Does TRICARE cover developmental therapies for children?
Quick Answer
TRICARE covers speech therapy, occupational therapy, and physical therapy for developmental delays when medically necessary and prescribed by a provider.
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Key Takeaways
- Speech, OT, PT all covered
- Must be medically necessary
- Early intervention available
- Authorization may be needed
Detailed Answer
TRICARE covers developmental therapies for eligible children.
Covered Therapies
- Speech-language therapy
- Occupational therapy
- Physical therapy
- Feeding therapy
- Developmental evaluations
When Covered
- Developmental delay diagnosis
- Medical necessity established
- Provider prescription
- Authorization if required
Finding Providers
- MTF therapy services
- Network pediatric therapists
- Early intervention programs
- Specialty clinics
Authorization
- Initial evaluation often no prior auth
- Extended treatment may need authorization
- Regular reassessment required
- Progress documentation needed
Early Intervention
- Birth to 3 programs
- State-run programs
- TRICARE may supplement
- Coordination with schools
Related Questions
Does TRICARE cover autism services and therapy?
Yes, TRICARE covers autism services including Applied Behavior Analysis (ABA), speech therapy, and occupational therapy through the Autism Care Demonstration.
What is the ECHO program?
ECHO (Extended Care Health Option) provides additional services for military families with special needs dependents beyond standard TRICARE coverage.
How does TRICARE cover autism spectrum disorder?
TRICARE covers autism diagnosis, ABA therapy, speech therapy, occupational therapy, and medication through the Comprehensive Autism Care Demonstration.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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