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TRICARE offers comprehensive coverage to help you get and stay healthy.

 

Find covered health services 

 

You can use the Covered Services tool to find what your TRICARE health benefit  covers. The tool is easy to find and use. Follow these steps to get started: 

  1. Click “What’s Covered” on the navigation bar at the top of every tricare.mil page.
  1. Scroll down to search for covered services by keyword or by category. 
  2. Click “Search” to see a table of results. The table will show if a health care  service is covered. To learn more about how a service is covered and if there are  limitations, click “More.” 

 

TRICARE covers services that are medically necessary and considered proven.

 

To be medically necessary means it’s appropriate, reasonable, and adequate for your  condition. To be proven means it’s safe and not considered experimental. 

There are special rules or limits on certain services, and some services are excluded.  You can check out the Exclusions page for more information. Remember, the Covered Services tool and the exclusions list aren’t all inclusive. 

Do you have TRICARE For Life (TFL)? Before you get care, see what Medicare  covers and what TRICARE covers. Generally, you’ll have lower out-of-pocket costs  when you follow Medicare’s rules for getting care. Learn more about getting care with  Medicare and TFL

 

See if your prescription is covered 

 

TRICARE health plans include prescription drug coverage. TRICARE also covers  certain over-the-counter drugs when prescribed by your provider. To see how  TRICARE covers a specific drug, follow these steps to use the TRICARE Formulary  Search tool: 

  1. Type the drug name and strength in the search box. 
  2. Beneath the search box, fill in the fields from the dropdown menus. 3. Click “Search” to see information about the drug. 

The information you’ll see will include the drug’s coverage details and limitations.  You’ll also see your copayment for that drug. Copayments are based on your  beneficiary status, the drug category, and where you fill your prescription, as  described in the TRICARE Pharmacy Program Overview Fact Sheet.

 

*Check out more tips on DHA’s Expert M:M Page.

 



Author

  • The Defense Health Agency is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. Their mission is to provide a medical benefit commensurate with the service and sacrifice of more than 9.6 million active duty personnel, military retirees and their families.

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