Medical Supplies And Dressings
TRICARE covers medical supplies and dressings (consumables) when related directly to a covered medical condition and obtained from a medical supply company, a pharmacy, or authorized institutional provider.
Examples of covered medical supplies and dressings include:
- Disposable syringes for diabetics,
- Colostomy sets
- Irrigation sets
- Elastic bandages
- External surgical garments designed for use following a mastectomy
- Compression stockings (TED hose)
Generally, the allowable chargeThe maximum amount TRICARE pays for each procedure or service. This is tied by law to Medicare's allowable charges. of a medical supply item will be under $100. Any item over this amount must be reviewed to determine whether it would not qualify as a DME item. If it is, in fact, a medical supply item and does not represent an excessive charge, it can be considered for benefits under this policy.
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
Last Updated 3/20/2022