Does TRICARE for Life pay for eye exams?

Asked by: Damon Lowe  |  Last update: February 11, 2022
Score: 5/5 (10 votes)

If you have TRICARE For Life (TFL), you also don't have eye exam coverage. With FEDVIP, you can choose from multiple vision plans and eye care providers. The plans vary in coverage and cost. But most plans include routine eye exams, vision correction, glasses, and contact lenses.

What is not covered by TRICARE for Life?

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.

Does TRICARE Prime cover eye exams for retirees?

TRICARE doesn't cover eye exams for retirees and their family members who aren't enrolled in a TRICARE Prime plan, including TRICARE Young Adult Prime, unless the eye exam is part of a well-child exam. ... Keep in mind, you may need a referral and pre-authorization before you get an eye exam.

Does TRICARE cover eye glasses?

TRICARE only covers glasses and contacts to treat certain conditions. This includes: ... Intraocular lenses, contact lenses, or glasses for loss of human lens function resulting from intraocular surgery, ocular injury or congenital absence. "Pinhole" glasses prescribed for use after surgery for detached retina.

Does TRICARE for life cover dentures?

Routine Dental Care

Covers cleaning, preventative dental care, bridge work, Orthodontia, root canal, cavities, dental emergencies and dentures. Routine dental care is not a covered service under your TRICARE For Life medical benefit.

TRICARE and Medicare: TRICARE for Life

35 related questions found

Does TRICARE for life cover cataract surgery?

TRICARE covers cataract surgery and related supplies and services. More specifically, TRICARE covers the standard intraocular lens (IOL), a fixed lens designed to target vision at a single focal point.

Does Walmart take TRICARE for eye exams?

**Update** Walmart and Sam's Club no longer accepts Tricare.

If this is so, Tricare covers exams, glasses, and contacts. However, their website indicates that glasses/contacts coverage is only for active-duty service members and activated Guard/Reserve members.

Does TRICARE cover vision and dental?

FEDVIP provides voluntary vision and dental coverage to eligible TRICARE beneficiaries and offers a choice among a number of FEDVIP dental and vision carriers. If you're eligible, you may choose from 23 dental plan options and 10 vision plan options. The FEDVIP plans vary in coverage and premium amounts.

Do you need a referral for TRICARE eye exam?


You can get routine eye exams from any TRICARE-authorized optometrist or ophthalmologist. You don't need a referral or authorization.

Is Silver Sneakers covered by TRICARE for Life?

Does TRICARE for Life Cover SilverSneakers? TRICARE For Life doesn't provide SilverSneakers coverage. But, enrolling in an Advantage plan could provide you with extra benefits. If there is an Advantage plan with fitness benefits in your area, enrolling will give you access.

Is TRICARE for Life free for military retirees?

Is TRICARE For Life free for military retirees? There are no enrollment fees or monthly premiums for retirees who are TRICARE beneficiaries. However, you must have Medicare Part A and B to qualify, and you have to pay Part B premiums, which are based on your income.

Do I need Medicare if I have TRICARE for Life?

When you use TRICARE For Life, you don't pay any enrollment fees, but you must have Medicare Part A and Medicare Part B. ... Medicare Part B has a monthly premium, which is based on your income.

Does TRICARE cover Lasik for retirees?

A health care program for uniformed military service members, family members, and retirees, TRICARE provides health and vision coverage plans. ... LASIK surgery and eye surgery that is not deemed medically necessary are not covered by TRICARE vision plans.

What does TRICARE for Life pay for?

TRICARE For Life (TFL) is a medical benefit program designed to pay for medical expenses for active duty military personnel and their families, and also for retired military personnel and their families. Although it appears to be an insurance program, it is actually a benefit program.

Does TRICARE cover vision for spouses?

Tricare offers limited vision benefits depending on your beneficiary status and what type of coverage you have. Medically necessary vision benefits are available under all Tricare plans. Most dependents and retirees are also eligible for vision insurance through the FEDVIP program.

Can military retirees get eyeglasses?

A new option for bifocal and trifocal wearers is now available for active-duty personnel and Department of Defense (DoD) retirees. It can be ordered through any DoD optometry or ophthalmology clinic through the Spectacle Request Transmission System. ...

Does TRICARE for life cover root canals?

The TRICARE Dental Program covers the following with a member cost share: fillings, root canals, crowns, extractions, orthodontics, and periodontics. ... The Maximum annual benefit coverage is $1,200 for all routine dental care and the maximum lifetime orthodontic benefit coverage is $1,500.

How much is an eye exam?

The average cost of a comprehensive eye exam without insurance can range from $170-$200. Some patients who use a vision insurance plan may have their expenses covered fully. Others will be required to pay a co-pay which can be as low as $50.

Why is TRICARE leaving Walmart?

After three years, Walmart is leaving Tricare's pharmacy network -- a departure that pharmacy benefit manager Express Scripts says is a result of the retail giant's reluctance to offer "more highly competitive discounts" to military health beneficiaries.

Does Sam's Club take TRICARE?

At the same time, Walmart, Sam's Club, and some community pharmacies are no longer a part of the TRICARE network.

Does Kroger take TRICARE?

Other pharmacy chains, like Kroger, Rite Aid, and Walgreens, are still a part of the TRICARE network. This means 90% of beneficiaries will have access to a network pharmacy within five miles of their home.

Is LASIK free for military spouses?

As far as corrective eye surgery goes, Tricare does not cover any kind for spouses or family members. That means your friend definitely didn't get laser eyesight correction or any other kind of eye help (other than an annual eyesight exam) paid for by Tricare.

How often does TRICARE cover eye exams?

In general, TRICARE covers routine eye exams: As needed for active duty service members to maintain fitness for duty. Once a year for active duty family members. Every two years for all other TRICARE Prime beneficiaries (e.g. retired service members, their families, etc.)

Does TRICARE for life cover what Medicare doesn t?

TRICARE will pay first for Medicare-covered services if you're on active duty. If TRICARE and Medicare cover the service, TRICARE will pay the Medicare deductible and coinsurance (if any). TRICARE will also pay for any services that it covers but Medicare does not.