Breast Pumps, Breast Pump Supplies and Banked Donor Milk Reimbursement

View TRICARE’s Breast Pumps and Supplies Frequently Asked Questions page for detailed benefit information.

Submitting Claims

Network providers must submit claims for TRICARE beneficiaries. Beneficiaries who purchase breast pumps/supplies from non-network providers, civilian stores or retail pharmacies can submit claims to HNFS for reimbursement. A copy of the prescription must be included with the claim. Please use the purchase date as the date of service. 

Visit our Submit a Beneficiary Claim page for details on how to submit claims. 

Copayments and Cost-Shares

Copayments, cost-shares and deductibles are not applied to breast pumps, supplies and breastfeeding counseling. 
 

Reimbursement Rates

Reimbursement rates can be viewed at www.health.mil/rates under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) pricing. 

These reimbursement rates are subject to change annually. 

Banked Donor Milk

Banked donor milk is a limited TRICARE benefit when medically necessary. Coverage includes up to 35 ounces per day per infant. The donor milk must come from a milk bank accredited by the Human Milk Banking Association of North America (HMBANA). Visit TRICARE's Covered Services page to learn more about coverage limitations and requirements. 

All beneficiaries must obtain a prescription from the doctor actively managing their/their infant’s treatment. The initial prescription is valid for 30 days. Coverage may be extended in 30-day intervals through 12 months of age, when medically necessary and with a new prescription.  
 

Submitting claims

• If the HMBANA-accredited milk bank files a claim on your behalf, it must include a copy of the prescription and supporting medical documentation (available from the prescribing provider) with the claim. 
• If you purchased banked donor milk from a non-network provider, you can submit the claim to HNFS for reimbursement. A copy of the prescription must be included with the claim.

Visit our Submit a Beneficiary Claim page for details on how to submit claims.