Join Date: May 2009
Location: Colorado Springs
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Your best bet is to locate a CNM(s) that work in a clinic with Ob/Gyn Md's who deliver at a local hospital if you do not want a homebirth or a birthing center birth (both of which ARE COVERED only if you are seeing a CNM not PM or LM/DM).
You can either try to get a referral from your Tricare Service Center to this off post clinic/provider for prenatal care (which can be a pain in the ass, because they usually will NOT do it if your local MTF within 50 miles of your zip code can provide the same services) OR you can disenroll from Tricare Prime once you know you are preggers and be enrolled in Standard. Standard carries a $150-300 annual deductible based on AD members rank, and depending on whether or not you see someone in network or out of network you may have a coshare of 20% of the charges. But with Standard you can go wherever you want and they will still pay something towards your care.
As far as Tricare letting you be induced, that really has NOTHING to do with tricare at all. It is up to your individual provider and/or whomever happens to be oncall when you go into labor. Tricare cannot dictate whether or not you can be induced.
Most Ob providers in a hospital have to follow a protocol to induce a patient. It either has to be: (in order of priority)
a) medically necessary, life of baby or mom is threatened due to complications, (severe eclampsia, severe uncontrolled GDM, severe IUGR)
b) medically indicated, mom or baby is having some problems that would be fixed with delivery(PIH, GDM, low AFI) or history of really fast labor,etc...
c) post dates, mom is 41 weeks or more,
And yes CNM that work at the MTF hospital can deliver. I saw one briefly 6 years ago at Ft Riley and she was a CNM but also could give epidurals etc...
Proud Army Wife, Christian, Mommy to Jackson (12/02) Jillian (12/03) and William (9/14/09). Expecting our newest blessing Aug 2010!