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Change Overview
Changes to TRICARE Expected in 2024

A new TRICARE contract is expected to start in 2024 . The changes will improve the delivery, quality, and cost of your health care services. This includes:

  • Greater provider network flexibility
  • Improved beneficiary choice
  • Enhanced telehealth appointments

In addition, the following states are moving from the East RegionAlabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin. to the West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming.:

  • Arkansas
  • Illinois
  • Louisiana
  • Oklahoma
  • Texas
  • Wisconsin

Learn more.

Changes for Contraception Copayments

As of July 28, 2022, copayments or cost-shares for long-acting reversible contraceptive methods will be waived. This includes:

  • Intrauterine devices
  • Contraceptive shots
  • Subdural contraceptive rods

Full implementation of eliminating copayments/cost-shares will be completed by Nov. 1. If you were charged a CopaymentA fixed dollar amount you may pay for a covered health care service or drug. for any of these services after July 28, 2022, you can submit a claim to your regional contractor for reimbursement after Nov. 1.

Childbirth and Breastfeeding Support Demonstration

Starting Jan. 1, 2022, qualifying TRICARE Prime or TRICARE Select enrollees can enroll in the TRICARE Childbirth and Breastfeeding Support Demonstration (CBSD). The CBSD covers:

  • Certified non-medical labor doulas
  • Lactation consultants
  • Lactation counselors

You aren’t eligible for the CBSD if you use TRICARE For Life, US Family Health Plan, or the Continued Health Care Benefit Program. The CBSD will run from Jan. 1, 2022 to Dec. 31, 2026. The CBSD will expand overseas on Jan. 1, 2025.

Limitations apply. Learn more.

Access to Telemental Health services or Telemedicine 

 As of July 1, 2022, TRICARE will permanently cover audio-only telemedicine visits. Contact your TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS to see if they offer the service you need.

Learn more.

FDA Recall of Certain Sleep and Respiratory Devices

The Food and Drug Administration (FDA) has directed Philips Respironics to recall certain sleep and respiratory devices. This includes certain Constant Positive Airway Pressure (CPAP) devices, Bi-Level Airway Pressure (BiPAP) devices, and some ventilators.

The Military Health System (MHS) has notified all TRICARE-authorized durable medical equipment (DME) providers of the recall. If you think your device may be included in this recall:

  • Check the Philips Respironics patient portal or call 1-877-907-7508 to see if your device is on the recall list.
  • Make sure you have registered your device in the patient portal.
  • Talk with your provider about whether you should stop using your device.

Learn more.

TRICARE Reserve Select reinstatement request extension  Have you lost your TRICARE Reserve Select (TRS) coverage for failure to pay? You'll now have five months from your last paid-through date to request reinstatement. If your TRS coverage is reinstated, you’re still responsible for paying all past due premiums. You’ll also have to pay your current premiums, including fees. This is a temporary change during the national health emergency.
TRICARE Pharmacy Network Changes As of Oct. 24, 2022, about 15,000 independent pharmacies will leave the TRICARE retail pharmacy network.

If you fill a prescription at one of these pharmacies on or after Oct. 24, 2022, you’ll pay the full cost of the drug. If you choose to pay the retail non-network pharmacy copayment, you may file a claim for reimbursement.

Learn more.

Last Updated 12/22/2022