Radiology

Radiology encompasses diagnostic imaging services used to visualize the inside of the body for medical diagnosis and treatment. TRICARE covers medically necessary radiology services, though some advanced imaging may require prior authorization.

Types of radiology services covered: • X-rays (general radiography) • MRI (Magnetic Resonance Imaging) • CT scans (Computed Tomography) • Ultrasound • Mammography (diagnostic and screening) • PET scans (Positron Emission Tomography) • Nuclear medicine studies • Fluoroscopy • Bone density scans (DEXA)

Prior authorization requirements: • Routine X-rays: Generally no prior authorization needed • Advanced imaging (MRI, CT, PET): May require prior authorization • Screening mammography: No authorization needed (preventive) • Your provider or facility typically handles authorization requests

TRICARE radiology costs: • MTF imaging: No cost to beneficiaries • Network imaging centers: Standard cost-sharing • Non-network facilities: Higher cost-shares plus potential balance billing • Screening mammograms: No cost (covered as preventive care)

Tips for managing imaging costs: • Use MTF radiology when available • Choose network imaging centers • Confirm prior authorization for advanced imaging • Ask about freestanding imaging centers (may offer lower costs than hospitals)

Radiology plays a critical role in diagnosing conditions ranging from fractures to cancer, and TRICARE ensures beneficiaries have access to necessary imaging services.