r. Experimental procedures.
s. Eyeglasses and contact lenses, except under very limited
circumstances, such as corneal lens removal.
t. Food, food substitutes or supplements, or vitamins outside of a hospital,
except for home parenteral nutrition therapy, such as prescribed for cancer patients.
u. Foot care, except when there is a medical problem or injury.
v. Genetic tests except to find out if your unborn child has genetic defects.
w. Hearing aids, except under the Program for Persons with Disabilities.
x. Hearing examinations, unless in connection with surgery or some medical
problem, or under the Program for Persons with Disabilities. However, there are
hearing examinations under the well-child care benefit.
y. Immunizations for children aged six and older, unless in connection with
health promotion and disease prevention visits to the doctor, or diagnostic or preventive
pap smears and mammograms.
z. Learning disabilities, such as dyslexia.
aa. Megavitamins and orthomolecular psychiatric therapy.
bb. Mind expansion or elective psychotherapy (for example, Erhard Seminar
Training (EST), transcendental meditation and Z-therapy).
cc. Orthodonia, except in limited cases, such as when related to the surgical
correction of a cleft palate.
dd. Orthopedic shoes and arch supports, except when part of a brace.
ee. Over-the-counter drugs - those not requiring a prescription by a physician.
TRICARE Standard does not share the cost of drugs available without a prescription,
even if a physician writes a prescription for such drugs.
ff. Private hospital rooms, unless the doctor orders it for medical reasons, or a
semi-private room is not available. Hospitals that are subject to TRICARE's diagnosis-
related groups (DRG) payment system may provide the patient with a private room, but
will still only receive the standard DRG amount. If a patient asks for a private room, the
hospital can bill the patient for the extra charges.
gg. Rest cure.
hh. Retirement homes.
MD0755
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