I am currently 5 months pregnant. I have had a hell of time. TRICARE WEST PRIME does not know its own policies. I just moved here and things are difficult. Tricare prime covers at home births with a CNM which in Monterey their are 5 all of which are willing to accept Tricare. By their policies they should in theory cover them. Well here is the catch or the problem I am running into they are not listed as a preferred provider. When I went into my local office in Seaside (once Fort Ord) the manager knew nothing about having an at home birth. When I call I get the run around I found out that I need to submit an authorization for a non-preferred provider since the closest preferred provider is 2 hours away. Now before I could do that I needed to get a referral from my new local PCM for a midwife. Which I did and they in return gave me a midwife in San Fransisco. What do I do? How do I get an authorization for a local non preferred CNM. The latest attempt I made the supervisor told me that it can not be done that I needed to switch to Standard. However the midwifes here told they have got 100% payment through Prime and I have meet 2 of the women that have done it but they said that it was not this hard as the previous in office supervisor did it for them. She has since PCS to another duty station and the new one who is 3 months old does not even know how to look up referrals she had to call the 1800 # to find out about my referral. She is dumber than the people she manages. The guy under her who has been there for 5 years says the other gal knew how to do it but he did not. That it was possible. He suggested going to IG or the Post Commander. I dont want to do that but I will.