Infertility is a difficult condition for families to cope with. Many TRICARE beneficiaries may be wondering what their options are if they find themselves in a situation where infertility becomes an issue. The answer is, with a few important exceptions, TRICARE covers most infertility treatments.
Diagnostic services to identify physical illnesses or injuries to the reproductive system are covered for both men and women. Infertility treatments, corrective treatments and surgeries for women are also covered. However, treatment of male infertility including erectile dysfunction may be cost shared, which is determined on a case by case basis.
Therapies covered by TRICARE include hormonal treatment, corrective surgery, antibiotics, administration of human chorionic gonadotropin (HCG) or radiation therapy depending on the cause. These therapies are covered for both sexes.
Treatments excluded from TRICARE coverage include in-vitro fertilization (IVF) for women. Reversal of surgical sterilization is not covered for either sex.
Although TRICARE does not cover IVF, there are four military treatment facilities (MTF) where IVF medical training programs are conducted. The four MTFs are: Wilford Hall Medical Center in San Antonio; Tripler Army Medical Center in Honolulu; Walter Reed Army Medical Center in Washington, D.C.; and the Naval Medical Center in San Diego. Beneficiaries who participate in these programs will be responsible for all MTF costs.
These IVF programs are available to military members and their families. However, the IVF treatments are not covered by TRICARE and beneficiaries are responsible for all costs.
Get more information on covered infertility treatments by visiting your TRICARE regional contractor’s Web site: