TRICARE Childbirth and Breastfeeding Support Demonstration

The TRICARE Childbirth and Breastfeeding Support Demonstration (CBSD) covers the following support services:
  • Certified non-medical labor doulas
  • Certified lactation consultants
  • Certified lactation counselors

The CBSD is only for TRICARE Prime or TRICARE Select enrollees. The CBSD doesn’t cover TRICARE For Life, US Family Health Plan, or the Continued Health Care Benefit Program. The CBSD will run from Jan. 1, 2022 to Dec. 31, 2026. The CBSD will expand overseas on Jan. 1, 2025.

You don’t need any referrals. But, if you’re enrolled in TRICARE Prime, you’ll need a referral from your primary care physician or manager if you see a non-network provider. Point-of-service charges may apply without the referral.

TRICARE will send you a survey on your experiences with giving birth in the Military Health System. This survey is confidential and voluntary, and will be sent to all beneficiaries who give birth even if they are not eligible for or choose not to participate in the CBSD.

Childbirth Support and Certified Labor Doulas

How do I qualify for doula services?

To qualify, you must:

  • Be enrolled in TRICARE Prime or TRICARE Select
  • Be at least 20 weeks pregnant
  • See a 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 your birth event
You can’t plan to give birth in a military hospital or clinic as part of the CBSD. You can give birth with a certified midwife at home if that midwife is a TRICARE-authorized provider. The CBSD doesn’t cover services with a midwife that isn’t certified.

What types of doula services are covered?

TRICARE will cover up to six visits by a certified labor doulaLabor doulas are trained, non-medical professionals who provide support for the birthing parent before, during, and a short time after labor.. These visits can be before you give birth or after you give birth. You’ll also get one visit during birth.
  • The CBSD will cover certified network doulas at no additional cost to you.
  • Non-network doulas must meet the CBSD qualifications.

Important Note:

A demonstration is a limited duration project that TRICARE uses to evaluate potential changes to the program. Although the services under the CBSD are covered for TRICARE beneficiaries as of Jan. 1, 2022, this is a new demonstration and establishing a provider network will take until April 2022. If you want to receive these services before the provider network is established, you and your provider must meet the requirements of the demonstration. Otherwise, you will be responsible for the full, out-of-pocket cost for the services.

Lactation Counselors/Consultants and Breastfeeding Support

How do I qualify for lactation/breastfeeding support services?

To qualify, you must:

If you or your provider don’t qualify for breastfeeding support services under the demonstration, you may qualify under TRICARE’s existing breastfeeding support benefit.

What lactation and breastfeeding support services are covered?

The following services are covered in the network at no additional cost.

  • Lactation counselors.
    • Non-medical professionals who provide breastfeeding counseling to support normal lactation and breastfeeding parents
    • Non-network lactation counselors must meet certain qualifications
    • Can provide either individual or group breastfeeding support services under the demonstration
  • Lactation consultants.
    • Non-medical professionals who provide a full range of breastfeeding care, including support for breastfeeding complications
    • Non-network lactation consultants must meet certain qualifications
    • Can provide either individual or group breastfeeding support services under the demonstration
  • Group breastfeeding counseling.
    • Individual breastfeeding counseling by other TRICARE providers may already be covered under TRICARE’s breastfeeding benefit.
    • Group breastfeeding must be run by a:
      • Lactation consultant
      • Lactation counselor
      • TRICARE-authorized provider
    • Group breastfeeding counseling also includes prenatal breastfeeding education.

There are no cost-shares, copayments, or deductibles for covered breastfeeding counseling services. Additional charges may apply for out-of-network services.

How do I enroll in the CBSD?

If eligible, you’re automatically enrolled when you submit claims covered under the CBSD. Check with your TRICARE regional contractor to see if you qualify.


Last Updated 1/12/2022