Does TRICARE cover tubal ligation?
Quick Answer
Yes, TRICARE covers tubal ligation as a preventive care benefit under the Affordable Care Act. Most beneficiaries have no cost-share for the procedure when performed by a network provider.
Detailed Answer
TRICARE covers tubal ligation as both a surgical benefit and a preventive care service. Under the Affordable Care Act (ACA) preventive care provisions, female sterilization procedures are covered with no cost-share for most TRICARE beneficiaries when performed by a network provider. This includes tubal ligation performed laparoscopically, as a minilaparotomy, or at the time of cesarean delivery. TRICARE Prime beneficiaries need a referral from their primary care manager, while TRICARE Select beneficiaries can access the procedure through any TRICARE-authorized provider. Active duty service members receive the procedure at no cost at military treatment facilities. The procedure includes the pre-operative evaluation, the surgery itself, anesthesia, and post-operative follow-up care. Hysteroscopic sterilization methods may also be covered when available and medically appropriate for the patient.
Related TRICARE Terms
Related Questions
Does TRICARE cover vasectomy?
Yes, TRICARE covers vasectomy as a covered surgical benefit. Standard copays and cost-shares apply based on plan type and provider network status.
Does TRICARE cover birth control?
Yes, TRICARE covers all FDA-approved birth control methods including oral contraceptives, IUDs, implants, injections, and emergency contraception at no cost-share.