TRICARE covers any therapy for the purpose of improving, restoring, maintaining, or preventing deterioration of function. The treatment must be medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and appropriate.
Rehabilitation therapy must be:
- rendered by an authorized provider,
- necessary to the establishment of a safe and effective maintenance program in connection with a specific medical condition,
- provided at a skilled level, and
- must not be custodial careNon-skilled, personal care for basic day-to-day tasks. This includes help with eating, dressing, getting in or out of a bed or chair, moving around, and using the bathroom. or otherwise excluded from coverage (e.g., exercise or able to be provided at a non-skilled level).
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 6/18/2020