Prenatal care is important, and we strongly recommend that those who are pregnant, or who anticipate becoming pregnant, seek appropriate medical care. TRICARE Standard and TRICARE Extra cover maternity care, including prenatal care, delivery, and postpartum care. Newborns are covered separately.
TRICARE covers medically necessary maternity ultrasounds separate from the global delivery fee. Doctors often perform medically necessary maternity ultrasounds at different times during pregnancy, and if your provider has reason for concern, TRICARE will cover the ultrasound. Specific conditions for which TRICARE will cover an ultrasound include the following:
Estimating gestational age
Evaluating fetal growth
Conducting a biophysical evaluation for fetal well-being
Evaluating a suspected ectopic pregnancy
Defining the cause of vaginal bleeding
Diagnosing or evaluating multiple gestations
Confirming cardiac activity
Evaluating maternal pelvic masses or uterine abnormalities
Evaluating suspected hydatidiform mole
Evaluating the fetus’s condition in late registrants for prenatal care
Ultrasounds are not covered for routine screening or to determine the sex of the baby.If TRICARE coverage ends during pregnancy, TRICARE will not cover any remaining maternity costs unless your family qualifies for other TRICARE health coverage or has purchased the Continued Health Care Benefit Program (CHCBP).
To ensure your newborn is covered by TRICARE, see “Having a Baby or Adopting a Child” in the Life Events section.
TRICARE offers two dental programs—the TRICARE Dental Program (TDP) and the TRICARE Retiree Dental Program (TRDP). Each program is administered by a separate dental contractor and has its own monthly premiums and cost-shares.
The TDP is a voluntary dental insurance program available to eligible active duty family members and to members of the National Guard and Reserve and/or their families. United Concordia Companies, Inc., (United Concordia) currently administers the program. For TDP information, visit the United Concordia Web site or call toll-free at 1 (800) 866-8499.
The TRDP is a voluntary dental insurance program available to retired service members and their eligible family members. Delta Dental Plan of California (Delta Dental) currently administers the program. For TRDP information, visit the Delta Dental Web site or call toll-free at 1 (888) 838-8737.
