TRICARE Denies Coverage for Non-Invasive Prenatal Tests
TRICARE Denies Coverage for Non-Invasive Prenatal Tests: Are you aware TRICARE no longer covers non-invasive prenatal testing (NIPT)? With NIPT, your blood is drawn and tested for indications that your baby might have a genetic disorder. It can be done as early as 9 weeks into your pregnancy and reduces the need for more invasive prenatal testing such as amniocentesis.
Here’s the problem with TRICARE and NIPT: If you are seen at a Military Treatment Facility, the Department of Defense (DoD) will pay for the NIPT your doctor recommends. If you receive your prenatal care from a civilian provider in the TRICARE network, TRICARE will not reimburse for NIPT.
Approximately 125 TRICARE beneficiaries per month receive NIPTs. Currently, commercial laboratories continue to process NIPTs for military families even though TRICARE isn’t paying for the tests. We are concerned private labs will eventually turn off the spigot of free testing and TRICARE beneficiaries seen by civilian providers will have to pay out-of-pocket or forego recommended NIPTs. We believe ALL military families should have coverage for medical innovations, including NIPT, regardless of where they receive their care.
Please help us educate Congress on the importance of NIPT coverage for military families by sharing your stories via our brief online survey. Please note all responses will remain confidential. Thank you in advance for your help!
Posted April 20, 2016