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Become informed concerning TRICARE maternity coverageBecome informed concerning TRICARE maternity coverage

Diane Mayer
TriWest Healthcare Alliance

TRICARE’s maternity benefits include prenatal care, labor, delivery and postpartum care. If you are eligible for TRICARE maternity coverage, here are three baby steps to get you off to a running start:

Step 1: Visit your primary care manager

If you think you are pregnant or you are expecting, your primary care manager is your first stop prior to seeing a specialist, such as an obstetrician, as you may need a prior authorization or referral to ensure your care is covered by TRICARE or to avoid higher out-of-pocket costs.

Step 2: Know your benefits

TRICARE covers:

TRICARE does not cover:

The coverage lists are not all-inclusive. To determine if a specific service is covered, visit www.tricare.mil.

Step 3: Enroll within 60 days of birth or adoption.

If the child is not enrolled in TRICARE Prime or Prime Remote within 60 days, coverage will revert to the TRICARE Standard program option, (which carries additional deductibles and cost-shares) on the 61st day until the child is enrolled in TRICARE Prime. The child’s eligibility for TRICARE Standard ends 365 days after birth or adoption if not properly registered in DEERS.

For more information, visit www.triwest.com or call (888)TRIWEST (874-9378).