Is It Covered?
Search the A-Z list for a list of covered services. Your coverage and out-of-pocket costs may vary based on who you are and your health plan option.
TRICARE may cover genetic testing when medically necessary, proven and appropriate, and when the results of the test will influence the medical management of the beneficiary. TRICARE covers genetic counseling provided by an authorized provider when it precedes the genetic testing.
Examples of tests covered:
- Chromosome analysis for repeated miscarriages or infertility
- Testing for Turner Syndrome
- Chromosome analysis due to genitalia ambiguity, small size for gestational age, multiple anomalies, or failure to thrive
Examples of tests not covered:
- Genetic screening tests
- Paternity tests
- Routine gender testing
This A-Z list of topics is not all inclusive. TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all.