Breast Pump Insurance Guide

In CategoryAffordable Care Act, Health News, In the Media, Lehan Drugs News, Product Info
ByLehan Drugs

Looking to get a breast pump covered by your insurance? Let us help!

 

Congratulations on your pregnancy or the birth of your child! You most likely have the adorable outfits washed and put away, the crib ready to go, and are basking in the feeling that very soon you will get to hold your baby boy or girl. One question you might be asking yourself, though, if you are planning on breastfeeding, is should I get a breast pump? At Lehan’s we are happy to help mothers find a breast pump that fits their lifestyle and unique needs!  In addition, did you know that many insurance companies are now helping to cover at least a portion of the cost of a breast pump?

While having a baby is an enjoyable experience, getting a breast pump through your insurance company might be a little more of a headache. To help ease that burden, at Lehan’s we have come up with some helpful tips to try and make the process as painless as possible (or as painless as dealing with an insurance company can be!).

Allowable Amount

If you call your insurance company, they might mention that a breast pump is covered at 80-100% of an ‘allowable amount’. You may think, “Wow! 80% of the cost for my pump, that’s fantastic!” but your insurance may not necessarily be giving you all the facts. An allowable amount is a set dollar amount that your insurance company covers for a specific item. So while they say they cover 80-100% of an allowable amount, in reality that may translate to about $60-125 dollars towards a pump. Another good thing to know about an allowable amount is that it only covers the breast pump itself, not accessories that can be purchased separately.

Deductibles

In addition, you may have to deal with that dreaded thing called a deductible.  You may know what your deductible is, but if not, a deductible is a set annual amount of healthcare costs that you are required to pay before insurance will consider payment for your breast pump. Though this may not be the case for everyone, it is a good idea to ask your insurance company about your deductible or have us ask for you. We are here to help!

Prior Authorization

Finally, some insurance companies may also require a prior authorization in order to pay for a breast pump. A prior authorization is a program that requires specific conditions be met before coverage is granted for the member. If your insurance requires a prior authorization, don’t worry, we can help with that as well. Typically it’s just a quick fax between the doctor’s office and insurance company.

Lehan’s Can Help!

So how can we help? At Lehan’s we will help in any way we can to make your breast pump purchase as hassle-free as possible. We can contact your insurance company on your behalf and determine your coverage level as well as any specific insurance requirements. To help, we will need the following:

1)    Your name, date of birth, address, phone number, email address

2)    Insurance ID and group number

3)    A prescription from your doctor that says ‘Double Electric Breast Pump’.

4)    Due Date! Insurance companies won’t cover breast pumps until the baby is born!

You can fill out the Breast Pump Insurance Form here: BREAST PUMP FORM

Products We Carry

So now that you know how to determine insurance coverage for a breast pump, you may be wondering which pumps are available at Lehan’s. We carry both Ameda and Hygeia breast pumps. Our in-stock Ameda models include The Purely Yours and the Purely Yours Ultra. These pumps contain an Ameda HygieniKit, which includes a patented diaphragm that prevents moisture & milk from entering pump tubing, includes an AC Power Adapter or runs on 6 AA batteries, and Custom Control settings which are separate suction and speed dials to help you find the settings that work best. The Ultra pump contains a few extra accessories including different sized flanges, a cooler with 6 bottles, and more.

Our Hygeia models that we carry are the EPS, EXT, and LBI. Each Pump includes: tubing, flanges, 2 bottles and caps, bottle inserts for smaller bottles, 1 replacement filter, an external electric power supply, independently adjustable speed and suction, and some type of battery option depending on the model. The EXT has an external battery pack that runs on AA batteries, and the LBI has a rechargeable lithium ion battery that holds a charge for up to four hours.  You also have the option of a cute and functional tote for your Hygeia pump.

If you are interested in one of these breast pumps and would like more information, or have questions on insurance coverage, please contact us and Michelle, our certified lactation specialist, will be happy to answer any questions. Our phone number is: (815) 758-0911 and our email is: mommyandbabysupport@lehandrugs.com.

Congratulations and we can’t wait to help!

You can also fill out our Breast Pump Insurance

Form HERE!

