Cost Shares and Deductibles Removed for Certain Clinical Preventive Services

In accordance with a recent change by the Federal government, no cost shares should be collected for TRICARE Standard and Extra beneficiaries for the clinical preventive services listed below. The change has an implementation date of September 1, 2009 and is effective for dates of service on or after October 14, 2008.

The affected services include:

• Routine immunizations
• Well child visits for children under six years of age
• Preventive screenings for:
  1. Colorectal Cancer Screening
  2. Breast Cancer Screening
  3. Cervical Cancer Screening
  4. Prostate Cancer Screening

A TRICARE Standard and Extra beneficiary is not required to pay any portion of the cost of these preventive services even if the beneficiary has not satisfied the deductible for that year. This waiver does not apply to any TRICARE beneficiary who is also a Medicare-eligible beneficiary.

For more information, please refer to the TRICARE Policy Manual, Chapter 7, Sections 2.1 and 2.5 at http://manuals.tricare.osd.mil/. 

Published Date: 08/03/2009