Prenatal care is important, and we strongly recommend that those who are pregnant, or who anticipate becoming pregnant, seek appropriate medical care. TRS covers maternity care, including prenatal care, delivery, and postpartum care. Medically necessary hospital and professional services (prenatal and postnatal ) are covered, in addition to any other services deemed medically necessary. Newborns are covered separately.
Maternity Ultrasounds
TRICARE covers maternity ultrasounds when medically necessary. Some situations that are covered include:
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
A physician is not obligated to perform ultrasonography on a patient who is a low risk and has no medical necessity.
Some providers offer patients routine ultrasound screening as part of the scope of care after 16-20 weeks of gestation. TRICARE does not cover routine ultrasound screening. Only maternity ultrasound with a valid medical indication that constitutes medical necessity is covered by TRICARE.
If your TRS coverage ends during pregnancy, TRICARE will not cover any remaining maternity costs unless your family qualifies for other TRICARE health coverage or has enrolled in the Continued Health Care Benefit Program (see “When TRICARE Reserve Select Coverage Ends” in the Changes in TRICARE Reserve Select Coverage section).
For procedures on how to add your newborn to your TRS coverage, refer to “Coverage for Newborns or Adopted Children” in the Changes in TRICARE Reserve Select Coverage section.
The TRICARE Dental Program (TDP) is separate from other TRICARE programs and is not contingent upon enrollment in TRS. For more information about the TDP, visit the United Concordia Web site or call toll-free at 1-800-866-8499 for general information. To enroll, call 1-888-622-2256. If you are overseas, call toll-free 1-888-418-0466 or 1-717-975-5017.