 

Mom and Happy Baby

Lift Chairs at Lehan Drugs

In CategoryProduct Info
ByJim

At Lehan’s we know that rising from a chair can be difficult or even impossible for patients suffering from arthritis, neuromuscular disease, back pain, or even temporarily for those recovering from surgery.  One way to help make life easier when getting out of a chair is difficult is through the use of a lift chair.  A lift chair has the look and feel of a traditional recliner chair, but includes a remote and a motorized mechanism that allows you to lift or recline effortlessly.

At Lehan Drugs, we offer a full line of Med-Lift Lift Chairs available in a wide variety of styles, colors, and fabrics, including Crypton, Vinyl, and Leather upgrades.  We offer free delivery of lift chairs to DeKalb, Sycamore, Cortland and the surrounding communities and deliver outside of DeKalb County for a small fee.  We even RENT lift chairs for people who need help temporarily due to an injury or surgery!

Our Med-Lift chairs are made right here in the USA and we have a large product line of lift chair models, each available in a large selection of luxurious fabrics and options.   Many of the models we carry are available in different sizes, allowing you to be comfortable regardless of your height or weight. Some of the features we offer are three position recline, quiet motors with battery back-up, and wall-a-way models.

Have questions about lift chairs?  Give us a call at 815-758-0911 or email us at info@lehandrugs.com for more information!

Yours In Health,

The Team @ Lehan’s

5500 Stampede Mocha Reclined  5500 Vista Earth TV 5600 Bonded Leather II Coffee Lifted 5600 Bonded Leather II Coffee Reclined 5600 Stampede Tanner Lifted

 

Selling Your Healthcare to the Lowest Bidder

In CategoryHealth News, In the Media, Lehan Drugs News
ByJim

Are you a Medicare beneficiary?  If so, your healthcare has been sold to the lowest bidder, and we need your help to stop it!

Starting on July 1st, in DeKalb County and other areas around the country, certain durable medical equipment (oxygen, wheelchairs, hospital beds, walkers etc.) will only be provided by companies who won bids for those items through an auction process held by Medicare.

So, what’s the big deal?  Everybody should be in favor of decreasing Medicare health care costs, right?

Under this auction program, however, Medicare made some huge mistakes that will affect your access to quality medical equipment and service.  The ONLY criteria used to pick the bid ‘winners’ in this program was who provided the lowest bid prices.  The bidders did not have to show that they are capable of setting up or servicing the items that they say they can provide, nor do they have to have a physical location in the area.  Many of the bid ‘winners’ that are supposed to service DeKalb County, in fact, aren’t even located in the state of Illinois!  How are these out-of-state providers supposed to provide medical equipment to residents of DeKalb County?  Local providers like Lehan’s were not awarded bids, but these out-of-state providers were.

Average Provider Distance from 60115 ZIP Code for Bid Winners:

Oxygen: 480 miles away (43% of providers located out of state)

Hospital Beds: 523 miles away (69% located out of state)

Wheelchairs: 570 miles away (57% located out of state)

Walkers: 381 miles away (39% of located out of state)

In addition, over 200 economists and auction experts have said that this auction was poorly designed and would lead to huge problems, but the government refused to change the design, and we are left with the results.  So, what can you do to help?

Please call your members of Congress and complain about this ‘competitive bidding’ process for durable medical equipment.

Rep Adam Kinzinger : (202) 225-3635

Rep Randy Hultgren: (202) 225-2976

You can also call 1-800-Medicare to complain about the program and how it will hurt access to medical equipment for Medicare beneficiaries!

Information on the competitive bidding program:

http://www.cramton.umd.edu/papers2010-2014/further-comments-of-concerned-auction-experts-on-medicare-bidding.pdf

http://www.cramton.umd.edu/papers2010-2014/cramton-medicare-auction-round-2-results-30-january-2013.pdf

http://www.vgmdclink.com/uploads/library/e885d892bc7bb2a4a61d1a35f69f9b9c.pdf

 

 

Do you need compression legwear?

In CategoryLehan Drugs News
ByJim

Curious if you could benefit from compression?  Compression therapy is used for a variety of reasons, with the primary intent of preventing varicose veins and keeping current venous problems under control such as edema and skin breakdown.

You may be at risk for vein disease if you suffer from one or more of the warning signs listed below. If so, talk to your family physician about treatment options including compression therapy.

  •     Tired, heavy-feeling legs.    Leg pain from prolonged sitting or standing.
  •     Swollen ankles at the end of the day.
  •     Varicose or spider veins.    Tingling, numbness, burning, or cramping in legs and feet.
  •     Discoloration of the skin.
  •     Open sores or ulcers on lower leg.
  •     History of vein problems in the family.

