Tidewater Lactation Group

 

 

 

Under the ACA (Affordable Care Act), lactation services are covered without co-payment.

However, you will need to speak with your individual provider to understand the effective date and how your benefits will be provided.

 

You may be able to get help with breastfeeding at no cost

 

Health insurance plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding.

These services may be provided before and after birth.

This applies to Marketplace plans and all other health insurance plans, except for grandfathered plans.

 

Coverage of breast pumps

Your health insurance plan must cover the cost of a breast pump. It may be either a rental unit or a new one you’ll keep.

Your plan may have guidelines on whether the covered pump is manual or electric, the length of the rental, and when you’ll receive it (before or after birth).

 

 

 

Currently Tidewater Lactation Group accepts

 

the following Insurance Providers:

 

Breast Pumps (DME)

TRICARE

Aetna

 

 

Lactation Services

TRICARE

Aetna

 

 

 

 

Q&A For TRICARE Breast Pump Procedures through TWLG

 

What do I need to obtain a covered pump from your company?

You need your completed and accurate prescription and our order form (see below)

and you need to meet all eligibility requirements under TRICARE (see above links)

 

How do I get the forms to TWLG?

You can fax, email or mail the 2 completed documents to us.

The information is listed on the bottom of the order form.

 

How long does it take to receive my pump?

We will process your claim quickly and in 48 hours will process the pump for shipment. 

Most moms receive their pumps on average by 1 week.

 

How will I know if my order has been received/processed?

You will receive an email confirming we received your order and have submitted the claim.  You will also receive an email with

tracking information once your pump has been processed for shipment.

 

Are there any out of pocket expenses for me?

NO!  We do not charge an "upcharge" for any of the 5 pumps options listed on our form nor do we charge

for shipping the pump.  Those costs are not allowed by TRICARE under our contract so we do not charge for them.

There are also no cost share or deductible costs associated with ANY TRICARE plan for breast pumps.

 

I am out of state.  Can you still process my claim and ship it to me?

YES!  We can process any stateside breast pump claim and ship the pump to any State or APO/FPO/DPO address.

(If you have TRICARE Overseas, please email us for additional questions)

 

How do I receive spare/replacement parts that are covered?

We will provide you a spare parts order form with your email when your pump has been processed for shipment which will include

the covered parts for your specific pump. We do not automatically send out bags/parts without this parts order form

as these are medical claims and we require your authorization for any claims submitted on your behalf. 

 

If you have any additional questions, please email us at twlg@verizon.net

 

 

 

 

TRICARE Pump

order form

 

 

 

 

 

 

 

 

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This site is not designed to and does not provide medical advice, diagnosis, opinion, or treatment for you or any individual. Contact your healthcare provider for more information specific to your case. The statements on this website have not been evaluated by the Food and Drug Administration.