Prenatal care is the care you receive from the time you find out your pregnant until you deliver your baby. As soon as you think you may be pregnant, schedule an appointment with your primary care provider. Depending on your health plan option, this may be your assigned primary care manager (PCM).
Regular appointments with your doctor are important to make sure you and your baby are healthy. At the first appointment, you'll find out the due date and explore your health history. Frequent prenatal visits allow you to follow the progress of your pregnancy and your baby's development and give you the opportunity to ask questions along the way.
While all medically-necessary prenatal care is covered, there are some limitations.
TRICARE covers the following services to determine the health of the baby or if you have a high-risk pregnancy:
- Chorionic villis sampling
- Fetal stress test
- Electronic fetal monitoring
Doctors often perform ultrasounds at different times during pregnancy for different reasons. TRICARE will cover ultrasounds used to:
- Estimate gestational age
- Evaluate fetal growth
- Conduct a biophysical evaluation for fetal well-being
- Evaluate a suspected ectopic pregnancy
- Define the cause of vaginal bleeding
- Diagnose or evaluate multiple gestations
- Confirm cardiac activity
- Evaluate maternal pelvic masses or uterine abnormalities
- Evaluate suspected hydatidiform mole
- Evaluate the fetus's condition in late registrants for prenatal care
TRICARE does not cover maternity ultrasounds for routine screening or to determine the sex of the baby. If you have ANY questions about coverage, please contact your regional contractor.