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.

Preventive Services

TRICARE covers clinical preventive services for all beneficiaries. View information about targeted health promotion and disease prevention examinations in the following links:

Costs for Preventive Services

TRICARE Prime Options

Beneficiaries enrolled in a TRICARE Prime Option (except active duty service members using TRICARE Prime) may receive clinical preventive services from their primary care manager or from any network civilian provider without a referral or authorization at no cost. Active duty service members using TRICARE Prime must get preauthorization to visit a civilian provider. TRICARE Prime Options include:

  • TRICARE Prime
  • TRICARE Prime Remote
  • TRICARE Prime Overseas
  • TRICARE Prime Remote Overseas
  • TRICARE Young Adult-Prime Option
  • US Family Health Plan

TRICARE Standard Options

For beneficiaries using a TRICARE Standard Option, there are no cost shares for the following preventive services:

  • Breast cancer screenings
  • Cervical cancer screenings
  • Colorectal cancer screenings
  • Prostate cancer screenings
  • Immunizations
  • Well-child visits for children under age 6

For all other preventive services, cost shares apply, unless performed at the same time as the services listed above. TRICARE Standard Options include:

  • TRICARE Standard and Extra
  • TRICARE Reserve Select
  • TRICARE Retired Reserve
  • TRICARE Standard Overseas
  • TRICARE Young Adult-Standard Option

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 7/25/2014