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COVID-19 Information and Resources

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last updated Jan. 21, 2022

 

TRICARE Benefit Information


Online Resources

Testing/At-Home Tests

TRICARE continues to cover medically necessary COVID-19 tests ordered by a TRICARE-authorized provider and performed at a TRICARE-authorized lab or facility. Test types include diagnostic, tests for management of COVID-19, and serology/antibody tests.  

FDA-approved at-home antigen rapid diagnostic test kits may be covered with a physician's order. 

There are no copayments or cost-shares for covered tests.

Other test options include:

  • The federal government offers residential households in the U.S. one set of four free at-home antigen rapid diagnostic tests. To order, go to: https://www.covidtests.gov (four tests per address)

  • Search for a community-based testing site for no-cost COVID-⁠19 testing options.

  • If you have other private or employer-sponsored health insurance, you may be eligible for reimbursement for up to eight at-home COVID-19 tests per month (per individual) without a doctor's order under that health plan. 

    Reminder: The current mandate for private insurance companies to cover FDA-approved at-home COVID-19 tests without a physician’s order does not apply to TRICARE. Currently, TRICARE requires medical necessity and a physician’s order. 
     

Treatment


Clinical Trials

TRICARE temporarily covers National Institute for Allergy and Infectious Disease (NIAID) sponsored clinical trials for the treatment or prevention of COVID-19.
 

Oral Anti-Viral Treatment

The U.S. Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for Paxlovid for the treatment of mild-to-moderate COVID-19 in adults and children over 12. Paxlovid is covered under the TRICARE pharmacy benefit when prescribed by a TRICARE-authorized provider. Prescriptions may be filled at network, non-network or military pharmacies, subject to availability
 

Monoclonal Antibody Treatment

Per the FDA’s EUA for COVID-19 monoclonal antibodies, high-risk beneficiaries ages 12 years and older may be eligible for monoclonal antibody treatment. Patients must have a positive COVID-19 test or COVID-19 exposure. A physician's order and prior authorization is required. TRICARE Prime referral rules apply.
 

COVID-19 Vaccines

COVID-19 variants continue to spread, especially in areas where vaccination rates are low. Variants are THE reason to get vaccinated! 
 

Children and Teens        

The CDC recommends children ages 5 and older get a COVID-19 vaccine. The Pfizer vaccine is approved for children ages 5-17, with a pediatric dose to be given to those ages 5-11. The pediatric dose is one-third of the adult dose and administered with smaller needles designed specifically for children. Pfizer’s COVID-19 vaccine is safe and has proven to prevent symptomatic infections. Learn more:

 

Third doses/boosters

The CDC recommends third doses (Pfizer/Moderna) and boosters (all) based on age, medical history and vaccine type. Learn more:

Pregnancy and COVID-19 vaccines

The CDC recommends COVID-19 vaccination for women who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. Learn more: 

Flu + COVID-19 vaccines

You can get the flu and COVID-19 vaccines at the same time. Learn more: 

Key websites

Check Your Symptoms

People with COVID-19 can experience a wide range of symptoms, ranging from mild to severe. Take an online assessment to easily check your symptoms. 

Getting Your Health Care Back on Track

As pandemic restrictions have started to ease in many areas of the country, it’s important to make sure your routine and preventive health care is back on track.  

  • Don’t delay care. Medical facilities have protection measures in place if you need care. If you are not ready for an in-person visit, you can use our network directory to find providers who offer telehealth in your area. Remember, you can also access telemedicine and telemental health care services through TelemyndDoctor On Demand or one of our other telehealth partners. 

  • Know your preventive care options. If you are due for a screening, you may qualify for a telemedicine visit or at-home laboratory testing. We offer disease management programs to help you stay on track!

  • Stay on the immunization schedule. Get covered immunizations, including your annual flu vaccine, from network doctors and pharmacies at no cost to you.

  • Do your part to improve your health. Now may be the perfect time to eat better, exercise regularly or quit smoking. Check out one of our wellness programs to get started.

  • Make mental health care a priority. Emotional health is key to overall health. Don’t ignore it! Telemental health care is available, and many mental health services do not require a referral.

State-Specific Websites

Each state and military installation has developed resources, including information on public access to the vaccine and its phased implementation approach. Click on your state or military installation below for details. 

For information about the DHA Appointing Portal (DAP) system used by some military hospitals and clinics, visit www.tricare.mil/DAP