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.
Maternity Ultrasounds
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. Refer to TRICARE's Web Site for additional details on maternity ultrasound coverage.
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.
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