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.

Long Term Care

TRICARE doesn't cover long term care.

You can discuss exceptions or partial exceptions to the "no coverage" guidance with your regional contractor or case manager (if one is assigned).

TRICARE does cover other services you may need such as:

What is long term care?

Long term care is often used as an umbrella phrase to refer to all kinds of assistance to the aging, the elderly, or the disabled, whether that care is given in a patient's home or in a nursing home. This is an understandable, and common, mistake.

Long term care includes a wide range of support services for patients with a degenerative condition, prolonged illness or cognitive disorder. Also known as "custodial care," long term care primarily involves assistance with daily living (walking, personal hygiene, dressing, etc.) or supervision of someone who is cognitively impaired.

What are my options for long term care?

You may qualify to purchase long term care insurance through commercial insurance programs or through the Federal Long Term Care Insurance Program (FLTCIP).

  • Eligible beneficiaries include active duty and National Guard members activated for more than 30 days, retired uniformed service members, and members of the Selected Reserve.
  • Eligibility and enrollment requirements are complex. Not everyone who applies for this insurance will be approved for it.  
  • For complete details, please visit the FLTCIP website.
Disclaimer:

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.

Last Updated 9/16/2014