TRICARE Behavioral Health Benefits

TRS Benefits for Guard and Reserve

 

TRICARE policy for reimbursement requires that services must be medically necessary for a diagnosed psychological disorder. The disorder must be one referenced in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and must be of a severity not only to cause the patient distress but also to interfere with the patient’s usual activities. Treatment for school refusal, independent of a diagnosed psychological disorder is not a covered TRICARE benefit.