Frequently Asked Questions

Find answers to commonly asked questions below. Questions are organized by category:

Boutiques & Shopping

We have three boutiques in Tacoma, Poulsbo, and West Seattle. You can shop in person, place a phone order for curbside or in-store pickup, or shop virtually (free!) with the assistance of one of our staff shoppers. Breast pumps can also be shipped directly to you or picked up at one of our locations.

Yes! We offer curbside pickup for phone, email, or virtual shopping orders. Simply make your order and schedule a time with your local boutique to pick up your items. We’ll bring to your car and can even bring our credit card machine out to you.

We offer both in-person and virtual Lactation Consultations. Lactation Consultations are offered in our Tacoma, West Seattle, and Poulsbo boutiques or via secure video connection. Learn more or schedule a Lactation Consultation.

We currently carry Medela, Cimilre, ARDO, Unimom, Zomee, Spectra and Ameda breast pumps.

Our boutiques carry a wide range of pumping, nursing, baby, and parent lines, including several local brands. We carry nursing and mastectomy bras, breastfeeding supplements, infant and baby clothes, baby slings and wraps, and more.

Check out the complete list of brands we currently carry.

In addition to limited-time offers and sales, we offer:

  • FREE Shipping on Orders over $100
  • Spend $200 and Get $15 off Your Next Purchase
  • Get 15% off Your First Order with Breast Pump Purchase
  • Pumping Consultations are always Free when you get your breast pump through Nurturing Expressions

Sign up for Nurturing Exclusives and follow us on social media to get the latest deals and discounts.

If you are coming to one of our Nurturing Expressions locations, please know that we disinfect and clean before and after each client, and use gloves and masks for all one-on-one consultations.

 

Weighted Feeds & Weight Checks: Parents wanting weight checks and weighted feed appointments for their babies are asked to please call ahead to schedule your free appointment (206-763-2733 ext. 4 for Seattle, 6 for Poulsbo, 7 for Tacoma)

 

One-on-One Consultations: To meet your needs and to serve you in a timely manner, we have added an additional one-on-one pumping and lactation consultant at the West Seattle and Poulsbo locations. Consultations will also be available in Tacoma early in 2021.

 

Clinical Breastfeeding/Chestfeeding Group: We’ve limited the size of clinic in order to maintain effective social distancing, but are still holding weekly Clinical Group at both our West Seattle and Poulsbo boutiques. Starting early in 2021, we will also hold Clinic at our Tacoma boutique. Please register in advance.

 

Virtual Services: We’ve expanded our virtual service offerings, as well as curbside pickup and shipping, to help you stay safe and healthy.

Breast Pumps

We have made this process as easy and fast as possible for you! Fill out our quick inquiry form – it takes just 60-90 seconds! After completing this form, we will send you an e-mail within 2 business days to let you know what your insurance covers based on our experience. This e-mail will also include the order form with detailed instructions on how to fill it out as well as what we need back from you to complete your order. Click here to see what we need in order to bill your insurance.

 

If you are the primary policy holder of your insurance, you do need to be present to pick up your breast pump in one of our boutiques.

 

If you have already completed the paperwork, provided a copy of your ID and insurance card(s), and a prescription (if needed), then you may send someone to one of our boutiques to pick up the breast pump for you.

You will need to contact the manufacturer’s customer service directly. Their customer service department will work with you to troubleshoot any problems you are having with your pump or any parts that are defective.

  • Medela: 1 (800) 435-8316
  • ARDO: (415) 504-1754
  • Cimilre[email protected]
  • Ameda: 1 (866) 992-6332
  • Spectra: 1 (855) 446-6622

Each insurance company provides an allowed amount for a breast pump. If the full cost of the breast pump you want exceeds your insurance company’s allowed amount, it’s called an “upgrade”. You are financially responsible for the cost difference.

 

If you have a secondary insurance, please call our billing department to see if your secondary insurance will cover the cost difference.

Most insurance plans will not cover both, but there are exemptions. We recommend that you call your insurance to verify your benefits.

Unfortunately, no insurance company covers the full cost of a hospital-grade breast pump. If your insurance does have a benefit for a hospital-grade breast pump, it will be rental coverage.

Absolutely! We carry the Medela Symphony, Medela Lactina and the ARDO Carum which are available to rent. If you need or are interested in a hospital-grade rental, please call us and we would be more than happy to talk with you about renting.

We carry the highest quality breast pumps on the market! We currently carry Medela, Cimilre, ARDO, Unimom, Zomee, Spectra and Ameda breast pumps. The feedback that we receive from our clients plays a huge role in the products that we choose to carry.

We currently carry Medela, Cimilre, ARDO, Unimom, Zomee, Spectra and Ameda breast pumps.

 

Our boutiques carry a wide range of pumping, nursing, baby, and parent lines, including several local brands. We carry nursing and mastectomy bras, breastfeeding supplements, infant and baby clothes, baby slings and wraps, and more. Check out the complete list of brands we currently carry.

Yes, you can! You can use your HSA/FSA funds to pay for your breast pump upgrade fee, purchase a breast pump, and purchase breast pump parts.

It varies from plan to plan. We recommend that you call your insurance to see when you are eligible to receive a breast pump.

Please call our billing department so they can give you the most accurate answer based on what primary and secondary insurance you have.

(206) 763-2733 option 4

TRICARE covers one breast pump, which includes the pumping kit, per birth or adoption event. TRICARE covers the following breast pump replacement supplies without an additional prescription:

  • Two bottles every 12 months following a birth event
  • Caps/locking rings every 12 months following a birth event
  • Power Adapters: One replacement power adapter per birth event and not within the first 12 months following purchase
  • Valves: Twelve valves/membranes for each 12 month period following a birth event
  • One set (2) of flanges/breast shields per birth event
  • One set of tubing per birth event
  • Ninety breast milk bags every 30 days following the birth event

Additional replacement supplies to those detailed above, may be covered when a new prescription from a TRICARE-authorized provider describing the specific supplies required is obtained. Only those replacement supplies, which are essential for breast feeding and are accompanied by a new prescription from a TRICARE-authorized provider, shall be reimbursed.

Get your Free TRICARE Breast Pump Benefits Consultation

You can get a prescription from your primary physician, OBGYN, or midwife. However, most medical providers will not sign a breast pump prescription without speaking to the patient first. We recommend you call your medical provider and request
that they fax a prescription to us at (206) 763-2122.

 

The prescription must have your name, your date of birth, and a maternal diagnosis code.

 

If you have already received your prescription and it is missing one of the things listed above, we are more than happy to help you! We can contact your medical provider to get the necessary changes.

Purchase breast pump: Every insurance plan is different. We recommend you call your insurance to verify if they require a prescription.

 

Hospital-grade rental breast pump: Yes, you do need a prescription for us to bill your insurance for a hospital-grade rental breast pump.

E0603: the purchase of a standard double electric breast pump E0604: the rental of a hospital-grade breast pump

We just need a few things!

  • Completed order form
  • Prescription (please call your insurance to verify if a prescription is required)
  • Copy of your photo ID
  • Copy of the front and back of your insurance card

We comply with HIPAA and ensure you that your information will only be used for insurance billing purposes.

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      Compression Therapy Garments

      It is the use of applying a specifically designed garment around your limb to increase support of your veins and lymph system.

