Covered Services, Limitations and Exclusions

TRICARE Prime, TRICARE Prime Remote, and TRICARE Prime Remote for Active Duty Family Members cover most care that is medically necessary and considered proven. Some types of care are not covered at all, and there are special rules and limits for certain types of care. The following figures are not all-inclusive. TRICARE policies are very specific about which services are covered and which are not. It is in your best interest to take an active role in verifying coverage.This chapter outlines your options for:

Outpatient Services Inpatient Services Clinical Preventive Services Behavioral Health Care Services Outpatient Behavioral Health Care Services Inpatient Behavioral Health Care Services  Substance Use Disorder Services Telemedicine Services

Pharmacy Program Pharmacy Services Dental Options Maternity Services Hospice Care  ECHO  Services/Procedures with Significant Limits Exclusions