On Jan. 1, TRICARE Select replaced TRICARE Standard and TRICARE Extra.
As a result, beneficiaries will notice improved coverage for preventive services with TRICARE Select.
Preventive care helps you take command of your health and manage potential issues before you experience symptoms.
This type of health care allows you to address health problems before they become life threatening.
Examples of TRICARE-covered preventive services include cancer screenings and vaccines, in addition to well-woman and well-child exams.
TRICARE beneficiaries using Standard or Extra, didn’t pay anything for some preventive services, but for all other preventive services, beneficiaries paid between 15 to 25 percent of the cost after their yearly deductible is met, depending on the plan and beneficiary category.
“With TRICARE Select, beneficiaries don’t pay anything out-of-pocket for covered preventive services if they are provided by a network provider,” said Valerie Palmer, a TRICARE health care policy analyst with the Defense Health Agency.
“However, if they use a non-network provider, fewer preventive services are paid by TRICARE. This is why it is important to see a network provider for your preventive care if you want to save money.”
The additional, no-cost preventive services beneficiaries can receive under TRICARE Prime that TRICARE Select now covers include:
One health promotion and disease prevention exam: This is covered annually for beneficiaries age 6 and older. In 2018, this exam will no longer require the inclusion of a covered cancer screening or immunization if you see a network provider.
Lung cancer screening (low-dose computed tomography): This is covered annually for persons ages 55 to 80 with a 30 pack-per-year history of smoking who are currently smoking or have quit within the past 15 years.
Screening should be discontinued once the individual has not smoked for 15 years or develops a health problem significantly limiting life expectancy or ability or willingness to undergo curative lung surgery.
Additionally, a new preventive service added for both TRICARE Prime and TRICARE Select is aimed at adults with a Body mass index, BMI, of 30 kg/m2 or higher and children or adolescents with a BMI value greater than the 95th percentile.
Intensive, multi-component behavioral interventions to promote sustained weight loss, 12 to 26 sessions per year, are covered when rendered by a TRICARE-authorized provider.
Types of behavioral management interventions include diet and physical activity guidance, strategies to promote and maintain lifestyle changes and more.
This addition is a covered benefit regardless of whether the beneficiary uses a network or non-network provider, though costs are typically lower with a network provider.
This is your benefit. Take command. Learn more about the changes and sign up for email alerts at www.tricare.mil/changes.