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Inpatient ServicesFigure 4.2 provides coverage details for covered inpatient services. Note: This chart is not intended to be all-inclusive. Figure 4.2 Inpatient Services: Coverage Details
| Service |
Description |
Hospitalization
(semi-private room/ special care units when medically necessary) |
Covers general nursing; hospital, physician, and surgical services; meals (including special diets); drugs and medications; operating and recovery room care; anesthesia; laboratory tests; X-rays and other radiology services; medical supplies and appliances; and blood and blood products
Note: Surgical procedures designated “inpatient only” may only be covered when performed in an inpatient setting.
|
Skilled Nursing Facility Care
(semi-private room) |
Covers regular nursing services; meals (including special diets); physical, occupational, and speech therapy; drugs furnished by the facility; and necessary medical supplies and appliances (TRICARE covers an unlimited number of days as medically necessary.) |
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