Benefits A-Z

Laboratory and X-ray Services

Laboratory and x-ray services are covered benefits. If these services are performed by the office visit provider on a date different from the office visit or performed by a different provider such as an independent laboratory or radiology facility (even if performed on the same day as the related office visit) the beneficiary will owe a separate copayment. However, no copayment applies when they are provided as preventive services.
Cost Information

Laboratory Developed Tests (LDTs)

Laboratory developed tests are not approved by the Food and Drug Administration (FDA), and therefore are not covered benefits. More >>

Lactation Counseling

Lactation counseling services are covered when provided during an inpatient maternity stay and are included in the facility’s allowed amount. However, lactation counseling services are not a covered benefit when billed separately. See maternity care.

Laser/LASIK/Refractive Corneal Surgery

Not a covered benefit, except to relieve astigmatism following a corneal transplant. See alternative resources.

Learning Disability Services

Not a covered benefit; this includes therapy and treatment for a learning disability, such as dyslexia.

Lithotripsy

Lithotripsy, also known Extracorporeal Shock Wave Therapy (ESWT), is a covered benefit for the treatment of kidney stones. It is not a covered benefit for treatment of plantar fasciitis or other musculoskeletal disorders.

Long Term Acute Care

Long-Term Acute Care (LTAC) is a limited benefit covered only in certain circumstances such as when the beneficiary is ventilator-dependent, but has the potential of breathing independently or requires complex wound care. Prior authorization is not required except for active duty service members. However, notification of inpatient facility admissions and discharge dates are required for all TRICARE Prime beneficiaries. See prior authorization requirements for additional information.
Cost Information

Luxury/convenience equipment or services

Luxury/convenience equipment or services are not a covered benefit; such as positioning wedges or pillows, flat free inserts for wheelchair tires and backpacks.