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Maternity and Dental Services
Maternity Services
Prenatal care is important, and we strongly recommend that those who are pregnant, and those 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:
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Estimating gestational age
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Evaluating fetal growth
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Conducting a biophysical evaluation for fetal well-being
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Evaluating a suspected ectopic pregnancy
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Defining the cause of vaginal bleeding
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Diagnosing or evaluating multiple gestations
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Confirming cardiac activity
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Evaluating maternal pelvic masses or uterine abnormalities
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Evaluating suspected hydatidiform mole
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Evaluating the fetus’s condition in late registrants for prenatal care
A physician is not obligated to perform ultrasonography on a patient who is low risk and has no medical indications constituting medical necessity.
Some providers may 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 ultrasounds with a valid medical indication that constitutes medical necessity are covered by TRICARE.
If your TRS coverage ends during your 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 to Your 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 to Your TRICARE Reserve Select Coverage section.
Dental Services
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 TRICARE Dental Program or call toll-free 1-800-866-8499 for general information. To enroll, call 1-888-622-2256. If you are overseas, call toll-free at 1-888-418-0466 or 1-717-975-5017.
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