TRICARE covers durable medical equipment (DME) when prescribed by a physician. DME is defined as an item that: Can withstand repeated use; Primarily and customarily serves a medical purpose; and.
What doesn't TRICARE cover?
In general, TRICARE excludes services and supplies that are not medically or psychologically necessary for the diagnosis or treatment of a covered illness (including mental disorder), injury, or for the diagnosis and treatment of pregnancy or well-child care.
What is Cap DME?
Capped DME is DME that can be rented but at the tenth month the beneficiary must be given the option to purchase. If the purchase option is not used, TRICARE will continue to pay rental fees until the 15th month cap is reached and no further payment is made on the equipment.
Does TRICARE pay for medical supplies?
TRICARE covers medical supplies and dressings (consumables) when related directly to a covered medical condition and obtained from a medical supply company, a pharmacy, or authorized institutional provider.
Does TRICARE cover Walk in tubs?
Veterans Benefits and Walk In Tubs TRICARE and CHAMPVA with these insurance programs, it would be difficult to receive assistance for a walk in tub, as they do not consider them to be durable medical equipment. TRICARE for Life and CHAMPVA for Life function much like Medicare Supplemental Insurance programs.