Covered services information

TRICARE covers services delivered by qualified, TRICARE-authorized behavioral healthcare providers practicing within the scopes of their licenses, to diagnose and/or treat covered behavioral health disorders. All services and supplies provided by unauthorized providers are excluded. For information about the requirements for being an TRICARE-authorized provider, refer to the TRICARE Policy Manual, Chapter 11

TRICARE beneficiaries are encouraged to receive behavioral healthcare from a military hospital or clinic. However, access may be limited due to space-availability issues or the facility's ability to render the care needed. When a service is not available at a military hospital or clinic, beneficiaries may seek behavioral healthcare from a TRICARE-authorized provider and, preferably, a network provider. Learn more about becoming a network provider

To be considered a covered condition, behavioral conditions must meet the following criteria:

  • The condition must be listed in the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM)
  • The symptoms are of a severity to cause significant distress
  • The condition interfere with the patient’s ability to carry out his or her usual activities

Services and supplies that are not considered medically or psychologically necessary are generally excluded. To determine if a specific service is a covered benefit or if coverage is limited, use the code look up feature via provider self-service.

View covered services

Behavioral healthcare