Durable Medical Equipment

Durable Medical Equipment (DME) refers to reusable medical equipment that is prescribed by a healthcare provider for use in the home. TRICARE covers DME when it is medically necessary and meets specific criteria established by the program.

Examples of covered DME: • Wheelchairs and mobility devices • Hospital beds and accessories • Oxygen equipment and supplies • CPAP and BiPAP machines • Nebulizers • Prosthetic devices and orthotics • Blood glucose monitors • Crutches, walkers, and canes

TRICARE DME coverage requirements: • Must be prescribed by a TRICARE-authorized provider • Must be medically necessary for treatment of a condition • Must be appropriate for home use • Must be durable and reusable (not disposable) • Prior authorization may be required for certain items

Cost-sharing for DME: • Standard TRICARE cost-shares and copays apply • Network DME suppliers offer lower costs • Some items may be rented rather than purchased • Repairs and replacement parts may be covered

Important considerations: • Use TRICARE-authorized DME suppliers • Prior authorization is often required for expensive equipment • Keep prescriptions and documentation for all DME items

Working with network DME suppliers and obtaining prior authorization when required helps ensure your equipment is covered and minimizes out-of-pocket expenses.