Bariatric (Weight Loss) Surgery
Bariatric surgery is a limited benefit. More >>
Bedwetting alarm for the treatment of primary nocturnal enuresis may be considered for cost-sharing when prescribed by a physician and after physical or organic causes for nocturnal enuresis have been ruled out.
Behavioral health care, also known as mental health care is a covered benefit. More >>
Biofeedback is a limited benefit. More >>
Some forms of birth control are covered. More >>
Blood Lead Testing
Blood lead testing, an assessment of risk for lead exposure, is a covered benefit when performed during well-child care visits from six months through age five for all children determined to be high-risk.
Blood Pressure Monitoring Devices
Standard blood pressure monitoring devices are not a covered benefit. Ambulatory blood pressure monitoring (ABPM) is only covered for beneficiaries with suspected white coat hypertension and is not a covered benefit for any other uses. Also see Remote Physiological Monitoring.
Bone Density Study (Dexascan)
Bone density study, also known as a DXA or Dexascan, is covered for:
- the diagnosis and monitoring of suspected or confirmed osteoporosis,
- the diagnosis and monitoring of osteopenia
Patients must present with signs and symptoms of bone disease or be considered at high-risk for developing osteoporosis. High-risk factors for osteoporosis are those identified as the standard of care by the American College of Obstetricians and Gynecologists (ACOG).
Bone density study for routine screening for osteoporosis is not a covered benefit, with the exception of osteoporosis screening rendered/ordered during HP&DP or wellness exams for:
- women 65 years and older
- post-menopausal women younger than 65 years who are at increased risk of osteoporosis (to be determined by a formal clinical assessment tool, such as the Simple Calculated Osteoporosis Risk Estimation [SCORE])
Bone Marrow Transplants for Treatment of Ovarian Cancer
Not a covered benefit.
Botox injections are a limited benefit. More >>
Breast Implant Removal
Breast implant removal is a limited benefit. It is not a covered benefit for autoimmune or connective tissue disorders and for complications resulting from an initial non-covered surgery (for example, elective breast implant). It may be covered in very limited circumstances, such as when implants are used during breast reconstructive surgery after breast cancer treatment.
If covered, the setting where the services are provided will determine costs: outpatient office setting, ambulatory surgery setting or inpatient hospital setting.
Breast Magnetic Resonance Imaging (MRI)
Coverage of a breast MRI depends on whether the service is a preventive screening or a diagnostic procedure due to symptoms or a confirmed diagnosis. More >>
Breast prostheses are a covered benefit as durable medical equipment. TRICARE allows one initial prosthesis per missing body part. Replacements may be covered after benefit review to determine reason for replacement (for example, a change in the patient's medical condition making a different type of prosthesis medically necessary, significant weight gain or weight loss, or irreparable damage to the prosthesis). See also mastectomy bras.
Breast Pumps and Supplies
Breast pumps and supplies are a covered benefit. More >>