Does TRICARE cover prosthetics?
Quick Answer
Yes, TRICARE covers medically necessary prosthetic devices including artificial limbs, breast prostheses, ocular prostheses, and related fitting, adjustment, and replacement services.
Detailed Answer
TRICARE provides comprehensive coverage for prosthetic devices when they are medically necessary and prescribed by a TRICARE-authorized provider. Covered prosthetics include artificial limbs (upper and lower extremity prostheses), breast prostheses following mastectomy (covered under federal law), ocular (eye) prostheses, facial prostheses, and other medically necessary prosthetic appliances. Coverage includes the initial device, professional fitting and training, necessary adjustments, repairs, and replacement when the device is worn out or the patient's condition changes. Advanced prosthetic technologies such as microprocessor-controlled knees and myoelectric arms may be covered when they meet medical necessity criteria and are appropriate for the patient's functional level. Pre-authorization is typically required for prosthetic devices, and beneficiaries should use TRICARE-authorized prosthetic suppliers. Active duty service members and veterans with service-connected amputations receive comprehensive prosthetic care through military and VA systems.
Related TRICARE Terms
Related Questions
Does TRICARE cover orthotics?
Yes, TRICARE covers custom orthotics and orthotic devices when prescribed by a TRICARE-authorized provider for a diagnosed medical condition.
Does TRICARE cover durable medical equipment?
Yes, TRICARE covers durable medical equipment (DME) such as wheelchairs, CPAP machines, hospital beds, and oxygen equipment when medically necessary and prescribed by a provider.