TRICARE Conditions & Coverage Index | TRICARE.com | TRICARE.com

This index provides a comprehensive guide to how TRICARE covers specific medical conditions, chronic illnesses, and preventive care. Managed by TRICARE.com, an independent reference site not affiliated with the Department of Defense, this directory helps you navigate coverage rules, authorization requirements, and specialist access across the East and West regions.

## What you'll find here This page categorizes TRICARE coverage by specific medical conditions, related terminology, and common questions regarding specialized treatments. It is designed to help beneficiaries understand what is medically necessary and how to secure referrals for complex care.

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### Conditions & Coverage - [Autism Spectrum Disorder & ABA Therapy](/conditions/autism-aba-therapy) - [Cancer Treatment & Clinical Trials](/conditions/cancer-coverage) - [Diabetes Management & Supplies](/conditions/diabetes-care) - [Mental Health & Substance Use Disorders](/conditions/mental-health) - [Heart Disease & Cardiac Rehabilitation](/conditions/heart-disease) - [Maternity & Postpartum Care](/conditions/maternity-coverage) - [Gender Dysphoria](/conditions/gender-dysphoria) - [Infertility & Assisted Reproductive Technology](/conditions/infertility-coverage) - [Chronic Pain & Chiropractic Care](/conditions/chronic-pain) - [Obesity & Bariatric Surgery](/conditions/weight-loss-surgery) - [Sleep Apnea & CPAP Supplies](/conditions/sleep-apnea) - [Vision Disorders & Eye Care](/conditions/vision-coverage)

### FAQ - [How do I get a referral to a specialist?](/faq/specialist-referrals) - [Does TRICARE cover therapeutic massage?](/faq/coverage-for-massage) - [Is physical therapy limited by a visit cap?](/faq/physical-therapy-limits) - [What is "Medically Necessary" according to TRICARE?](/faq/medically-necessary-definition) - [How do I appeal a denied claim for a condition?](/faq/appealing-denied-claims) - [Are hearing aids covered for retirees?](/faq/hearing-aid-coverage) - [Does TRICARE pay for genetic testing?](/faq/genetic-testing-coverage) - [What durable medical equipment is covered for my condition?](/faq/dme-coverage-rules)

### Glossary - [Prior Authorization](/glossary/prior-authorization) - [Medical Necessity](/glossary/medical-necessity) - [Case Management](/glossary/case-management) - [Point of Service Option](/glossary/point-of-service) - [Non-Network Provider](/glossary/non-network-provider) - [Exclusion](/glossary/tricare-exclusions) - [Pre-Authorization](/glossary/pre-authorization) - [Continuing Care](/glossary/continuing-care)

### Plans & Regions - [TRICARE Prime Condition Management](/plans/tricare-prime-conditions) - [TRICARE Select Specialist Access](/plans/tricare-select-specialists) - [TRICARE For Life & Chronic Illness](/plans/tricare-for-life-coverage) - [East Region (Humana Military) Guidelines](/regions/east-humana) - [West Region (TriWest) Guidelines](/regions/west-triwest) - [Overseas (International SOS) Coverage](/regions/overseas-isos)

## Tips for finding what you need * **Check the Specialist Rules:** Most conditions require a referral from your Primary Care Manager (PCM) if you are enrolled in a Prime plan. * **Use the Search Bar:** If you have a specific diagnosis (e.g., "Lyme Disease"), use the site-wide search to find the exact coverage brief. * **Verify Regional Differences:** While the medical benefit is national, authorization workflows may differ between Humana Military (East) and TriWest (West). * **Consult the Official Manuals:** For final legal determinations, always cross-reference with the official TRICARE Policy Manual at TRICARE.mil.

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**Disclaimer:** TRICARE.com is an independent reference website and is not an official program of the Department of Defense or the Defense Health Agency. For official policy, enrollment, and claims, please visit [TRICARE.mil](https://www.tricare.mil).