Tricare

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

Although most vision services are covered on base, there are serveral services Tricare does not cover off base:

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