Elective Induction

crismenjivar · June 2012

Does anyone know if Tricare Reserve Select covers elective induction? I don't see anything on their website about it.

mhubbar5 · June 2012

I don't know about Tricare but have you checked with the hospital your wanting to deliver at? I know the hospital I used to work for won't do elective inductions at all. There has to be a medical reason. And the hospital I work for now has the same rule.

iluvmytxrgr · June 2012

I agree with PP. Check with your hospital. Neither of the hospitals here will do elective inductions.

Ilumine · June 2012

First, TRICARE does not cover anything that is not medically necessary.

I am not going to get into a back-in-forth with you about elective inductions other than to post a few links. Personally, since there is twice the risk for infant mortality for babies born at 37 and 38 weeks vs going to 40, I would not risk it.

https://www.time.com/time/specials/packages/article/0,28804,2101344_2101158_2101148,00.html

https://www.npr.org/2011/07/18/138473097/doctors-to-pregnant-women-wait-at-least-39-weeks

https://www.psychologytoday.com/blog/thinking-about-kids/201107/it-takes-40-weeks-build-baby-wait

Second, because of the new statistics most hospitals will not perform eletive inductions anymore. You may not find one who will do it for you.

Third, TRICARE coverage is the same for all of its "programs". So if it is covered or not covered under PRIME, it is covered under Standard, Prime Remote and Reserve Select...the cost shares are just different.

Gismo123 · June 2012

Ilumine:
First, TRICARE does not cover anything that is not medically necessary.

I am not going to get into a back-in-forth with you about elective inductions other than to post a few links. Personally, since there is twice the risk for infant mortality for babies born at 37 and 38 weeks vs going to 40, I would not risk it.

https://www.time.com/time/specials/packages/article/0,28804,2101344_2101158_2101148,00.html

https://www.npr.org/2011/07/18/138473097/doctors-to-pregnant-women-wait-at-least-39-weeks

https://www.psychologytoday.com/blog/thinking-about-kids/201107/it-takes-40-weeks-build-baby-wait

Second, because of the new statistics most hospitals will not perform eletive inductions anymore. You may not find one who will do it for you.

Third, TRICARE coverage is the same for all of its "programs". So if it is covered or not covered under PRIME, it is covered under Standard, Prime Remote and Reserve Select...the cost shares are just different.

All of this. Elective induction is not considered a medical need there for not covered....as PP's have said most hospitals don't do them anyway. I would sideeye any doctor who would do one for non medical reasons too. Having said that I was induced but I was also a week overdue and it was considered a medical need at that point. Don't be so impatient and let your baby come when he/she is ready!

LetsHikeToday · June 2012

I don't know any details about how this person got it covered but someone on my H's boat was just induced so they could make sure it happened before her husband was deployed. It was covered.

Like I said, I don't know details or how they went about it or if that is right or wrong, I just know she got induced so her husband would be home.

Ilumine · June 2012

LetsHikeToday:
I don't know any details about how this person got it covered but someone on my H's boat was just induced so they could make sure it happened before her husband was deployed. It was covered.
Like I said, I don't know details or how they went about it or if that is right or wrong, I just know she got induced so her husband would be home.

I did a little more research (pre coffee research should be avoided). Basically TRICARE will sort of cover elective c-sections. Basically it will only cover the cost of a general vaginal birth and the beneficiary has to pay for everything else.

https://www.tricare.mil/mybenefit/jsp/Medical/IsItCovered.do?kw=Cesarean+Section

Basically it will cost you at least $6,000 out of pocket JUST FOR the procedure. Most hospitals keep vaginal births for 24-48 hours, but it's 96 hours for a c-section. I would suspect that THOSE costs will be charged to the patient too.

And again, that is if you can FIND a civilian OB willing to provide one. Becuase with the new studies out, that opens them to lawsuits...

jb2rn · June 2012

LetsHikeToday:

I don't know any details about how this person got it covered but someone on my H's boat was just induced so they could make sure it happened before her husband was deployed. It was covered.

Like I said, I don't know details or how they went about it or if that is right or wrong, I just know she got induced so her husband would be home.

that is awful Sad

LetsHikeToday · June 2012

Ilumine:
LetsHikeToday:
I don't know any details about how this person got it covered but someone on my H's boat was just induced so they could make sure it happened before her husband was deployed. It was covered.
Like I said, I don't know details or how they went about it or if that is right or wrong, I just know she got induced so her husband would be home.
I did a little more research (pre coffee research should be avoided). Basically TRICARE will sort of cover elective c-sections. Basically it will only cover the cost of a general vaginal birth and the beneficiary has to pay for everything else.
https://www.tricare.mil/mybenefit/jsp/Medical/IsItCovered.do?kw=Cesarean+Section
Basically it will cost you at least $6,000 out of pocket JUST FOR the procedure. Most hospitals keep vaginal births for 24-48 hours, but it's 96 hours for a c-section. I would suspect that THOSE costs will be charged to the patient too.
And again, that is if you can FIND a civilian OB willing to provide one. Becuase with the new studies out, that opens them to lawsuits...

That surprises me. Like I said, I really don't know much about the situation only that they were able to be induced so that he could be home for the birth. Somehow it got covered though because they are definitely not paying $6000.

Edit: I do not know if she had a C/S or a vaginal birth

sweetpea2003 · June 2012

LetsHikeToday:
I don't know any details about how this person got it covered but someone on my H's boat was just induced so they could make sure it happened before her husband was deployed. It was covered.
Like I said, I don't know details or how they went about it or if that is right or wrong, I just know she got induced so her husband would be home.

It is all in the coding. If the doctor was the type to do a convenience induction, they probably aren't above coding it to reflect a medical need. Even "big baby" is enough to get coverage.

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