Transplants

TRICARE covers most transplants that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. when the beneficiary has been evaluated and deemed a suitable candidate for transplant.

You must have pre-authorization from your regional contractor.

Donor Costs

Donor costs are covered when the donor or recipient are TRICARE beneficiaries.

When the donor isn’t a beneficiary:

• Coverage of donor costs are limited to costs directly related to the transplant procedure.
• Other treatments for the donor, including complications, won’t be covered by TRICARE.