Getting A Breast Pump Through TriCare Insurance

We strive to offer amazing service to the families who have dedicated their lives to serving our country. This means guiding each mom through the TriCare process thoroughly, providing specific forms if needed, and following up with doctors and midwives if clarification or corrections are required. Most Tricare policies will even allow the mom to select a “deluxe upgrade” if she desires something outside of standard coverage. If you qualify for a deluxe upgrade, you will be given a list of those options when it’s time to select your pump. Many breast pump companies out there will limit options to “standard only” however we feel that having more choices is better! That’s the PMSI difference.

The Process

Register With PMSI

You are welcome to complete this form any time during your pregnancy and up to 11 months postpartum. Completing this form does not obligate you in any way/ However, you must complete all fields accurately & thoroughly.

Insurance Verification

Our staff manually reviews every submission we receive and works directly with TriCare insurance. This can take 24-48 hours (sometimes longer during high volume times). Please contact us if it has been more than 48hours.

Select Your Breast Pump

Select your pump from the customized list of options. We will email you with a link to view and select your pump (check your spam folder!) All standard and upgrade (if eligible) options will be there to view along with any pricing. You may select from our shipping or local pickup options

Relax & Receive

We will provide your pump according to TriCare’s insurance guidelines. PMSI will follow through with your order based on your insurer's timeline.

Get Started Now

FAQs

When can I order a breast pump? Each insurance provider determines when a mom can receive her pump, though customarily it's universally covered up to one year postpartum. You may apply for a pump at any time during your pregnancy and we will supply the pump according to your provider's specifications. For example, Kaiser Permanente of WA allows a mom to receive her pump up to 30 days prior to expected delivery date.
Most insurance companies will cover what's called a "consumer-grade electric breast pump". This is a pump designed to be used by one mom and is purchased for the patient rather than rented. Examples of this type of pump would be Spectra S2, Medela Pump in Style with Maxflow, etc.
According to the ACA, all insurance plans are required to cover a breast pump however there are still policies out there that are exceptions to the rule. We'll do our best to help determine your coverage based on our vast history with many policies.
Most insurance providers will allow for one pump per pregnancy, though there are some that will allow for a second pump upon the next calendar year. If you are wanting a second pump, we always suggest contacting your customer service specialist at TriCare insurance company to inquire about your options.
Our team is always here to help, however we always recommend contacting the manufacturer immediately. All pump manufacturers require replacements and repairs to go directly through them due to the fact that these are registered medical devices.
Some policies require a prescription for a pump and some don't. We'll let you know if your policy needs anything extra and will assist in providing forms to make it faster and easier for everyone!

Featured Breast Pumps

Here are just a few of our favorite breast pumps. With so many options out there, there is something for everyone. If you aren’t sure, chat with one of us today! We can walk you through the different features and options available through TriCare.