Changes

There are many changes to the TRICARE program every year. Sign up for email alerts.

 
Change

Overview

Temporary Expansion of Telehealth Services TRICARE recently revised its policy on telehealth services. These changes are temporary during the national health emergency due to the pandemic. TRICARE will now:
  • Cover audio-only telehealth visits
  • Waive cost-shares and copayments for all covered telehealth services. These services must be from a military provider or TRICARE network provider.
  • Allow more providers to offer telehealth services

Learn more.

Catastrophic Cap Credit for Some Households  You’ll receive a letter from your regional contractor or designated provider if you or your family:
  • Exceeded the annual catastrophic cap in 2018, 2019, or 2020, and
  • Paid enrollment fees for some TRICARE plans.

The letter tells you about your options regarding your overpayment. Learn more.

3D Mammography Coverage

On Jan. 1, 2020, TRICARE expands coverage for breast cancer screenings to include digital breast tomosynthesis, or 3-D mammography. 3-D mammography is currently covered for diagnostic purposes. TRICARE will cover 3-D mammography as a preventive health care service through the provisional coverage program.

For more information about mammograms in general, visit the mammography page. 

TRICARE Reserve Select Reinstatement Request Extension Have you lost your TRICARE Reserve Select (TRS) coverage for failure to pay? You'll now have five months from your last paid-through date to request reinstatement. If your TRS coverage is reinstated, you’re still responsible for paying all past due premiums. You’ll also have to pay your current premiums, including fees. This is a temporary change during the national health emergency.
Referral and/or Authorization Extension for Some Services

Humana Military, Health Net Federal Services, and International SOS Assistance extended some already-approved referrals and authorizations that expire(d) between March 1, 2020 and June 30, 2020. This automatic extension is for an extra 180 days from the expiration date. You don’t need to take action. View your referrals and/or authorizations.

Questions? Contact your regional contractor. If overseas, call your regional call center.

Resumption of Elective Procedures at MTFs and DTFs

Be sure to contact your Military Treatment Facility or Dental Treatment Facility to find out if you can proceed with your elective procedure.  MTF and DTF commanders or directors may now determine if elective procedures may resume. They must use factors from the Department of Defense before deciding.

The factors include the following:

  • Risk Assessment
  • Installation HPCON levels, healthcare capacity including the TRICARE network
  • Medical and dental facility staffing levels
  • Personal Protective Equipment availability
Updated Quantity Limits for Certain Inhalers*

TRICARE is removing temporary quantity limits on inhalers and restoring pre-COVID-19 limits. Patients with asthma and other conditions can get up to six inhalers at once for a 90-day supply at participating pharmacies. Non-Active Duty Service Members must pay the full copaymentA fixed dollar amount you may pay for a covered health care service or drug. for each 30-day supply.

If you get your medications from:

*This includes: Albuterol, Levalbuterol, Proair, Proventil, Ventolin, and Xopenex.

 

TRICARE Select Enrollment Fees for Group AIf you or your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A. Retired Beneficiaries

You and your family members must now pay a TRICARE Select monthly enrollment fee. Your monthly enrollment fee payment will start on Jan. 1, 2021.

  • For an individual plan, you’ll pay $12.50 per month or $150 annually.
  • For a family plan, you’ll pay $25.00 per month or $300 annually.
Learn More about TRICARE Select Enrollment fees. 

Have you lost your TRICARE Reserve Select (TRS) coverage for failure to pay? You have five months from your last paid through date to request reinstatement. If your TRS coverage is reinstated, you’re still responsible for paying all past due premiums. You’ll also have to pay your current premiums, including fees. This is a temporary change during the national health emergency.

Last Updated 7/14/2020