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 Laboratory Developed Tests Demonstration Extended, Certain Tests Now Covered

Image of TRICARE Laboratory Developed Tests Demonstration Extended, Certain Tests Now Covered. The Defense Health Agency announced the five-year extension of the Laboratory Developed Tests Demonstration. The DHA extended the demonstration from July 19, 2023 through July 18, 2028.

FALLS CHURCH, Va. – The Defense Health Agency announced the five-year extension of the Laboratory Developed Tests Demonstration. The DHA extended the demonstration from July 19, 2023 through July 18, 2028. This means that if you have TRICARE, you’ll continue to have access to certain LDTs that aren’t approved by the Food and Drug Administration.

The DHA also announced that TRICARE will now cover several preconception and prenatal carrier screenings that were previously offered through the demonstration as part of the basic TRICARE benefit.

“Preconception and prenatal carrier screenings help identify people at risk for having children with genetic conditions that may have a high level of death or a shortened life expectancy,” said LaChanda Black, a management and program analyst with TRICARE Health Plan’s Member Benefits and Reimbursement Section. “Providing families access to these screenings can help them make decisions when planning their family.”

The lab tests that moved from the LDT demonstration to being a TRICARE covered medical benefit include one test per condition per lifetime for these specific conditions:

  • Cystic fibrosis
  • Spinal muscular atrophy
  • Fragile X syndrome
  • Tay-Sachs disease
  • Hemoglobinopathies
  • Conditions linked with Ashkenazi Jewish descent

TRICARE retroactively approved these tests as covered screenings back to Dec. 27, 2021. If you received one of these carrier screening tests and paid out-of-pocket costs between Dec. 27, 2021 and the new policy start date of July 19, 2023, call your TRICARE regional contractor. Your regional contractor will walk you through how to submit a claim. You can also request that TRICARE reprocess a denied claim.

If you don’t know how the claims process works, you can review step-by-step instructions for how to file medical claims. Be sure to follow these steps for easy claims filing:

  1. Fill out and sign the Patient’s Request for Medical Payment (DD Form 2642).
  2. Include a copy of the provider’s bill and related charges paid. You’ll also need the sponsor’s Social Security number; provider’s address and phone number; date, location, and description of service; and diagnosis, if isn’t on the bill.
  3. Mail your claim form to the claims address for your claims processor.
  4. If you’re filing an overseas claim, you can file your claim online.
  5. Register on your claims processor’s website to keep track of your claims online.
  6. If you have questions, reach out to your regional contractor.

You can also go to tricare.mil/comparecosts to look up detailed costs and fees. For additional cost and fee information related to your health plan, review the TRICARE Costs and Fees Fact Sheet. For more information about LDTs, you can go to Laboratory Developed Tests.

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

You also may be interested in...

Article Around MHS
Sep 11, 2023

A Profile in Courage: Former Marine Shares Her Breast Cancer Survivor Story

Stephanie Bowens, a former Marine, cancer survivor, and nursing administrator, contemplates her day at Walter Reed Military Medical Center, preparing for an upcoming breast reconstruction surgery. (Photo: Ricardo Reyes-Guevara, Walter Reed Military Medical Center)

Former Marine Stephanie Bowens stands quietly in the nerve center of Walter Reed Military Medical Center’s nurse administration office, gathering her thoughts before coordinating schedules, arranging meetings, and fostering camaraderie among her talented teammates. It’s the perfect position for a creative, energetic, and organized leader who ...

Article
Aug 17, 2023

Stay on Top of TRICARE Prescriptions with Express Scripts App

Stay on Top of TRICARE Prescriptions With Express Scripts App

Do you need help managing your prescriptions? Express Scripts, the TRICARE pharmacy contractor, has a free, easy-to-use app that can help. The Express Scripts Pharmacy mobile app is a secure way to stay on top of taking your medication. The app is full of useful features, like dose reminders and the ability to approve refills. Here’s a look at some of ...

Article Around MHS
Aug 17, 2023

Breastfeeding Awareness Month Health Fair Big Hit for Bayne-Jones Army Community Hospital, Fort Johnson

Jesse Olson, aviation safety officer and certified child passenger safety technician at the Joint Readiness Training Center and Fort Johnson, Louisiana discussed the proper installation of and conducted a safety seat inspection for Nahomi Ortiz during the Breastfeeding Awareness Month family health fair August 5, at Bayne-Jones Army Community Hospital.  (Photo: Jean Graves)

Bayne-Jones Army Community Hospital hosted a Breastfeeding Awareness Month family health fair on Aug. 5, 2023, at the Joint Readiness Training Center and Fort Johnson, Louisiana. The event, coordinated by the BJACH Labor, Delivery and Post Partum ward and the OB/GYN clinic, was designed to give new and expectant parents an opportunity to learn about ...

Article
Aug 15, 2023

Have Other Health Insurance? Here’s How It Works With TRICARE

Have Other Health Insurance? Here’s How It Works With TRICARE

Your TRICARE plan might be only part of your health care coverage. If you have additional coverage through your employer, your spouse’s employer, or a private insurance program, you have other health insurance (OHI). Here are six tips to help you learn how TRICARE works when you also use OHI.

Article
Aug 2, 2023

Before Natural Disasters Strike, Know Your TRICARE Benefits

Before Natural Disasters Strike, Know Your TRICARE Benefits

In case of a natural disaster, one of the most important preparations is to ensure you and your family have your prescription drugs and access to health care services. When the government issues a state of emergency, TRICARE may temporarily change its procedures to ensure that you receive timely medical care.

Article
Jul 25, 2023

Beat the Back-to-School Rush: TRICARE Preventive Health Checks for Kids

Beat the Back-to-School Rush: TRICARE Preventive Health Checks for Kids

Summer is a great time to take care of health checkups for your kids. Your child’s school likely requires students to get an annual health exam and be up to date on vaccines. With a new school year around the corner, don’t delay medical appointments for your kids.

Article
Jul 20, 2023

Learn How Qualifying Life Events Work at August 10 TRICARE Webinar

Learn How Qualifying Life Events Work at August 10 TRICARE Webinar

What do moving, getting married, having a baby, and retiring from active duty have in common? They’re all TRICARE Qualifying Life Events, also known as QLEs. QLEs can affect your TRICARE coverage. Join TRICARE Thursday, Aug. 10, from 1 to 2 p.m. ET for a webinar, “Moving, Marriage, and More: What TRICARE QLEs Mean for You.”

Skip subpage navigation
Refine your search
Last Updated: August 24, 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