TRICARE Coverage for Medical Support Cushions

Yes! Our SunCloud® and Pelvic Pain Solutions® seat cushions are TRICARE-approved Durable Medical Equipment (DME) when medically prescribed. They’re designed to support those recovering from injury, surgery, or living with chronic pelvic or back pain. TRICARE follows Medicare’s guidelines and classifies cushions by HCPCS billing codes, which must be included in your prescription for reimbursement eligibility.

Approved HCPCS Codes for Seat Cushions

General-Use Cushions

  • E2601 – For general use, width under 22" / E2602 – For general use, width 22" or greater

Skin Protection Cushions

  • E2603 – For skin protection, width under 22"
  • E2604 – For skin protection, width 22" or greater

Positioning Cushions

  • E2605 – For positioning, width under 22"
  • E2606 – For positioning, width 22" or greater

Combination Cushions (Skin + Positioning)

  • E2607 – Combined function, width under 22"
  • E2608 – Combined function, width 22" or greater

Custom-Fabricated Cushion

  • E2609 – Custom-made for individual needs

Steps to Submit a TRICARE Claim

  1. Visit your provider and request a prescription with one of the codes above.
  2. Include details about your condition (pelvic pain, injury recovery, mobility needs, etc.).
  3. Submit your claim through your TRICARE regional contractor (e.g., HealthNet, Humana).
  4. Attach:
    • Your prescription
    • Proof of purchase
    • A letter of medical necessity (if required)

💬 Need Help?

We’re here to guide you. If you’re unsure which HCPCS code to use or how to prepare your claim, feel free to contact us directly. We’re happy to help you get the support you deserve.