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Dedicated Call Center Option for Fetal Surgery Referrals

Monday, July 13, 2020

Pregnant TRICARE beneficiaries who have a fetal condition or suspected fetal condition and their providers now have access to a dedicated call center option to request an expedited referral for fetal surgery. Call the Health Net Federal Services, LLC (HNFS) Case/Care Support line at 1-844-524-3578 and choose option 4 for maternity fetal support.  

Fetal surgery performed by a perinatal or pediatric specialist is a covered TRICARE benefit. Specific benefit criteria applies and prior authorization is required. We will issue a determination on fetal surgery requests within three business days.

Fetal surgery counseling rendered during an office visit prior to the surgery is an expected component of good clinical practice and not separately reimbursable. Mental health care received separately (for example, psychotherapy) is reimbursable when rendered in accordance with TRICARE policy.