Changes

There are many changes to the TRICARE program every year. Sign up for email alerts.

 
Change

Overview

Breastfeeding Supplies

TRICARE covers:

  • One manual or standard electric breast pump and operational supplies per birth event/adoption. As of March 2019, rates are $312.84 stateside/$500.55 overseas.
  • The pump's replacement supplies for up to 36 months after the birth event
  • Up to six individual outpatient breastfeeding counseling sessions per birth event
  • Supplemental Nursing Systems (SNS) when prescribed by a TRICARE-authorized providerClick to closeAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. (formula/nutrition supplement at the breast to assist in lactation, latch, and proper nutrition)

Learn more about coverage of breast pumps.

Banked Donor Breast Milk

TRICARE now covers banked donor milk when it's medically necessaryClick to closeTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. for infants with certain conditions, when prescribed by a TRICARE-authorized provider.

Banked donor milk is available in the U.S. and Canada through human milk banks. Under TRICARE, human milk banks must be accredited by the Human Milk Banking Association of North America (HMBANA).

TRICARE has a maximum allowable chargeClick to closeThe maximum amount TRICARE pays for each procedure or service.  This is tied by law to Medicare's allowable charges. to cover donor milk screening and processing charges. Your costs are based on beneficiary category and provider type.

Learn more about banked donor breast milk.

TRICARE Open Season 

As of Jan. 1, 2019, you’re only able to enroll in or make changes to your TRICARE Prime or TRICARE Select plan during the TRICARE Open Season or after a Qualifying Life Event.

The next TRICARE Open Season is Nov. 11 - Dec. 9, 2019. 

Learn more about TRICARE Open Season

TRICARE Qualifying Life Events A TRICARE Qualifying Life Event (QLE) is a certain change in your life, such as marriage, birth of a child, or retirement from active duty, which may mean different TRICARE options are available to you or your family members. A QLE opens a 90-day period for you and your family members to make eligible enrollment changes.

 

Learn more about TRICARE Qualifying Life Events.

 

 

Last Updated 5/20/2019