Tricare Authorized Care

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Tricare is limited by law to authorize the following types of health care to dependents:

  • Hospitalization.
  • Outpatient care.
  • Drugs.
  • Treatment of medical and surgical conditions.
  • Treatment of nervous, mental, and chronic conditions.
  • Treatment of contagious diseases.
  • Physical examinations, including eye examinations, and immunizations.
  • Maternity and infant care, including well-baby care that includes one screening of an infant for the level of lead in the blood of the infant.
  • Diagnostic tests and services, including laboratory and X-ray examinations.
  • Dental care.
  • Ambulance service and home calls when medically necessary.
  • Durable equipment, which may be provided on a loan basis.
  • Primary and preventive health care services for.
  • Preventive health care screening for colon or prostate cancer.
  • Prosthetic devices, as determined to be necessary.
  • A hearing aid, but only for a dependent of a member of the uniformed services on active duty and only if the dependent has a profound hearing loss.
  • Any rehabilitative therapy when prescribed by a physician.

Items that may be provided to a patient include the following:

  • Any durable medical equipment to aid a body part, or to prevent the deterioration of the patient's function or condition.
  • Any durable medical equipment that can maximize the patient's function consistent with the patient's physiological or medical needs.
  • Wheelchairs.
  • Iron lungs.
  • Hospital beds.
  • Other equipment customizations, accessories, or items for:
     
    • achieving therapeutic benefit for the patient;
    • making the equipment serviceable; or
    • otherwise assuring the proper functioning of the equipment.

For general information about Tricare, check out their website.

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