Surrogacy
TRICARE coverage for surrogacy health care is a limited benefit. TRICARE pays second for services and supplies related to maternity care, including antepartum care, childbirth, postpartum care, and complications of pregnancy for a surrogate mother who:
- Is a TRICARE beneficiary
- Has a contractual agreement with the adoptive parents
The medical expenses agreed to in the contract are considered primary coverage.
- TRICARE pays second after the surrogate mother seeks reimbursement from the adoptive parents.
- Any amount designated for medical expenses under the contract must be exhausted before TRICARE will cover other covered benefits for the surrogate mother.
- If the contract doesn’t specify a reasonable amount for reimbursement for medical expenses, the surrogate mother will pay a reasonable amount of the expenses.
Without a contract, TRICARE doesn’t cover maternity services provided to a TRICARE beneficiary acting as a surrogate.
See Also
This list of covered services isn’t all-inclusive. TRICARE covers services that are and considered proven. Some services have special rules or limits, and some services are excluded. Learn how a benefit becomes covered.
Last Updated 10/29/2024