Everyone can benefit from compression stockings, socks and especially those experiencing any of the above warning signs, women during pregnancy, and athletes.

Our certified fitters  at our DeKalb, IL location will work with you to find the best compression stockings to meet your needs and to ensure that you are comfortable putting on, wearing, and caring for your compression garments. We carry a full selection of Jobst, Juzo and Medi compression stockings to allow for a wide range of sizes, styles, and color selections.

Think your insurance covers compression with a prescription?  Give us a call at 815-758-0911 and we can check for you!  Then you can click on this form, and take it to your physician!

Medical Compression

 

Hormone Replacement Therapy

In CategoryLehan Drugs News, Pharmacy
ByJim

Hormone Replacement Therapy

Are you curious about hormone replacement therapy?  Did you know that Lehan’s is able to compound your bio-identical hormone replacement therapy (BHRT) locally in the DeKalb/Sycamore community?

What is BHRT?

BHRT, or Bioidentical Hormone Restoration Therapy, is when your physician prescribes hormones chemically identical to the ones found in your body to treat your condition. The practitioner’s goal in BHRT is often to restore hormones to the normal physiologic levels of a younger individual, so that those hormones can continue to confer the scientifically proven benefits established in decades of medical literature. Our Lehan’s pharmacists work with YOU and YOUR PHYSICIAN to help you achieve the level of hormone balance your body requires.

What is Bioidentical?

The term “bioidentical” indicates that the chemical structure of the replacement hormone is IDENTICAL to that of the hormone that exists intrinsically in the body. Lehan’s specializes in all types of BHRT and dosage forms, including capsules, creams, gels, troches, and more.

Call Lehan’s at 779-545-2277 or email info@lehandrugs.com  for more information or to schedule a one on one consultation to discuss your hormone replacement therapy options.   We are work closely with practitioners in the DeKalb and Sycamore community who support your decision to balance your hormones bioidentically!

Yours in Health,

The Team at Lehan’s

 

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Women’s Health Department and Boutique

In CategoryLehan Drugs News
ByJim

Our Women’s Health Department and Boutique started over ten years ago with the introduction of compression stockings and has evolved into a full service women’s health department meeting the special needs of women needs in DeKalb, Sycamore, Rockford the Fox Valley and surrounding communities.

For women battling breast cancer, we specialize in the fitting and education of post-mastectomy products and related accessories including prostheses, bras, post-surgical camisoles and more. We also provide maternity and postpartum supports for women during and after pregnancy, compression garments for women with lymphedema, varicose veins, edema, and other venous problems, as well as wigs, head scarves and a full skin care line.

Whatever the need a woman has, she deserves to be taken care of in a caring and empathetic environment. We have licensed and board certified mastectomy fitters on staff as well as lymphedema and compression garment fitters. Our staff works closely with area doctors and physical therapists to coordinate treatment so that our patients’ needs are being met to the best of our capabilities.

We are accredited by ACHC to bill Medicare and other insurance, and have board certified fitters on staff up to six days per week!  Stop by our location in DeKalb and see first-hand the wide array of products and services we provide!

 

Yours in Health,

The Team at Lehan’s

 

Free Kids Vitamin Program!

In CategoryLehan Drugs News
ByJim

Lehan’s is proud to announce the launch of a new FREE kid’s vitamin program in the DeKalb and Sycamore community.  The program provides children ages 2 to 12 years old a monthly supply of multi-vitamins at NO COST, each and every month.  We feel that ensuring all children receive the vitamins they need to support healthy lifestyles is extremely important and cost should not be a barrier to keeping the children in our community healthy!

Stop in to either Lehan’s location to enroll in the program and receive your first 30 day supply of vitamins for all the children in your family or visit www.lehandrugs.com for more information!

 

Yours in Health,

The Team and Lehan Drugs

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Pet Medications

In CategoryLehan Drugs News, Pharmacy
ByJim

At Lehan’s, we understand that your pets are also part of your family.  We also understand that getting your pet to take medication can often be a difficult experience for owner and animal.  Our staff will patiently work with you and your veterinarian to make giving medicine to your pet a pain-free experience.

