An official website of the United States government
Here's how you know
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

News | June 11, 2024

Understand How TRICARE Covers Infertility Diagnosis and Treatment

By TRICARE Communications

Are you considering having children? If you’re trying to get pregnant, but haven’t been able to, you may have questions about how TRICARE can help.

“If you’re struggling to conceive, it’s important to find out what might be causing you or your partner to struggle with infertility,” said Elan Green, chief of the Medical Benefits and Reimbursement Branch of the TRICARE Health Plan at the Defense Health Agency. “TRICARE covers certain tests and services that can help diagnose and treat underlying causes of infertility.”

According to the Centers for Disease Control and Prevention, infertility is defined as being unable to get pregnant after one year of unprotected sex. Any person can present with conditions that play a role in infertility.

Do you think you or your partner may be dealing with infertility? Read on to learn about your diagnosis and treatment options.

Infertility diagnosis

First, talk to your primary care manager (PCM) or gynecologist. They’ll ask questions about your medical history. They may refer you to a reproductive endocrinologist for more tests or exams.

If medically necessary, TRICARE covers certain diagnostic tests for infertility. These may include:

  • Semen analysis
  • Hormone evaluation
  • Chromosomal, immunologic, and imaging studies
  • Special and sperm function tests
  • Bacteriologic investigation

Sometimes, there may be an underlying physical cause to the infertility. TRICARE covers treatments to correct these types of physical causes.

Check with your regional contractor before getting these services. You may need to get pre-authorization, regardless of what TRICARE health plan you have.

Assisted reproductive technology services

Some people seek assisted reproductive technology (ART) services to overcome their infertility.

ART services at military hospitals and clinics

Although TRICARE doesn’t cover ART services, these services are available on a first-come, first-serve basis at a greatly reduced cost. They’re available from eight military hospitals that have obstetrics and gynecology reproductive endocrinology and infertility graduate medical education programs. The eight military hospitals are:

ART services for severely ill or injured service members

Are you a service member who got a serious or severe illness or injury while on active duty? Did it result in your inability to have children without the use of ART? You may be eligible for coverage of these services under the extended benefit of the Supplemental Health Care Program (SHCP). Qualifying service members may receive ART services, including the following, at no cost:

  • Sperm retrieval
  • Egg retrieval
  • In-vitro fertilization (IVF)
  • Intrauterine insemination (IUI)
  • Blastocyst implantation
  • Cryopreservation and storage of embryos

In March, the DOD updated its policy on ART for these qualifying service members. Now, in addition to the qualifying service member and their spouse, the following people may also get ART services for the service member’s benefit:

  • TRICARE-enrolled unmarried partners
  • TRICARE-enrolled third-party gestational carriers (if not being paid)

Are you a qualifying service member, their TRICARE-enrolled spouse or partner, or gestational carrier? You may also use donor sperm, eggs, or embryos that are paid out-of-pocket with any of the included ART services. Such service members also receive priority when seeking this care through any of the military hospital programs listed above.

Do you have questions about infertility diagnosis or treatment? Ask your doctor at your next appointment. And no matter what your family planning goals are, learn more about how TRICARE covers men’s health and women’s health services.

Would you like the latest TRICARE news sent to you by email? Visit TRICARE Subscriptions, and create your personalized profile to get benefit updates, news, and more.

 

Image of hand holding smartphone showing the options available in the Express Scripts Pharmacy mobile app.

Easily Manage TRICARE Prescriptions With the Exp...

News
Jul. 11, 2024

Looking for a convenient way to keep track of your TRICARE prescriptions? Download the free Express Scripts...
Read More
Elderly man wearing glasses sits on couch and looks at smartphone.

See Test Results and Clinical Notes in Your MHS ...

News
Jul. 09, 2024

If you’ve recently had a blood draw or X-ray, you’re likely interested in seeing the results once they’re...
Read More
Woman wearing white headband looks in mirror while brushing teeth.

TRICARE Tips for Managing Diabetes and Your Oral...

