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Does TRICARE cover home health care services?
Verified by TRICARE.com Editorial Team
Updated 2024-12-01
AI-assisted (gemini, gpt-4o)
Quick Answer
TRICARE covers skilled home health care including nursing, PT, OT, and speech therapy when prescribed for homebound beneficiaries. No deductible for home health.
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Key Takeaways
- Skilled care covered
- Must be homebound
- Doctor order required
- No deductible
Detailed Answer
Home health care coverage:
Who Qualifies
- Homebound beneficiaries
- Need skilled care
- Physician ordered
- Medically necessary
Covered Services
- Skilled nursing
- Physical therapy
- Occupational therapy
- Speech therapy
- Medical social work
- Home health aide (with skilled care)
Requirements
- Doctor's order
- Homebound status
- Skilled care need
- Care plan established
Not Covered
- Custodial care only
- 24-hour care
- Housekeeping
- Meals or errands
Cost
- Prime: Low copays
- Select: 20% cost-share
- Catastrophic cap applies
- No deductible for HH visits
Helpful Tips
- Get doctor referral
- Document homebound status
- Use TRICARE-certified agency
Sponsored
What do most military families add to their TRICARE coverage?
Most Popular
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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