Maintenance of Wakefulness Testing (MWT)
Maintenance of wakefulness testing for obstructive sleep apnea is a limited benefit for active duty service members only. More >>
One screening mammogram every 12 months is covered for women with no symptoms beginning at age 40. Women with a high risk of breast cancer may receive a screening mammogram beginning at age 30. More>>
Massage therapy and services by a massage therapist are not a covered benefit. Physical therapy that is medically necessary is a covered benefit when performed by a TRICARE-authorized physical or occupational therapist. Physical therapy may include massage procedures.
A mastectomy is a covered benefit when medically necessary as a treatment for breast cancer. A prophylactic mastectomy is a limited benefit. More >>
Mastectomy bras are considered medical supply items and are covered in lieu of reconstructive surgery or when reconstruction surgery has failed. TRICARE allows two per calendar year.
Maternity care is a covered benefit. Global maternity care includes prenatal care from the first obstetric (OB) visit, labor and delivery, postpartum care for up to six weeks after the birth of the child, and treatment of complications. More >>
Maternity ultrasounds that are medically necessary are a covered benefit. Routine ultrasounds and ultrasounds to determine gender are not covered. More >>
Medical or Surgical Error
Services or hospitalizations as a result of a medical or surgical error are not a covered benefit.
Medication Assisted Treatment (MAT)
Medication assisted treatment (MAT) is a covered benefit for the treatment of opioid use disorders. More>>
Psychotropic pharmacologic (medication) management is a covered benefit. More>>
Medication or Pharmaceuticals
Medication or pharmaceuticals may be covered for those conditions that are approved by the Food and Drug Administration (FDA). Medication or pharmaceuticals for off-label use may covered if the drug is FDA approved and the off-label use is medically necessary, supported by medical literature identified by the contractor, which indicates the drug is nationally accepted as standard practice, and is not otherwise excluded.
Not a covered benefit.
Mental health care is a covered benefit. More >>
Midwife services provided by a Certified Nurse Midwife (CNM) are a covered benefit. The CNM must be certified by the American Midwifery Certification Board and state licensed when required by the state. Midwife services by a Registered Nurse who is not a CNM may be covered with a physician referral and supervision. Midwife services by a lay midwife, Certified Professional Midwife (CPM) or Certified Midwife (CM) are not a covered benefit. See maternity care.
Specific services/procedures are not a covered benefit. More >>
Milk (Banked Donor)
Banked donor milk is a limited benefit. More >>
Mucus Clearing Devices
Mucus clearing devices may be covered for diseases including, but not limited to, cystic fibrosis, chronic obstructive pulmonary disease, chronic bronchitis, and emphysema. These devices also may also be covered for beneficiaries who have impaired ability to clear secretions.