      There is a wide range of use for compression therapy. Almost anyone can benefit from compressions therapy. Those needing support for their circulatory system due to common medical conditions will be:

       

      • Those who travel frequently or who plan on travelling internationally
      • Athletes, especially long distance runners and bicyclists and triathlon participants
      • Pregnant people and newly postpartum mothers suffering from swelling of their legs and ankles or varicose veins
      • People with diabetes that suffer from circulatory problems
      • The elderly who suffer from poor blood circulation or swelling of their limbs due to poor circulation of their lymphatic system
      • People in professions that require sitting for long amounts of time such as airline pilots or office workers
      • People in professions that keep them on their feet for long amounts of time such as nurses or those in the hospitality field
      • Anyone who suffers from varicose veins
      • Post-surgical patients who may be prone to developing lymphedema

      Graduated (tight at the bottom, loose at the top) compression therapy comes in varying levels. To know what type of compression you should use, first consult your physician.


      The levels of compression are designed for different uses:


      • 15-20mm Hg is the lowest level of compression. This is recommended for most issues such as type of profession, travel, athletic use and support of mild varicose veins and edema (swelling) of the ankles and legs
      • 20-30mm Hg is the next level and considered a medical grade level of compression. It is used for moderate varicose veins and edema as well as other circulatory issues, athletes and professions that keep you in your feet or seated for long amounts of time
      • 30-40mm Hg generally is prescribed by doctors for pronounced and /or severe venous insufficiencies, post-surgical and post-traumatic edema and lymphedema

      Our store staff has been certified as compression fitters and will spend time with you to find out your needs for compression and will personally measure you in order to get you the best fitting compression.

      If you can't make it into a store, we also offer complimentary virtual fitting and compression consultation sessions.

      Your insurance provider may have a benefit for some types of compression therapy and a prescription may be required. Download a Compression Order Form here to send or take with you to your doctor.


      Every insurance policy is different, so we suggest you call your insurance provider to see if you have a benefit. Or, if you need help to determine your benefit, we are happy to call your insurance provider to inquire on your behalf. We always offer FREE insurance benefits consultations!


      With almost ten years of experience, our billing department can directly bill your insurance for you so that you don’t have to do all the work of requesting reimbursement yourself.


      We are a preferred in-network provider with most major insurance companies. Learn More

      If you're paying out of pocket, you do not need a prescription for compression therapy garments!

      Depending on the type of compression garment you need and the reason you need compression, it is possible that your insurance plan may cover your compression. If your insurance provider offers a benefit for  compression therapy, you will need a prescription.

      Download a Compression Order Form here to send or take with you to your doctor.

      The answer is almost always yes! Nurturing Expressions carries medical grade therapeutic compression garments to treat and mediate a variety of health concerns.

      • Compression socks rated at 30-40 mmHg or above and are used to treat a medical condition are eligible with a flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA).
      • Compression sleeves and garments used primarily for exercise don't usually meet the requirements, but your healthcare provider may opt to give you a Letter of Medical Necessity (LMN) if they deem it helpful for you.

      We carry the highest quality medical grade compression garments in our boutiques. We carry Sigvaris, medi, motif, and Juzo compression brands.
      Nurturing Expressions carries Sigvaris compression garments Nurturing Expressions carries medi compression garments Juzo compression logo

      It's easy! Just fill out this quick form and we'll follow up with you to schedule at one of our boutiques or virtually.

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      COVID-19

      We firmly believe everyone should make the best, most informed decision for your own health–including guidance from your primary healthcare provider. We recommend reading the Academy of Breastfeeding Medicine (ABM) statement regarding Considerations for COVID-19 Vaccination in Lactation and consulting your healthcare provider for guidance. From the ABM statement:


      “Although there is currently no clinical data on use of COVID-19 mRNA vaccines in lactation, the United States Food and Drug administration EUA left open the possibility of administering the vaccine to both pregnant and lactating individuals.


      Many lactating individuals fall into categories prioritized for vaccination, such as front-line health care workers. The Academy of Breastfeeding Medicine does not recommend cessation of breastfeeding for individuals who are vaccinated against COVID-19. Individuals who are lactating should discuss the risks and benefits of vaccination with their health care provider, within the context of their risk of contracting COVID-19 and of developing severe disease. Health care providers should use shared decision making in discussing the benefits of the vaccine for preventing COVID-19 and its complications, the risks to mother and child of cessation of breastfeeding, and the biological plausibility of vaccine risks and benefits to the breastfed child.


