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2020 Cost Information for Newborn Care

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

The cost information below is for inpatient newborn care after delivery. Claims for the mother and newborn should be billed separately. See maternity cost information for costs related to the mother’s care.

  • TRICARE-eligible newborns are considered TRICARE Prime for 90 days as long as the sponsor is active duty or another family member is enrolled in TRICARE Prime. Otherwise, TRICARE-eligible newbors are considered TRICARE Select if another family member is enrolled in TRICARE Select (and not Prime or is not active duty).
  • Newborns of TRICARE Young Adult (TYA) beneficiaries are not eligible for TRICARE unless adopted by the TRICARE-eligible sponsor or other TRICARE-eligible beneficiary.
  • 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.

A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:

  • Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
  • Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.

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: $0

Group B: $0

TRICARE Select (not including TRICARE Young Adult)

Active Duty Family Members Retirees and Their Family Members

Group A: $0

Group B: $0

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%

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

TRS TRR
$0 Network Provider: $182 per admission
Non-Network Provider: 25%