Did you know that we offer compounded preparations for animals large and small, common and exotic?  We can transform ordinary medicines into topically applied gels, animal-friendly flavors, and even treats!  No need to order your medicine from out-of-state anymore!  You can receive your medications right here from our locations in DeKalb, Sycamore, or Rockford.  Ask our pharmacists about:

  • Ear and Eye Drops
  • Transdermal gels
  • Flavored liquids
  • Capsules
  • Animal treats or pastes

We look forward to helping you keep your furry family members healthy and happy!  Call 779-423-0542 or visit www.lehandrugs.com for more information!

Yours in Health,

The Team at Lehan Drugs

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Medication Compounding

In CategoryPharmacy, Product Info
ByJim

At Lehan’s we have the expertise and experience to be your local medication compounding experts in DeKalb, Sycamore and the surrounding communities in northern Illinois!  Led by Jon Lehan, PharmD, our compounding team is able to meet all of your customized medication needs including hormone replacement therapy, pain management, dermatology, veterinary and much more!

Curious if medication compounding could help you?  Keep reading!

What is compounding?

Prescription compounding is when a  pharmacist, working closely with the patient and physician, prepares a “customized” medication.  At Lehan’s compounding pharmacy, we prepare medicines in our state-of-the-art compounding laboratory, using the latest techniques and equipment. Our pharmacists are here to help solve problems and make sure you and your loved ones get the medicine you need.

Why compounding?

Compounded medications help our patients receive the type of personalized care they deserve.  By working closely with physicians and patients, compounding allows our patients to achieve maximum benefit from their medications.

Who benefits from compounding?

It may come as a surprise what compounded medications can do for your health:

  • You are allergic to preservatives or dyes
  • You need medication in a strength unavailable from traditional drug manufacturers
  • You need help improving the flavor of your medicine
  • You are interested in a medicine that isn’t available from a traditional drug manufacturer
  • You would prefer to treat certain painful conditions with creams or gels, instead of pills
  • You could benefit from an alternate method of taking your medicine, such as – topical transdermal creams and gels, sublingual tablets, or dissolving troches – flavored lollipops – medicated lip balms – customized capsules – suppositories – oral flavored suspensions and solutions – and much more

Can our compounding services benefit you?

Consider our expertise for..

  • Customized Hormone Replacement
  • Postpartum Needs
  • Men’s Health
  • Aging
  • Flavoring
  • Chronic Pain Management
  • Neuropathies
  • Hemorrhoids
  • Exercise/Sports Medicine
  • Hospice Needs
  • Pets/Veterinary Medicine
  • Autism
  • Oral Lesions
  • Dental Needs
  • Wound Therapy
  • Wrinkles and Age Spots

Call us at 779-423-0542 for more information or to schedule a one on one appointment to discuss medication compounding today!

Does Your Insurance Cover Breast Pumps and Supplies?

In CategoryLehan Drugs News
ByJim

When the Affordable Care Act went into place last August, one of the sections of the act addressed “Comprehensive Coverage for Women’s Preventative Care.”   One of the eight new preventative services included in this section addressed breastfeeding coverage:

Breastfeeding support, supplies, and counseling: Pregnant and postpartum women will have access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment. Breastfeeding is one of the most effective preventive measures mothers can take to protect their health and that of their children. One of the barriers for breastfeeding is the cost of purchasing or renting breast pumps and nursing related supplies.

So, what does that mean for you?  Well, as a result of this language, insurance companies are now required to cover some type of breastfeeding equipment (either manual or electric breast pump, typically) for mothers who wish to nurse their children.  While coverage levels and equipment types covered vary by insurance company, some type of equipment must be covered.  For some insurance plans “grandfathered in” under the previous regulations, this may mean only a manual breast pump is covered.  Other plans cover a portion or all of the purchase price of a top of the line double electric breast pump.

As an accredited durable medical equipment (DME) provider, Lehan Drugs is able to 1) find out the type of breast pump coverage under your health plan and 2) bill insurance on your behalf for coverage of a breast pump.

Lehan’s bills all major insurances and carries a high quality line of breast pumps including Hygeia and Ameda, so if you are a nursing mother or soon will be, please contact us and we would be happy to help you figure out your policy coverage details!

Insurances that we bill include:

  • Blue Cross/Blue Shield
  • Humana
  • Cigna
  • Aetna
  • Illinois Medicaid
  • Health Alliance

Questions or concerns?  Give us a call at 815-758-0911 or email us at info@lehandrugs.com!  Check out our breastfeeding support page for more info!

Yours in Health,

The Lehan Drugs Team