• Services and supplies associated with antepartum care (including the well being of the fetus), childbirth, postpartum care and complications of pregnancy may be cost-shared.
• Maternity care for pregnancy resulting from selected noncoital reproductive procedures may be cost-shared.

Maternity-related ultrasound is limited to the diagnosis and management of conditions that constitute a high-risk pregnancy, or which present a reasonable probability of neonatal complications. Ultrasound performed solely to determine sex of an unborn child is not covered. TRICARE does not cost-share a “routine” ultrasound.

Length-of-Stay Benefit
Authorization is required for all maternity inpatient stays. The mother and child hospital length-of-stay benefit may not be restricted to less than 48 hours following a normal vaginal delivery and 96 hours following a cesarean section.

What's Not Covered
Services and supplies related to noncoital reproductive procedures, including artificial insemination, in vitro fertilization, gamete intrafallopian transfer and all such other reproductive technologies, services and supplies related to artificial insemination (including semen donors and semen banks), are excluded. Off-label use of FDA-approved drugs to induce or maintain tocolysis is not covered.

The following are not covered because they are unproven:

• Services and supplies related to noncoital reproductive procedures, including artificial insemination, in vitro fertilization, gamete intrafallopian transfer and all such other reproductive technologies, services and supplies related to artificial insemination (including semen donors and semen banks), are excluded.
• Off-label use of FDA-approved drugs to induce or maintain tocolysis is not covered.
• The following are not covered because they are unproven: 
  • Home uterine activity monitoring (HUAM), telephonic transmission of HUAM data, or HUAM-related telephonic nurse or physician consultation for the purpose of monitoring suspected or confirmed pre-term labor
  • Lymphocyte or paternal leukocyte immunotherapy in the treatment of recurrent spontaneous fetal loss
  • Salivary estriol test for preterm labor (CPT procedure code 82677)

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