I had to write a Tricare director for specific answers to this for family members in our command, and this is the response I got:
"There have been several questions recently on whether or not TRICARE would cover breast pumps. Under the Patient Protection and
Affordable Care Act (PPACA), breast pumps are covered.
However, changes made by the PPACA don't affect TRICARE. TRICARE falls under a different set of statutes under the authority of the
Department of Defense and the Secretary of Defense.
TRICARE only covers heavy-duty hospital grade electronic breast pumps when used to provide breast milk for premature infants. The
breast pump is covered while the premature infant remains in the hospital during the immediate post-partum period. The breast pump
may be covered after the premature infant is discharged from the hospital; however, a physician must document the medical reason for
continued use of the equipment after
discharge. This also applies to premature infants who are delivered in non-hospital settings. The provider must prescribe the breast
pump and provide medical necessity documentation. The hospital or Durable Medical
Equipment (DME) provider files the claim with TRICARE. Equipment cost-shares may apply and are subject to TRICARE DME requirements.
TRICARE doesn't cover the following:
Manual Breast Pumps
Basic Electronic Breast Pumps
TRICARE won't cover the breast pump if it is used for reasons of convenience, even if prescribed by a physician. For example, the
mother uses the breast pump to save milk for the child so she can return to work. This information can be found in the TRICARE
Policy Manual 2008, Chapter 8, under Section 2.6."
Are you in the military? The reason I ask is the base I am on I was told that there is a pump loan program. Active duty E6 and below working moms have priority and I think that is just great.
BFP #1 11/07/2012 EDD 07/09/2013 M/C 11/22/2012
BFP #2 02/05/2013 EDD 09/19/2013
Arrived via c-section 09/27/2013
hilwithonelary:A few bases have loaner programs for hosptial grade pumps. When I had DS, we were at McConnell AFB. They would loan a pump to any beneficiary. The program was run through the Family Advocacy program in the Mental Health department. Ask around at your MTF to find out if there is a similar program where you are.
We had the same thing at Kirtland AFB, but it was through Women's Health. You got the pump for three months, and at that point you had to renew your loan or return it. I had mine for over a year, I just kept re-upping the loan.