does tricare cover breast pumps? — The Bump
Military Families

does tricare cover breast pumps?

Ive heard some Ins companies do. Anyone know if Tricare does. My next OB apt is not till mid Jan so I thought id ask ;)
Lilypie Premature Baby tickers image Photobucket image Photobucket

Re: does tricare cover breast pumps?

  • Sadly, no. You're right that most companies will at least help with the cost, especially if you have a prescription from your PCM, but Tricare does not contribute anything towards breast pumps under any circumstances.
    Lilypie Maternity tickers
    Lilypie Second Birthday tickers
  • Loading the player...
  • From the Tricare site-

    "

    Breast Pump


    TRICARE may cover electric hospital-grade breast pumps for premature infants who meet certain criteria.  The breast pump may be covered for use in the hospital, and in certain cases, if the physician can prove medical necessity, for home use.

    TRICARE does not cover:

    • Electric hospital-grade breast pumps for convenience
    • Basic electric breast pumps
    • Manual breast pumps

     

    Baby Birthday Ticker Ticker
  • Loading the player...
  • I think some MTFs (but not all) have hospital grade pumps available for free.  My MTF has Medela Lactinas and Symphonys available through the Family Advocacy office.  You can check them out for 90 days at a time.  After 90 days, you either have to turn it in or tell them that you are still pumping. 
    Hilary
    imageimage
    imageimage
    Baby Birthday Ticker Ticker
    Baby Birthday Ticker Ticker
  • Also my hospital gave out manual pumps free when you deliver, they gave us the medela harmony and tons of flanges, valves, membranes etc. to fit our pump. Check with others who have delivered at the same hospital
  • imagepanicked228:

    From the Tricare site-

    "

    Breast Pump


    TRICARE may cover electric hospital-grade breast pumps for premature infants who meet certain criteria.  The breast pump may be covered for use in the hospital, and in certain cases, if the physician can prove medical necessity, for home use.

    TRICARE does not cover:

    • Electric hospital-grade breast pumps for convenience
    • Basic electric breast pumps
    • Manual breast pumps

     

    I'd still like clarification of "certain criteria" for premature infants.  DD was a month early and severely jaundiced which made it impossible for her to latch.   She could take a bottle, but Tricare denied my doctor's and the specialist's request for a breast pump, even during the hospital stay.  

    Most hospitals do provide a hand pump, but you might want to inquire about the type or just buy your own.  The one I was given fell apart with every other squeeze. 

    Lilypie Third Birthday tickers Lilypie First Birthday tickers
  • I'm not sure if you get wic but they have manual pumps in their office usually
  • imagebootsie08:
    imagepanicked228:

    From the Tricare site-

    "

    Breast Pump


    TRICARE may cover electric hospital-grade breast pumps for premature infants who meet certain criteria.  The breast pump may be covered for use in the hospital, and in certain cases, if the physician can prove medical necessity, for home use.

    TRICARE does not cover:

    • Electric hospital-grade breast pumps for convenience
    • Basic electric breast pumps
    • Manual breast pumps

     

    I'd still like clarification of "certain criteria" for premature infants.  DD was a month early and severely jaundiced which made it impossible for her to latch.   She could take a bottle, but Tricare denied my doctor's and the specialist's request for a breast pump, even during the hospital stay.  

    Most hospitals do provide a hand pump, but you might want to inquire about the type or just buy your own.  The one I was given fell apart with every other squeeze. 

     

    I'm surprised to hear this! I would've asked to resubmit the claim. Tricare covered a hospital grade pump for me, but my daughter was born at 27 wks; they did only cover it until discharge and after that I had to rent it (at $45/mo). On a separate note - you can usually find rentals of hospital grade pumps (SO worth it compared to other options - at the very least you want one of the good electric ones in the $200-$300 range) for $50 or less/mo, so to rent for 6 mo is the same as paying for a good Medela and worth it. I pumped exclusively bc my DD was so premature and then never latched, and I couldn't have been successful without the hospital grade one.

  • At McConnell AFB in Wichita, the medical group provides high quality pumps for you to "rent" for free while breast feeding, and they give you new parts so that you aren't using something someone else has.   See if your base provides this as well!

This discussion has been closed.
Choose Another Board
Search Boards