      These conversations are challenging, because the Pfizer/BioNtech vaccine trial excluded lactating individuals. As a result, there are no clinical data regarding the safety of this vaccine in nursing mothers. However, there is little biological plausibility that the vaccine will cause harm, and antibodies to SARS-CoV-2 in milk may protect the breastfeeding child.”

      If you are coming to one of our Nurturing Expressions locations, please know that we disinfect and clean before and after each client, and use gloves and masks for all one-on-one consultations.

       

      Weighted Feeds & Weight Checks: Parents wanting weight checks and weighted feed appointments for their babies are asked to please call ahead to schedule your free appointment (206-763-2733 ext. 4 for Seattle, 6 for Poulsbo, 7 for Tacoma)

       

      One-on-One Consultations: To meet your needs and to serve you in a timely manner, we have added an additional one-on-one pumping and lactation consultant at our Tacoma, West Seattle, and Poulsbo locations and Virtual Consultations!.

       

      Clinical Breastfeeding/Chestfeeding Group: We’ve limited the size of clinic in order to maintain effective social distancing, but are still holding weekly Clinical Group at our Tacoma, West Seattle, and Poulsbo boutiques. 

      Please register in advance.

       

      Virtual Services: We’ve expanded our virtual service offerings, as well as curbside pickup and shipping, to help you stay safe and healthy.

      Yes! We offer free curbside pickup at any of our boutique locations, as well as our corporate headquarters in Tukwila.

      We also offer shipping options, including free shipping on orders over $100 —and keep your eye out for specials and deals on shipping!

      Mastectomy

       
      Our Certified Mastectomy Fitters can help you at our Poulsbo, Tacoma, or West Seattle boutiques. Request an appointment and we'll take care of the rest.

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      Certified Mastectomy Fitter (CMF) is a health professional specifically educated and trained in breast prostheses and post-mastectomy services, including fitting, adjusting, or modifying.

      For most health insurance plans, mastectomy bras, forms, and related accessories count toward your deductible. Mastectomy garments are also covered by Medicare.

      Mastectomy bras are great alternatives for people who do not wish to undergo surgical breast reconstruction immediately or at all. Instead, you can choose to wear a breast prosthesis in a special mastectomy bra. Mastectomy bras are designed with special pockets in the cup area and these pockets are meant to hold the prosthesis.

      Most people will be able to wear a breast prosthesis within 2 – 8 weeks of surgery or when their physician is satisfied the area has completely healed. Always consult your doctor.

      A well-fitted prosthesis and well-designed mastectomy bra are important, as they not only help balance your posture, but also provide protection for your chest and breast cancer wounds or scars. They may also help reduce back problems, neck and shoulder pains.

      Whether you’ve said farewell to one or both breasts, mastectomy bras are designed to hold a prosthesis in the place of natural breasts to create a comfortable, natural result without additional surgery for reconstruction. Even if you choose reconstructive surgery down the road, mastectomy bras are a great non-permanent choice.

      Finding a well-fitting standard bra off the rack is a challenge already. Mastectomy bras need to be fitted both for your measurements and your prosthesis, so it’s important to be fitted by a Certified Mastectomy FitterRequest a fitting consultation with one of our CMFs.

      We carry only the best in mastectomy from Amoena, Ana Ono, Anita, and Trulife. 

      Amoena mastectomy garments, forms, and productsAnita intimates logo since 1886Trulife Breast Care

      Weighted Feeds

      During a weighted feed, you simply weigh baby before and after feeding, then measure the difference in weight gain to see how much milk baby took in.

      If your little one is having a hard time gaining weight and/or you need/want to keep track of both your baby’s weight gain and how much breastmilk baby is transferring, then a weighted feed is the perfect tool.

      It’s easy! See our Step-by-Step guide video here, or read the steps in this blog.

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