Does TRICARE cover prenatal genetic testing?

Direct answer: TRICARE may cover genetic testing when it is medically necessary, proven, and appropriate, and when the result will influence medical care. Genetic counseling before the test can be covered. The official page lists genetic screening tests among examples that are not covered.

Applies to: All TRICARE plans · All regions

Details

The decision is about the specific test and why your provider ordered it, not a blanket yes for every prenatal screen. Ask the ordering provider which test they are requesting and whether the result would change the care of the pregnancy.

TRICARE’s genetic-testing page is the rule to read before you schedule. Your regional contractor can say whether that test needs a referral or prior authorization.

What to do next

Confirm this with your Primary Care Manager or regional contractor before scheduling — rules can vary by region and by service.