News
Jul. 03, 2024

According to the Centers for Disease Control and Prevention, more than 38 million American adults currently...
Read More
The 6th MSS laboratory oversees the shipment of more than 200 healthcare diagnostic tests per day. The new Air Force generation model (AFFORGEN) is designed for Airmen to train together and deploy together; services across MacDill AFB have adjusted their capacities to support mission requirements. (U.S. Air Force photo by Senior Airman Zachary Foster)

Learn How To Prevent Sexually Transmitted Infect...

News
Jun. 27, 2024

Rates of sexually transmitted infections have increased among active duty service members in recent years. If...
Read More
A Marine looks at his laptop

MHS GENESIS Secure Messaging: A Direct Line to Y...

News
Jun. 25, 2024

The MHS GENESIS Patient Portal lets you speak to your military health care team at your military hospital or...
Read More
Man smiles while looking at smartphone, with "heart" and "like" button graphics around him. Text reads: "Join us for a TRICARE Facebook Live. Topic: TRICARE For Life, June 27 at 1PM ET."

Get Your TRICARE For Life Answers at June 27 Fac...

News
Jun. 20, 2024

Will you or a family member be eligible for Medicare soon? Do you already have TRICARE For Life (TFL), or will...
Read More
Surgeon operates on eyeball.

Studies Show Military Eye Injuries Can Cause Cat...

News
Jun. 17, 2024

Cataracts are the leading cause of blindness worldwide and in the United States, with an estimated 24 million...
Read More
Hand holding plastic heart with an unlock symbol. Text reads, "NEW! Patient Resources Section. www.tricare.mil/patientresources"

New Patient Resources Section on TRICARE Website

News
Jun. 14, 2024

Check out the new Patient Resources section on tricare.mil. This section makes it easy to find forms, track...
Read More

July 11, 2024

Easily Manage TRICARE Prescriptions With the Express Scripts Pharmacy Mobile App

Looking for a convenient way to keep track of your TRICARE prescriptions? Download the free Express Scripts Pharmacy mobile app to securely manage your medications anytime, anywhere.

July 9, 2024

See Test Results and Clinical Notes in Your MHS GENESIS Patient Portal

If you’ve recently had a blood draw or X-ray, you’re likely interested in seeing the results once they’re available. Or perhaps you want to review what you discussed with your health care team at your last appointment. If you visited a military hospital or clinic for your recent test or appointment, you can access this information in the MHS GENESIS Patient Portal.

July 3, 2024

TRICARE Tips for Managing Diabetes and Your Oral Health

According to the Centers for Disease Control and Prevention, more than 38 million American adults currently have diabetes. Even though diabetes is common, many people don’t know about its connection to oral health.

June 27, 2024

Learn How To Prevent Sexually Transmitted Infections

Rates of sexually transmitted infections have increased among active duty service members in recent years. If you're sexually active, there are steps you can take to your lower your risk.

June 25, 2024

MHS GENESIS Secure Messaging: A Direct Line to Your Military Health Care Team

The MHS GENESIS Patient Portal lets you speak to your military health care team at your military hospital or clinic through secure messaging. Learn how and when to use secure messaging.

June 20, 2024

Get Your TRICARE For Life Answers at June 27 Facebook Event

Will you or a family member be eligible for Medicare soon? Do you already have TRICARE For Life (TFL), or will you be eligible soon? Join us Thursday, June 27, at 1 p.m. ET on TRICARE’s Facebook page for a live event to learn about TFL.

June 17, 2024

Studies Show Military Eye Injuries Can Cause Cataracts, Vision Loss

Cataracts are the leading cause of blindness worldwide and in the United States, with an estimated 24 million Americans who have been diagnosed with cataracts, according to the National Institutes of Health.

June 14, 2024

New Patient Resources Section on TRICARE Website

Check out the new Patient Resources section on tricare.mil. This section makes it easy to find forms, track your health records, learn about disaster alerts, and more.

June 11, 2024

Understand How TRICARE Covers Infertility Diagnosis and Treatment

Do you think you or your partner may be dealing with infertility? Learn about how TRICARE covers certain diagnosis and treatment options.

June 4, 2024

Get Prescriptions at Home With TRICARE For Life

Do you often make trips to the pharmacy to pick up your prescriptions? If you have TRICARE For Life, you can switch to TRICARE Pharmacy Home Delivery to get your medications delivered right to your home.