Understanding Tricare & Eye Exams Off Base

• Tricare Prime Active Duty - will cover a basic routine dilated eye health and vision exam for dependents off base without the need of a referral/authorization. Exams are covered once every 12 months/1 day from service date to service date.

• Tricare Prime Retired - will cover a routine dilated eye health and vision exam off base for sponsors and dependents without the need of a referral/authorization. Exams are covered once every 24 months/1day from service date to service date.

• Tricare Select Active Duty - will cover a basic routine dilated eye health and vision exam for dependents off base. Exams are covered once every 12 months/1day from service date to service date.

• Tricare Select Retired - will cover a dilated eye health and vision exam for sponsors and dependents off base applying the deductible and/or coinsurance to the visit.

• Tricare Active Reserved Select- will cover a basic routine dilated eye health and vision exam for dependents off base. Exams are covered once every 12 months/1day from service date to service date

• Contact lens fittings
• Optomap in lieu of dilation
• Eye emergencies
• non-routine visits
• eye disease treatment/management (these visits require an authorization/referral)
• Glasses
• Contact Lenses