Exclusions
In general, TRICARE excludes services and supplies that aren’t medically or psychologically necessary for the diagnosis or treatment of a covered illness (including mental disorder), injury, or for the diagnosis and treatment of pregnancy or well-child care.
Additionally, all services and supplies (including inpatient institutional costs) related to a non-covered condition or treatment, or provided by an unauthorized provider, are excluded.
The following specific services are excluded under any circumstance. This list of exclusions isn’t all inclusive.
- Acupuncture
- Alterations to Living Space
- Alternative Treatments
- Assisted Living Facility Care
- Augmentation Mammoplasty
- Autopsy Services
- Aversion Therapy
- Camps
- Charges for Missed Appointments
- Computerized Dynamic Posturography (CDP)
- Cosmetic Drugs
- Domiciliary Care
- Dry Needling
- Dynamic Posturography
- Dyslexia Treatment
- Elective Psychotherapy and Mind Expansion Psychotherapy
- Elective Services or Supplies
- Elevators or Chair Lifts
- Exercise Equipment
- Exercise Programs
- Experimental Procedures
- Fluoride Preparations
- Gym Membership
- Homeopathic and Herbal Drugs
- Hospitalization for Medical or Surgical Error
- LASIK Surgery
- Learning Disorders
- Long Term Care
- Massage
- Medical Care from a Family Member
- Mental Health Exclusions
- Multivitamins and Megavitamins
- Mycotoxin Testing or Toxic Mold Testing
- Naturopathic Care
- Neurofeedback
- Nursing Homes
- Orthoptics
- Paternity Test
- Personal Items
- Postpartum Stay without a Medical Reason
- Private Hospital Rooms
- Psychiatric Treatment for Sexual Dysfunction
- Psychogenic Surgery
- Retirement Homes
- Safety Medical Supplies
- Sensory Integration Therapy
- Sexual Dysfunction or Inadequacy Treatment
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Therapeutic Absences from Inpatient Facility
- Uncovered Services and Supplies
- Unneccessary Diagnostic Tests
- Unnecessary Inpatient Stays
- Unproven Procedures
- Vision Therapy
- Vitamin D Screening
Last Updated 9/17/2024
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