Posted on February 21, 2010.
What Prime TRICARE cover vision? My daughter broke my glasses in half and I'm new to how TRICARE works if I need to know if I am covered for new glasses or is it just the exam? My husband is active duty, if that counts?
I'll give you a simple easy to understand the answer because it seems that you havent got .. one.lol TRICARE covers only the review .. you have to pay for the glasses.
Each year Tricare first will focus on examining the eyes for glasses. (Tricare will pay the full cost of the examination for glasses) Now, on the other hand if you were to get an eye exam for contacts and TRICARE will pay most of the cost you will pay Ann $ 20 out of pocket. Tricare first will focus on testing and not real glasses or contacts. You can get an exam each year per beneficiary as indicated in your explanation of the benefit package!
http://www.tricare.mil/mybenefit/Profile ...
Eye Exams
TRICARE covers a complete eye examination eye every two years. You may receive eye examinations from TRICARE-authorized optometrists or ophthalmologists.
In addition, ophthalmological services, which may include an eye examination and other specialized services are covered under the medical or surgical treatment of a covered illness or injury.
If you see a TRICARE network provider, you do not need a reference from your manager of primary health care. If you see a TRICARE non-network providers, you must have a referral from your primary care manager or the application will be refused.
Well-Child Benefit
Thanks to the interest of the child welfare, children (regardless of the plan) are covered for one eye and eyesight (visual acuity test, ocular alignment, red reflex) at birth and 6 months of age by their primary / distributor and two pediatric comprehensive eye examinations (including screening for amblyopia and strabismus) between the ages of 3 and 6. After 6 years, they receive a comprehensive eye examination every two years as indicated above.
Glasses and contacts
TRICARE covers contact lenses and / or glasses for the treatment of:
infantile glaucoma
The cornea or scleral lenses for treatment of keratoconus
Scleral lenses to retain moisture when normal tearing is not present or is insufficient
The cornea or scleral lens to reduce corneal irregularities other than astigmatism
intraocular lenses, contact lenses or eyeglasses for loss of human lens function resulting from intraocular surgery, eye injury, or congenital absence
"Pinhole" glasses prescribed for use after surgery for detached retina
Note: adjustment, cleaning and repairs of eyeglasses are not covered
You can also get a free pair of glasses per year Navy Ophthalmic Training Support Activity Command (Nostra) in Yorktown, Virginia. For more information, please see the retired Ordering Information NOSTRA web site or call center customer support at 1-757-887-7611.
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On eye examination every 2 years. That's it.
glasses are out of pocket (as are examinations of contact and contact).
