TRICARE covers 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. Beneficiary liability for covered services varies according to program option (i.e., TRICARE Prime, TRICARE Prime Remote [TPR], TRICARE Prime Remote for Active Duty Family Members [TPRADFM], TRICARE Standard and TRICARE Extra, or TRICARE For Life). See the TRICARE Program Options section of this handbook for specific beneficiary liability information.
This section provides an overview of TRICARE-covered services and includes specific details about certain benefits.
This section is not all-inclusive.
For additional information or answers to specific questions about TRICARE-covered services, contact Humana Military Healthcare Services, Inc. (Humana Military), at 1-800-444-5445 or review the TRICARE Policy Manual, the TRICARE Reimbursement Manual, or the TRICARE Operations Manual online at
TRICARE's Manuals Online web page. You may also review the TRICARE Provider News publication for regular articles about benefits and program changes.
Some military treatment facilities (MTFs) may offer services or procedures that TRICARE does not cover. Beneficiaries should contact their local MTFs for information about these services. Additionally, the Military Medical Support Office (MMSO) may authorize services for active duty service members (ADSMs) that are not regular TRICARE benefits. Providers are only reimbursed if they obtain prior authorization from Humana Military for these services.
This chapter outlines:
