Pregnancy Care

Maternity care is all of the medical services related to pregnancy. This includes:

TRICARE covers medically-necessary pregnancy care, but there are some limits.

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

If You Are Enrolled in a TRICARE Prime Plan

You must get a referral from your primary care manager (PCM) 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 are pregnant, contact your PCM to schedule an appointment. For example, if you have a cold or sprain your ankle.

If You Use Any Other Plan

You can visit any TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS 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 are pregnant (if you have a cold or sprain your ankle, for example), 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 insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." (OHI), including travelers and overseas national health insurance programs, your OHI is the primary payer. >>Learn more.

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.

Last Updated 6/3/2022