Simple Steps to Get Your Breast Pump Through Tricare Insurance
As a mother to 4 and a military spouse of over 10 years, I know just how confusing it can be when navigating all things Tricare, so I have put together a list of the top breast pump sites and what you need to know when it comes to ordering, I hope it helps!
Understanding Tricare Breast Pump Coverage
To make the most of your Tricare insurance coverage, it's essential to understand what it offers for breastfeeding moms. Tricare covers various breast pumps, including manual, standard electric, and hospital-grade.
Mothers can also receive breast pump supplies like storage bags, bottles, and replacement parts. If you experience issues with your breast pump, Tricare can help you access exchange services or repairs, ensuring a hassle-free experience.
As a military healthcare program, Tricare coverage for breast pumps extends to mothers who are in active duty, retired, or are dependents of sponsors. It is important to note that Tricare only provides coverage for one breast pump per birth event, so plan accordingly.
Additionally, ensure the pump model and provider are Tricare-approved to avoid extra out-of-pocket expenses and claim rejections.
Obtaining a Prescription from Your Healthcare Provider
Tricare requires a prescription from your healthcare provider to order a breast pump. To receive a prescription, consult with your prenatal care provider, on-base provider, or off base Midwife or OBGYN. Make sure your doctor is aware of your Tricare insurance details. Usually at your 28-30 week appointment your provider will hand you a prescription (a physical piece of paper) that you will then upload to one of the sites listed below.
Your prescription should, at a minimum, include the following information:
1. Your personal details, such as name, date of birth, and Tricare beneficiary ID number
2. The type of breast pump required (manual, standard electric, or hospital-grade)
3. The medical indication for the breast pump (it can be as simple as "for postpartum breastfeeding")
4. The prescribing doctor's name, phone number, and signature
By including all necessary details, you'll avoid any delays in processing your insurance claim.
Choosing an Authorized Medical Supply Provider
Once you have your prescription in hand (again, usually at your 28 week appointment), you'll need to choose a medical supply provider authorized by Tricare to order your breast pump. This ensures your insurance claim gets processed smoothly without unexpected denials or expenses.
Working with an experienced provider will ensure a smooth process from beginning to end. Compare different providers, read customer reviews, and don't hesitate to reach out if you have questions. I have listed the top frequently used providers who work with Tricare and who are very reputable in the military community. They know all the ins and outs with reordering supplies, with insurance questions, and if there are any out of pocket expenses (if you want a more expensive pump sometimes they will cover 95% of it and you will pay a very small portion) they will help guide you.
Working with a reputable supplier will save you time and alleviate any stress related to ordering and receiving your breast pump.
Top 5 Trustworthy Suppliers for Tricare
1.Homefront Pumps https://homefrontpumps.com
2. Baby Pavilion https://www.babypavilion.com
3. Aeroflow Breastpumps https://aeroflowbreastpumps.com
4.The Breastfeeding Shop https://thebreastfeedingshop.com
5. Pumping Essentials https://pumpingessentials.com
***It has been shared in pregnancy groups that 1naturalway does not send resupplies, so buyer beware with this company.
To Recap
Wait for your 28 week appointment to get a prescription
Pick a website listed above, find your favorite pump, add it to your cart, and upload prescription then wait
Unless it is explicitly noted that there’s an upgrade fee, you will not have to pay or see a bill
Pump arrives to your house with extra supplies within 10 days of ordering
After baby arrives go online to the same website you ordered from and put in FREE replacement parts on auto ship
Lets Chat about the Extra Costs
Tricare covers breastpumps up to $355.03 as of January 2024, so if you are looking at a pump that is more than this amount, you will have to pay an “upgrade fee.” Since I have 4 children, I have had 4 new and valid breastpump prescriptions and I will say that the most I ever paid was $50 to upgrade to a Spectra Gold (which is now completely covered) and it was WELL worth it! It’s just helpful to know this ahead of time if you dont want to pay anthing make sure you are choosing a pump on the websites listed that are covered within the fees. If you do owe anything extra, they will tell you right away when you place it in your cart and youll pay with a credit card at checkout. Hope this has been helpful! Contact me with questions, I would love to support you on your parenthood journey!
