Tricare recently made some drastic updates to their Breast Pump Reimbursement Policy, and we have been getting a lot of questions and concerns from our moms regarding this policy change. We wanted to address all your questions into a single post to ensure that you understand the new Tricare Breast Pump Coverage Policy and are able to take full advantage of the benefits covered by your insurance.
All Tricare-eligible (TRICARE Prime, TRICARE Select, TRICARE Reserve Select, etc.) female beneficiaries with a birth event is eligible to qualify for a Tricare covered breast pump and accessories. A birth event includes a pregnant beneficiary or a female beneficiary who legally adopts an infant and intends to breastfeed.
As a mother-to-be, you can order your Standard Electric Breast Pump on or after 27 weeks of pregnancy with a valid prescription for the breast pump from a Tricare authorized provider (Nurse practitioner, MD, nurse midwife, etc.)
The prescription must be obtained through a Tricare-authorized physician, physician assistant, nurse practitioner, or nurse midwife, and must, at a minimum, indicate the type of breast pump prescribed (manual or standard electric). Please click here to view the Baby Pavilion prescription template that you can print and get signed by your physician.
Tricare covers the following replacement supplies after the birth event without a new prescription:- Storage bags: 90 bags every 30 days following the birth event
**Unfortunately, we cannot send out any supplies to you before your baby is born. Once your baby is here, you can place a reorder here for your replacement supplies.
According to the new Tricare policy, you are eligible to receive 90 milk storage bags and a set of valves and membranes per 30 days. You can place a reorder here for your replacement supplies.
Nope. There is no upgrade fee for the Spectra S1 Plus if you go through Baby Pavilion. We provide the breast pump at absolutely no cost to our Tricare moms.
If you don’t have one, don’t worry! We’ve got a template prescription form that you can download, print, and have it signed by your physician. We can also help contact your doctor to obtain a prescription for you.
Fill out our New Patient Order Form and upload your prescription.
One of our customer care specialists will review and process your order within 24 business hours after your submission. We hope that this post answered your questions. We understand that these new changes with the Tricare policies may be an inconvenience to you, but please rest assured that our team is working very hard to make sure that you are able to take full advantage of your benefits. Please let us know if you have any other questions that we can address in the comments below. Happy Pumping, mamas!