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Breast Pumps and Supplies

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Breast Pumps and Supplies

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Covered by TRICARE?	Limits
Yes	You must have a prescription from a TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network.. Specific rules apply.

Covered by TRICARE?

Limits

Yes

You must have a prescription from a TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network.. Specific rules apply.

TRICARE covers breast pumps and breast pump supplies at no cost for new mothers, including mothers who adopt an infant and plan to breastfeed. >>Read Questions and Answers

You must have a prescription from a TRICARE-authorized physician, physician assistant, nurse practitioner, or nurse midwife. The prescription will state which type of breast pump you need:

Hospital-grade breast pump
Manual breast pump
Standard electric breast pump

This coverage is retroactive to December 19, 2014. If you paid out-of-pocket, you can send a claim for reimbursement.

Include the following with your claim:

Your prescription
Itemized receipt

Breast Pumps

Manual and Standard Electric Breast Pumps

TRICARE covers one manual or standard electric breast pump per birth event (birth or adoption).

Hospital-Grade Breast Pumps

TRICARE covers electric hospital-grade breast pumps and supplies when needed for mothers and infants:

Who are separated due to illness
Who are unable to feed directly from the breast because of medical reasons

When a hospital-grade breast pump is no longer needed, you may be covered for a manual or standard electric breast pump. A new prescription is required.

Breast Pump Supplies

TRICARE covers the following supplies for up to 36 months after the birth event:

Standard power adapters
Tubing and tubing adaptors
Locking rings
Bottles and bottle caps
Shield/splash protectors
Storage bags

TRICARE also covers two breast pump kits per birth event.

How to Get Covered Breast Pumps and Supplies

You can get breast pumps and supplies from a TRICARE-authorized provider, supplier, or vendor. For manual or standard electric breast pumps, this includes any civilian retail store or pharmacy.

If you pay out-of-pocket, you can send a claim for reimbursement. Include the following with your claim:

Your prescription
Itemized receipt

Exclusions

TRICARE doesn't cover:

Breast pump batteries, battery-powered adapters, and battery packs
Regular “baby bottles” (Bottles not specific to pump operation), including associated nipples, caps, and lids
Travel bags and other similar carrying accessories
Breast pump cleaning supplies
Baby weight scales
Garments and other products that allow hands-free pump operation
Ice packs, labels, labeling lids, and other similar products
Nursing bras, bra pads, breast shells, and other similar products
Over-the-counter creams, ointments, and other products that relieve breastfeeding related symptoms or conditions of the breasts or nipples