How To Get Tricare Approved Breast Pumps (All You Need To Know)

  • Tricare is a healthcare program in the United States
  • Armed Forces mIlitary personnel and dependents may join Tricare
  • Tricare offers a fairly new plan that covers breast pumps
  • We can help you understand how to get Tricare approved pumps

Have you recently had a new baby in the family and want to find out about the Tricare health plans?

Are you specifically looking for the Tricare plan that also covers breast pumps, but are not sure how to go about it?

Do you want to know if you can sign up for the Tricare health plan and how to get coverage from them for the breast pumps that you will use?

If you are looking for any information related Tricare and the kind of facilities it provides, in regard to breast pumps, we have all the important information for you. We will give you some details about what the Tricare health program is all about and who is eligible to be a part of it, as well as the different types of health care plans that are part of the program. We also tell you whether or not breast pumps are covered under the Tricare health plan and what all you need to do as part of the correct procedure to get coverage. If you are looking for all this information and more, make sure to read the article till the end.

What is Tricare?

Tricare is a health care program that is a part of the United States Department of Defense Military Health System. Tricare was earlier known as the Civilian Health and Medical Program of the Uniformed Services.

standard electric breast pump

Who can sign up for health care coverage from them?

Tricare essentially provides various health care facilities and civilian health benefits to the US Armed Forces military personnel as well as those who have retired from the US military system and also their dependents. In some cases, the benefits from Tricare are also extended to some members of the Reserve Component.

As per the Tricare eligibility criteria, the following people can sign up for health care coverage from Tricare:

tricare contractor
  • Those who are uniformed service members in the US Armed Forces
  • Family members of those who are uniformed service members in the US Armed Forces
  • Reserve members or National Guards, as well as their family members
  • Alternate Long Arrow Right
    Former spouses of the above
  • Alternate Long Arrow Right
    Any survivors
  • Alternate Long Arrow Right
    Those who have received Medal of Honour as well as their families
  • Alternate Long Arrow Right
    Those who are registered on the Defense Enrollment Eligibility Reporting System (DEERS)

What kind of plans do they offer?

There are a host of Tricare health care plans that you can choose from and the one that will suit you the best will depend on where you are based, as well as who you are and what your relationship is with the US Armed Forces and other eligibility criteria.

Some of the health care programs that they offer are the US Family Health Plan, the Tricare Prime plan, the Tricare Prime Overseas plan, the Tricare for Life plan, the Tricare Young Adult plan, the Tricare Retired Services plan, the Tricare Prime Remote Overseas plan and more.

breast pump in style

Are breast pumps covered by Tricare, too?

While the Tricare health care plans have been around for quite some time now, the plan that also covers breast pump is relatively new. For now, Tricare does cover the cost of breast pumps as well as any other necessary supplies that are related to it.

How can someone go about getting a Tricare coverage for breast pumps?

If you are looking to get coverage from the Tricare healthcare program for breast pumps, you need to know about the following points that can make the process easier for you and your family:

  • 1
    How to get a prescription for it: If you are planning to buy a breast pump for your baby and want to get the costs covered under the Tricare health program, you will have to get a prescription from a doctor who is authorized under the Tricare health program, a physician assistant, a nurse midwife or a nurse practitioner.
  • 2
    How to get a pump: When you are planning to buy the breast pump through a network provider, or through a medical supply company, you will have to make sure that the person who is writing the prescription for the breast pump also has a diagnosis code along with it.
  • 3
    How to file a claim from Tricare: It is possible that you have already bought the breast pump with your own money, and now want to file a claim for it. If that is the case, you can still send across a claim to Tricare to reimburse the money for the breast pump to you. In order to do so, you will have to retain the prescription for the breast pump and share the details of the same, as well as send along your itemized receipt.

Is there a list of Tricare approved breast pumps?

The following points can help you understand more about the types of breast pumps that are covered under the Tricare plan and what you can do to rightfully file a claim for reimbursement.

  • Tricare does not share a list of specific breast pumps from which you have to choose one in order to receive coverage or that will be entertained under a reimbursement claim.
  • You can easily purchase the breast pump through an online channel, or you can also get it from a civilian or a military retail store.
  • In most of these cases, however, you will first have to pay for the breast pump through your own money, and later you can file a reimbursement claim with Tricare to get the money reimbursed to you.

Do you have to be part of a specific part of the Tricare plan to get approved?

You can be using any of the Tricare health plans, such as the Tricare Prime, Tricare Standard etc. and your spouse or sponsor could be an active member, retired, or otherwise. You can still be approved for the breast pumps under the Tricare health plan irrespective of these details.

best breast pump kit

Which breast pumps can you get?

The breast pump you choose is entirely your preference. You could buy it from a medical equipment provider, the Department of Navy, the United States Coast Guard, the United States Marine Corps or any other, even online.

If you don’t want to pay first:

In that case, you can contact a Tricare contractor and find out a contractor or network provider from whom who can buy the breast pump without paying up front from your own money.

To file the claim:

You will not need to file a claim if you buy the pump from a Tricare network provider or supplier. If you have bought the pump with your own money, you will have to file a DD Form 2642 along with the copy of the prescription and the receipt.

If a mom has more than one baby, can she get more than one breast pump through Tricare?

Yes, the Tricare health program covers one breast pump for each birth event, which means that if a mom has more than one baby, she is eligible to get one breast pump covered by Tricare for each baby. This coverage also includes babies who have been adopted and in whose case, the mother is planning to personally breastfeed the baby.

BONUS VIDEO

smile-o

You Might Also Like