Does TRICARE cover sleep studies and CPAP machines?

Direct answer: Yes, with conditions — sleep studies require a referral to a sleep disorder center and medical evidence of need, and CPAP machine coverage (especially portable units) has narrower, plan- and region-specific requirements.

Applies to: All TRICARE plans · All regions

Details

TRICARE covers diagnostic sleep studies as an outpatient visit when an attending physician refers you to a sleep disorder center and the need for testing is medically confirmed; home/portable sleep studies are covered as an alternative to in-facility studies for diagnosing obstructive sleep apnea in adults when specific criteria are met. A portable CPAP machine may be covered for an active-duty service member with a referral noting official travel at least three days a month or an upcoming deployment, provided they are not retiring or separating within the year, and the device includes humidification and battery capability. CPAP coverage is a limited benefit and requirements can vary by region — confirm specifics with your regional contractor.

What to do next

Confirm this with your Primary Care Manager or regional contractor before scheduling — rules can vary by region and by service.