Pregnancy Care

• The plan you’re using will determine where you get pregnancy care.

If You’re Enrolled in a TRICARE Prime Plan

You must get a referral from your primary care manager before seeking pregnancy care. You may not self-refer to an obstetrician or gynecologist even for your pregnancy.

• Your PCM will refer you to a military hospital or clinic if available.
• If not, your PCM will refer you to a network provider for the duration of your pregnancy.
• After your baby is born, you’ll continue to get postpartum care for up to six weeks.
• If you need care for other issues while you’re pregnant (for example, if you have a cold or sprain your ankle), contact your PCM to schedule an appointment.

If You Use Any Other Plan

You can visit any TRICARE-authorized provider for pregnancy care.

• Try to find a network provider first—you’ll pay less out-of-pocket.
• After your baby is born, you’ll continue to get postpartum care for up to six weeks.
• If you need care for other issues while you’re pregnant (for example, if you have a cold or sprain your ankle), contact your provider to schedule an appointment.

If You Deliver Overseas

You should contact the TOP Regional Call Center to notify them of your pregnancy. You can also learn more about:

• Covered services
• Referral and pre-authorization requirements
• Other care coordination overseas

If you have other health insurance , including travelers and overseas national health insurance programs, your OHI is the primary payer. Learn more about using OHI overseas.

If You Move While Pregnant

If you move to a new region, you must transfer your TRICARE Prime enrollment to the new region within 30 days.

• Your previous PCM and regional contractor will work with your new provider to ensure continuity of care. Learn more.