TRICARE only covers respite care for the primary caregiver of active duty, Guard and Reserve service members injured in the line of duty.
- No out-of-pocket costs
- No benefit cap
Some respite care is also covered through TRICARE's Extended Care Health Option.
What is Respite Care?
Short-term care that provides temporary rest for primary caregiversClick to closeAnyone who takes care of the patient at home and helps with daily activities.. Through this benefit, primary caregivers may receive 8 hours of respite care, 5 days per calendar week.
Qualifying for Respite Care
Respite care is available to primary caregivers of service members who have a serious injury that has resulted in or may result in a physical disability or an extraordinary physical or psychological condition. The condition may be so severe that the service member is left homeboundClick to closeTRICARE considers you homebound if you can’t leave your home without a lot of effort..
The service member's case manager (or other approving authority such as the Defense Health Agency-Great Lakes, a Service Point of Contact, a referring military hospital or clinic, TRICARE Area Office, etc.) may approve respite care when the care plan includes frequent primary caregiver interventions (more than two during the eight-hour period per day that the primary caregiver would normally be sleeping).
The Extended Care Health Option Home Health Care benefit provides skilled nursing and respite care for beneficiaries who qualify. >>Learn More
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryClick to closeTo 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 5/17/2019