Eye Exams

Covered by TRICARE?Limits
It depends

Depends on who you are, your TRICARE plan and your age

Eye exam coverage is different based on who you are your health plan option and your age. In some cases, you may need a referral and/or prior authorization. >>Learn More

Routine Eye Exams

A Routine Eye ExamAn exam of your vision and the health of your eyes. is an assessment of your vision and the health of your eyes performed by either an optometrist or ophthalmologist.

  • You’ll get a prescription for glasses if you need them.
  • A routine eye exam is more than the simple vision screening test conducted by your primary care doctor using a standard eye chart.

In general, TRICARE covers routine eye exams:

  • As needed for active duty service members to maintain fitness for duty
  • Annually for active duty family members
  • Every two years for all other beneficiaries enrolled in TRICARE Prime (e.g. retired service members, their families, etc.)
  • Annually for diabetic patients enrolled in TRICARE Prime

Note: Costs for eye exams vary based on plan.

Well-Child Eye ExamsEye exams through TRICARE’s Well-child Care benefit are routine eye exams that may be given every two years between the ages of three and six that also include screening for amblyopia (lazy eye) and strabismus (crossed eyes). These eye exams are provided by an optometrist or ophthalmologist.

TRICARE covers well-child eye exams from an optometrist or ophthalmologist.

  • every two years
  • between the ages of three and six
  • includes screening for amblyopia (lazy eye) and strabismus (crossed eyes)

Ophthalmic Services

TRICARE covers eye exams and other specialized services to diagnose or treat a medical condition of the eye.

Disclaimer:

This list of covered services is not all inclusive. TRICARE covers services that are medically necessary and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 10/3/2016

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