2024 Cost Information for Newborn Care

Note: Visit our Copayment and Cost-Share Information page to view 2023 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.

Note: Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.

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