Prenatal Care

• Prenatal care is the care you get from the time you find out you’re pregnant until you deliver your baby.
• As soon as you think you may be pregnant, make an appointment with your primary care doctor.
• TRICARE covers medically necessary prenatal care, but there are some limits.

Prenatal Services

TRICARE covers the following services to monitor the health of the baby or if you have a high-risk pregnancy:

• Amniocentesis
• Chordocentesis
• Chorionic villis sampling
• Fetal stress test
• Electronic fetal monitoring

Prenatal Screenings

TRICARE covers prenatal screenings. This includes, but isn’t limited to, the following:

• Anemia screening
• Asymptomatic bacteriuria, UTI, or other infection screening (urine culture at 12–16 weeks gestation)
• Gestational diabetes mellitus screening between 24 and 28 weeks and for those at high risk of gestational diabetes
• Hepatitis B screening
• HIV screening
• Rh incompatibility screening
• Syphilis screening
• Other screenings, as recommended by the U.S. Department of Health and Human Services

Ultrasounds

Doctors may do ultrasounds for different reasons. TRICARE covers ultrasounds used to:

• Estimate gestational age
• Evaluate fetal growth
• Conduct a biophysical evaluation for fetal well-being
• Evaluate a suspected ectopic pregnancy
• Find the cause of vaginal bleeding
• Diagnose or evaluate multiple pregnancies
• Confirm heart activity
• Evaluate maternal pelvic masses or uterine abnormalities
• Evaluate suspected hydatidiform mole
• Evaluate the fetus’s condition in late registrants for prenatal care

TRICARE doesn’t cover ultrasounds for routine screening or only to determine the sex of the baby.