Assisted Reproductive Services

TRICARE may cover some types of assisted reproductive services.  The services must be medically necessary and combined with natural conception. 

This includes:

• Diagnosis and treatment for an illness or injury of the male or female reproductive system. This includes correcting any physical cause of infertility
• Care for erectile dysfunction if it has a physical cause.
• Diagnostic services like:
  • Semen analysis
  • Hormone evaluation
  • Chromosomal studies
  • Immunologic studies
  • Special and sperm function tests
  • Bacteriologic investigation

Check with your regional contractor before receiving services. They may require preauthorization.

TRICARE doesn’t cover:

• Artificial or intrauterine insemination
• Any costs related to donors or semen banks
• Reversal of tubal ligation or vasectomy, unless medically necessary
• Care for erectile dysfunction from psychological causes, including:
  • Depression
  • Anxiety
  • Stress
• Non-coital reproductive procedures, services or supplies, including:
  • In vitro fertilization
  • Gamete intrafallopian transfer
  • Zygote intrafallopian transfer
  • Tubal embryo transfer

Were you injured on active duty?

If you're a service member (male or female) who:

• Is on active duty,
• Had a serious illness or injury while on active duty (Category II or III),
• Lost natural reproductive ability due to that illness or injury, and
• Has a lawful spouse

Then the following services may be available:

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

The following isn't included:

• Fertility preservation
• Surrogacy

If you get care or medication in the civilian sector, you must use participating network providers if available. You must get preauthorization for every IVF cycle.