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Can I get a second opinion with TRICARE coverage?
Verified by TRICARE.com Editorial Team
Updated 2024-12-01
AI-assisted (gemini, gpt-4o)
Quick Answer
TRICARE covers second opinions for surgery or major treatment. Same cost-shares as specialist visits. Prime needs referral; Select allows self-referral.
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Key Takeaways
- Second opinions covered
- Normal cost-shares apply
- Referral may be needed
- Network recommended
Detailed Answer
Second opinions with TRICARE:
When Covered
- Recommended surgery
- Major treatment decisions
- Complex diagnoses
- Cancer treatment plans
How to Get
- Prime: Referral from PCM
- Select: Self-refer to network
- Request records transfer
- Schedule with specialist
Coverage Details
- Same as specialist visit
- Regular cost-shares apply
- No special authorization
- Network recommended
Benefits
- Peace of mind
- Additional perspective
- May find better option
- Informed decision making
Tips
- Gather all records
- Prepare questions
- Compare recommendations
- Discuss with PCM after
Helpful Tips
- Gather records first
- Prepare questions
- Compare opinions
Related TRICARE Terms
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What do most military families add to their TRICARE coverage?
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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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