What about LASIK?
The short answer is no. This is not a procedure that TRICARE considers, you guessed it, medically necessary.
While it’s worth noting that some locations or teaching hospitals might cover the above surgeries on a case-by-case basis, this would be outside the norm and definitely not something to count on. (And let’s be honest, do you want to be a practice subject for LASIK or breast augmentation?)
Why doesn’t TRICARE cover elective surgery? Should it?
TRICARE falls in line with most major insurance plans in that it doesn’t cover elective surgery done for cosmetic reasons or matters of convenience. And while insurers will probably always have a difference of opinion from providers about what should be covered, it’s understandable that costs must be contained when dealing with millions of beneficiaries (The latest figures show 4.6 million beneficiaries of the TRICARE Prime plan alone.). Still, if you think you might be eligible for one of the above procedures, don’t guess. Communicate with your healthcare provider.
Even if you know someone who seems to be the exception to TRICARE’s rules, the ‘must be medically necessary’ is the sticking point. Continue to talk with your doctor about any symptoms you’re having and stay up to date with TRICARE’s ever-changing policies. Who knows? Maybe the powers that be will agree that your tummy tuck falls on the approved list at some point.
**This isn’t meant to be specific advice for anyone’s situation, so be sure and consult with your provider and Tricare!
This article has been modified to meet updated editorial standards at Military Spouse, which may include the augmentation of material that reflects the expertise and experiences of our staff.
