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2020 Cost Information for Maternity Care When Delivery Planned in an Inpatient Setting

Note: Visit our Copayment and Cost-Share Information page to view 2019 costs. 

The cost information below is for maternity care (office visits and hospitalization for delivery planned in a hospital inpatient setting). The inpatient cost-shares below include the covered prenatal and postnatal care provided in the office. See newborn cost information for newborn care after delivery.

  • TRICARE Young Adult costs are based on the sponsor's status.
  • Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type. 

If delivery is not planned in a hospital inpatient setting, please see the following list to determine which costs apply for maternity care:

TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult)

Active Duty Family Members Retirees and Their Family Members

Group A: $0

Group B: $0

Group A: $156 per admission

Group B: $156 per admission

TRICARE Select (not including TRICARE Young Adult)

Active Duty Family Members Retirees and Their Family Members

Group A: $19.55 per day ($25 minimum charge)

Group B: 

Network Provider: $62 per admission
Non-Network Provider: 20%

Group A:

Network Provider: Lesser of $250 per day or 25%, plus 20% of professional fees
DRG Non-Network Provider: Lesser of $1035 per day or 25%, plus 25% of professional fees

Group B: 

Network Provider: $182 per admission
Non-Network Provider: 25% of allowable charges

TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)

TRS TRR
Network Provider: $62 per admission
Non-Network Provider: 20%
Network Provider: $182 per admission
Non-Network Provider: 25% of allowable charges

TRICARE Young Adult (TYA)

TYA Prime TYA Select
Active Duty Family Members Retiree Family Members Active Duty Family Members Retiree Family Members
$0 $156 per admission Network Provider: $62 per admission
Non-Network Provider: 20%
Network Provider: $182 per admission
Non-Network Provider: 25% of allowable charges