Health & Safety

February 14, 2014

Ask the Doc

doctor
Q.“Does TRICARE cover breast pumps?”

A. “TRICARE only covers heavy-duty, hospital-grade electronic breast pumps for premature infants during the immediate post-partum period. The pump may be covered after the infant is discharged from the hospital or other setting. The physician must prescribe the breast pump and submit medical necessity documentation to the regional contractor. Contact your regional contractor to find out how to get a pump. TRICARE doesn’t cover manual breast pumps or basic electronic breast pumps. TRICARE won’t cover breast pumps for convenience, even if prescribed by a physician, for example, the mother uses the pump so she can return to work.
Note: TRICARE coverage of breast pumps is different from what is covered under the Affordable Care Act because TRICARE falls under a different set of laws.
TRICARE military benefits health plan service centers will end administrative walk-in services in the U.S. April 1. The closure of the TRICARE service center will not affect health care or TRICARE benefits. Customers may visit www. tricare.mil or call 1-877-988-9378 for TRICARE service.”

Send your questions to askthedoc@nellis.af.mil.




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