Does TRICARE cover vasectomy?
Quick Answer
Yes, TRICARE covers vasectomy as a standard surgical benefit. No pre-authorization is typically required. Standard copays apply based on plan type and whether the provider is in-network.
Detailed Answer
TRICARE covers vasectomy as a standard outpatient surgical benefit for eligible beneficiaries. The procedure is considered a covered family planning service and does not typically require pre-authorization. Under TRICARE Prime, a referral from the primary care manager to a urologist is required. TRICARE Select beneficiaries can directly schedule with a TRICARE-authorized urologist without a referral. Active duty service members can receive vasectomies at military treatment facilities at no cost, though they should discuss any career implications with their command. For other beneficiaries, standard outpatient surgery copays and cost-shares apply based on the plan type, beneficiary category, and whether the provider is in the TRICARE network. TRICARE also covers the pre-operative consultation and post-operative follow-up visit, including a semen analysis to confirm the procedure's success.
Related TRICARE Terms
Related Questions
What services does TRICARE cover?
TRICARE covers preventive care, doctor visits, hospitalization, surgery, mental health, maternity, prescriptions, and more with some requiring authorization.
Does TRICARE cover tubal ligation?
Yes, TRICARE covers tubal ligation (female sterilization) as a covered surgical and preventive care benefit with no cost-share for most beneficiaries.