Tricare

All about TRICARE Vision Facilities and Benefits

Veterans and their family members, ages 3 and older, and enrolled in TRICARE are offered the benefit of eye checkups once every two years.

Veterans and their family members, ages 3 and older, and enrolled in TRICARE are offered vision facilities and benefit of eye checkups once every two years. The veterans need to make an appointment with any of the TRICARE providers within the network. There is no need for an authorization or referral from your Manager of Primary Care or even from the health care finder. If a particular eye test is unavailable at a network provider, you can complete the vision checkup at any other non-network provider as long as you provide authorization from the health care finder and a referral from your Manager of Primary Care. However, if a veteran completes the services of a non-network provider without the authorization and referral, the option for TRICARE Prime Point of Service will be be used and the veteran will have responsible to pay any expenses from the appointment.

There are two exceptions to the basic benefits of general vision care:

 1. Pediatric vision screening is available in the case of the birth of a newborn allows and also when the infant is six months old.

2.  Any diabetic patient is permitted to have a complete eye checkup annually.

The TRICARE Extra and TRICARE Standard plans do not include vision examinations for all enrolled participants. However,  the exam is available to those who have a medical condition which is covered by those plans. Retired personnel and their dependent family members who are enrolled in the TRICARE Extra, TRICARE for Life, and TRICARE Standard plans are not eligible for regular eye checkups.

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