Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

TRICARE Pilots and Demonstrations: How You Benefit

Image of TRICARE Pilots and Demonstrations: How You Benefit. TRICARE develops pilots and demonstrations to test new medical services, treatments, and approaches. These include initiatives for autism care, childbirth support, and low back pain. Certain groups have the chance to benefit from these services during an evaluation period. Results from these programs may inform future benefit changes.

FALLS CHURCH, Va. – TRICARE develops pilots and demonstrations to test new medical services, treatments, and approaches. These include initiatives for autism care, childbirth support, and low back pain. Certain groups have the chance to benefit from these services during an evaluation period. Results from these programs may inform future benefit changes.

“The goal of these pilots and demonstrations is to support better health outcomes, enhance health care experiences, and reduce costs over time,” said Erica Ferron, a management and program analyst with the TRICARE Health Plan. “This is an important process to ensure that TRICARE keeps finding new ways to improve your health care coverage.”

Here’s a look at three programs that are underway. You should consider which ones may be helpful for you or a family member. Keep in mind, not everyone is eligible for these programs. Also, the end times of these programs vary.

1. Low Back Pain and Physical Therapy Demonstration

The Low Back Pain and Physical Therapy Demonstration addresses the ongoing issue of low back pain many individuals face. The purpose is to see if those whose low back pain may be treated or managed by physical therapy will try it if the first few physical therapy visits are free. The demonstration waives your cost-shares for up to three covered physical therapy sessions. After the third covered session, you’ll pay regular cost-shares and copayments.

To be eligible for the demonstration:

  • You must have a primary diagnosis of low back pain.
  • You must have a referral from a TRICARE-authorized provider for physical therapy services to treat your low back pain.
  • You must live in and receive physical therapy services in one of the ten states the demonstration is available in:
  • Arizona
  • California
  • Colorado
  • Florida
  • Georgia
  • Kentucky
  • North Carolina
  • Ohio
  • Tennessee
  • Virginia

The demonstration runs through Dec. 31, 2023.

2. Childbirth and Breastfeeding Support Demonstration

Under the Childbirth and Breastfeeding Support Demonstration, TRICARE covers the services of three types of maternal health providers:

  • Certified non-medical labor doulas
  • Certified lactation consultants
  • Certified lactation counselors

The goal is to evaluate the impact of these providers on birthing parents and infants.

The demonstration is only for those who are enrolled in TRICARE Prime or TRICARE Select in the U.S. Be sure to review the eligibility details.

Most beneficiaries who give birth in the Military Health System will receive a voluntary survey. This is regardless of your eligibility for or participation in the demonstration. The survey gives you a chance to share your experiences with giving birth. The goal is to help TRICARE improve its maternity care and benefit.

The demonstration will run stateside until Dec. 31, 2026. It will expand to overseas on Jan. 1, 2025.

3. Autism Care Demonstration

Under the Autism Care Demonstration (ACD), TRICARE covers clinically necessary and developmentally appropriate applied behavior analysis (ABA) services. These services are meant to treat the core symptoms of autism spectrum disorder (ASD). The goal of the ACD is to analyze and evaluate the quality, efficiency, convenience, and cost-effectiveness of authorized ABA services.

For your child to qualify for the ACD:

  • You must enroll your child in a TRICARE health plan.
  • An approved provider must diagnose your child with ASD.
  • Your child must receive a referral to the ACD for ABA services.

If you’re an active duty service member, you must enroll your child in the Exceptional Family Member Program. You must also register your child in the Extended Care Health Option, as outlined in the TRICARE Autism Care Demonstration Fact Sheet.

The ACD is authorized to run through the end of 2028.

For more on these pilots and demonstrations, as well as other TRICARE initiatives, check out Special Programs. Not sure if TRICARE covers a specific service? Go to Covered Services and use the search tool. Or contact your TRICARE regional contractor to help you with health care coverage questions.

Would you like the latest TRICARE news sent to you by email? Visit the TRICARE Subscriptions page today, and create your personalized profile to get benefit updates, news, and more.

You also may be interested in...

Video
Dec 7, 2023

Dr. Kelly Elmore Addresses Postpartum Hemorrhage

Dr Kelly Elmore Addresses Postpartum Hemorrhage

As we know, most births are very happy, wonderful experiences. However, there are times when there are complications. Now, these complications, for the most part, happen less than 5% of the time. But there is one that we want to talk to you about specifically, and that's called postpartum hemorrhage. Postpartum hemorrhage is when you have too much ...

Video
Nov 20, 2023

A Regular Pap Smear Helps Detect Cervical Cancer

A Regular Pap Smear Helps Detect Cervical Cancer

CAPT Kelly Elmore, MD, OB/GYN and Chief of Staff at Walter Reed National Military Medical Center explains the purpose of pap smears. Cervical Cancer screening is your covered TRICARE benefit. Depending on your age, a pap smear and/or HPV test are recommended to screen for cervical cancer. Make sure you take time today for your health and schedule ...

Video
Nov 20, 2023

Schedule Your Annual Well-Woman Exam Today

Schedule Your Annual Well-Woman Exam Today

CAPT Kelly Elmore, MD, OB/GYN and Chief of Staff at Walter Reed National Military Medical Center encourages you to schedule your annual well-woman exam. Cervical Cancer screening is your covered TRICARE benefit. Depending on your age, a pap smear and/or HPV test are recommended to screen for cervical cancer. Make sure you take time today for your ...

Video
Oct 18, 2023

The Importance of Mammograms

The Importance of Mammograms

Capt. Monica Lutgendorf, M.D. explains why it's important to get a mammogram, especially for individuals between the ages of 40 and 74. Breast cancer is the 2nd leading cause of cancer deaths among women. It's important to take time for your health and get your mammogram every other year if you are at normal risk. Contact your local hospital or clinic ...

Video
Oct 18, 2023

Schedule your Mammogram Screening Today

Schedule your Mammogram Screening Today

Capt. Monica Lutgendorf, M.D. explains the importance to get regular mammogram screenings. It's important to get screening for mammograms every other year for someone with normal risk factors. If you have higher risk factors, your screening recommendations may change. Please talk to your medical provider. You can schedule your mammogram at your local ...

Video
May 22, 2023

TRICARE Vaccine Cost

TRICARE vaccine cost

TRICARE covers age-appropriate vaccines, as recommended by the CDC. You can get TRICARE covered vaccines from military hospitals or clinics and network pharmacies at no cost. If you choose to get vaccinated by a TRICARE-authorized provider, like your doctor's office, you may have a copayment or a cost-share for the office visit. To learn more about ...

Skip subpage navigation
Refine your search
Last Updated: September 06, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery