A support cushion has an elastic core having a first surface, a second surface and a thickness defined by the first surface and the second surface. A first cover portion substantially entirely encloses the elastic core. A pillow top surface is positioned adjacent the first surface of the elastic core. The pillow top surface includes a plurality of foam portions. A second cover portion at least partially covers the pillow top surface and the second cover portion attached to at least one of the first cover portion and the elastic core.