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COVID-19 Vaccine

The COVID-19 vaccine is covered in accordance with Centers for Disease Control and Prevention (CDC) recommendations. TRICARE currently covers the following COVID-19 vaccines:

Pfizer-BioNTech

  • Effective Dec. 13, 2020, for ages 16 and older
  • Effective May 14, 2021, for ages 12 through 15
  • Two doses in the series
  • A third dose given 28 days after the second dose may be covered for those who are moderately to severely immunocompromised.
  • A booster given six months after second dose may be covered for those:
    • ages 65 an older and residents in long-term care settings
    • ages 18-64 with underlying medical conditions or who are at increased risk for COVID-19 exposure may receive a booster based on individual benefits and risks. 

Moderna (mRNA 1273)

  • Effective Dec. 20, 2020, for ages 18 and older
  • Two doses in the series
  • A third dose given 28 days after the second dose may be covered for those who are moderately to severely immunocompromised. Refer to the CDC website for guidelines.

Janssen (Johnson & Johnson)

  • Effective Feb. 27, 2021, for ages 18 and older
  • One dose

Vaccine Availability

TRICARE-covered vaccines are available at no cost to the beneficiary and may be administered at/by:

See also: TRICARE’s COVID-19 Vaccine page and the CDC’s COVID-19 Vaccination page.

Approval Requirements

An approval from Health Net Federal Services, LLC is not required. 

Reimbursement

Our claims system is updated regularly to include added Current Procedural Terminology (CPT®) and Common Procedure Coding System (HCPCS) codes. Claims may be delayed to allow for appropriate code approval and system updates.

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