Abortion
Abortions are a limited benefit. More >>
Acupuncture
Not a covered benefit.
Adjunctive Dental
Limited adjunctive dental services may be covered when related to other covered medical care. More >>
Allergy Services
Allergy shots and testing are covered benefits. This includes the services and supplies required in the diagnosis and treatment of allergies. Allergy preparations, also referred to as the mixing of the serum for allergy injections, are a covered benefit if performed and administered during the office visit. Shots administered in a civilian pharmacy, and unproven allergy testing and treatment are not covered benefits.
Cost Information
Alterations to Living Space
Not a covered benefit.
Ambulance Services
Ambulance services are generally covered when medically necessary with a few exclusions and limitations. More >>
Ambulatory Surgery (Same day)
Ambulatory surgery (same day) is covered when done at a hospital-based or freestanding ambulatory surgery center (ASC) that is TRICARE-certified. Services performed in a freestanding ASC must meet specific requirements. Please review these requirements prior to rendering care. The surgery must be medically necessary and for a medical condition that is covered by TRICARE. Claims for non-reimbursable services performed in the ASC will be denied.
Note: TRICARE adopted the Medicare ASC reimbursement system effective Oct. 1, 2023. See TRICARE Reimbursement Manual, Chapter 9, Section 2.
Cost Information
Ancillary Services
Ancillary services are a covered benefit. More>>
Anger Management Treatment
Anger management treatment is a covered benefit if accompanied by a valid mental health diagnosis.
Applied Behavior Analysis (ABA)
TRICARE's Autism Care Demonstration covers applied behavior analysis services for TRICARE-eligible beneficiaries diagnosed with autism spectrum disorder. Applied behavior analysis is a limited benefit. For complete details, visit the Autism Care Demonstration section of our website.
Aquatic Therapy
Aquatic therapy, also referred to as hydrotherapy, may be a TRICARE covered benefit if provided as part of physical therapy or occupational therapy. Exercise classes in a swimming pool are not a covered benefit.
Assisted Living Facility Care
Not a covered benefit. For additional resources, visit www.medicaid.gov.
Autopsy Services or Post Mortem Examination
Not a covered benefit.
Aversion Therapy
Aversion therapy, the use of electric shock as negative reinforcement, is not a covered benefit.
