary & Submission

Additional Resources:

MILK 101

FAQs

Meet Mya: Pump On-The-Go.

Step 1
Submit contact form

Step 2
Supply some patient information

Step 3
Submit form and our
providers will contact you!

Meet Mya: Pump
On-The-Go.