Is Massage Therapy Covered by TRICARE?
Yes, but with Limitations.
TRICARE may cover massage therapy when it is considered medically necessary as part of a broader physical therapy plan. The therapy must be prescribed by a military or civilian physician and provided by a licensed physical therapist. TRICARE does not generally cover massage therapy as a stand-alone treatment.
Coverage Details:
- Must be prescribed by a licensed physician.
- Included as part of a documented physical therapy plan.
- Conducted by a licensed physical therapist or authorized provider.
Pre-Authorization:
Yes. Pre-authorization is typically required, and the treatment plan must be submitted for review.
Coverage Limits:
TRICARE has limitations on the duration and number of covered sessions. Long-term or standalone massage therapy is usually not covered.
Documentation Required:
- Referral or prescription from a physician.
- Treatment plan specifying the need for massage therapy.
- Progress notes detailing effectiveness.
Finding Providers:
Check TRICARE’s provider directory for approved in-network physical therapists.
PCP Referral Needed?
Possibly. This depends on your specific TRICARE plan.
Reimbursement for Out-of-Network Services:
Partial reimbursement may be possible but at a lower rate than for in-network services.
For More Information:
Visit TRICARE’s official website or contact customer service.