Clinical Trial

A clinical trial is a research study designed to evaluate the safety and effectiveness of new medical treatments, drugs, devices, or procedures. TRICARE provides coverage for beneficiaries participating in qualifying clinical trials under specific conditions.

TRICARE clinical trial coverage includes: • Routine patient care costs associated with the trial • Standard-of-care services during participation • Monitoring and follow-up care related to the trial • Treatment of side effects from the experimental intervention

What TRICARE typically does NOT cover: • The experimental drug, device, or procedure itself (usually provided by the trial sponsor) • Travel and lodging for trial participation • Services provided solely for research purposes • Data collection and administrative costs of the trial

Requirements for TRICARE coverage: • The trial must be approved by an Institutional Review Board (IRB) • The trial must be registered on ClinicalTrials.gov or equivalent • The beneficiary must meet trial eligibility criteria • Prior authorization from TRICARE may be required

Participating in clinical trials can provide access to cutting-edge treatments. Discuss potential clinical trial options with your healthcare provider and contact your regional contractor about coverage specifics.