Preventive Services

Covered by TRICARE?Limits
Yes

TRICARE covers clinical preventive services. You can watch the video below to learn more.

Specific preventive services include:

Getting Preventive Care

TRICARE Prime Plans

If you're using a TRICARE Prime planTRICARE Prime plans include TRICARE Prime, TRICARE Prime Remote, TRICARE Prime Overseas, TRICARE Prime Remote Overseas, TRICARE Young Adult-Prime, and the US Family Health Plan.:

  • You can get preventive services from your primary care manager or any TRICARE network provider
  • Referral and authorization not required.
  • You'll pay nothing out of pocket for preventive services.

Note: Active duty service members must have prior authorization to visit a civilian provider.

TRICARE Standard Plans

If you're using a TRICARE Standard planTRICARE Standard plans include TRICARE Standard and Extra, TRICARE Standard Overseas, TRICARE Reserve Select, TRICARE Retired Reserve, and TRICARE Young Adult-Standard., you can visit any TRICARE-authorized provider, network or non-network. You'll pay the following for preventive services:

No cost ($0) for:

  • Cancer screenings* (breast, cervical, colorectal, prostate)
  • Immunizations*
  • Well-child visits for children under age 6 (birth through age 5)

*This includes the office visit for beneficiaries age 6 and older when a covered cancer screening or immunization is provided during the visit.

The outpatient cost share applies for all other preventive services, even if rendered at the same time as a covered cancer screening or immunization.

Disclaimer:

This list of covered services is not all inclusive. TRICARE covers services that are medically necessary and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 4/1/2015