• Medicaid

We are In-Network with Medicaid!

Through Medicaid you are eligible for visits with a Lactation Consultant. We bill directly with them and you are not subject to co-pays, meaning no out-of-pocket expense. Visit our Services page for information on Lactation Consultations.

You are eligible for a Breast Pump through Medicaid. Follow the steps below to order and we will file the claim for you. You will need the Medicaid Form 352 and your Insurance Card. 

*Please let us know if you have an MCO or another Insurance. If you are unsure of what insurance you have, please have your card available and call our office for assistance.

Step One

Print the Medicaid Form 352 for your Provider to fill out.

Step Two

Make your pump selection

Visit our Pumps page for more helpful information.

Step Three

Download our Medicaid Breast Pump Order Form, fill out your information, and submit it with your PROVIDER-FILLED Form 352 to our secure email address pumps@twlgmail.com

Step Four

You will be notified when your pump is ready for pick-up. Please make sure your contact information is accurate.

Online Fillable Form

We’ve made it simple for you to fill out our Medicaid Breast Pump Order Form. Click on the form to the right to get started.

PDF Reader required, download here

We also accept

Virginia Premier

Aetna Better Health