Uncovered Services and Supplies

TRICARE doesn’t cover services and supplies:

  • From a scientific or medical study, grant, or research program
  • Provided for free
  • That would be free if you or your sponsor weren’t eligible for TRICARE
  • Such as inpatient stays directed or agreed to by a court or other government agency, unless medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition.
  • Needed for an occupational disease or injury when worker’s compensation or a similar law can pay for them. The exception is if you’ve exhausted those benefits.
  • That any other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." can pay for. TRICARE will be the secondary payer for any remaining charges.

Last Updated 10/30/2024