Will Military Pay for LASIK?
The United States military offers various benefits to its personnel, including medical coverage. One of the most common questions among military personnel is whether the military will pay for LASIK surgery. In this article, we will provide a direct answer to this question and explore the details of military coverage for LASIK.
What is LASIK Surgery?
Before we dive into the military’s coverage for LASIK, let’s quickly explain what LASIK is. LASIK (Laser-Assisted In Situ Keratomileusis) is a type of refractive surgery that aims to correct vision problems such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. The surgery involves creating a thin flap in the cornea, which is then reshaped using an excimer laser to improve vision.
Military Coverage for LASIK
The military offers medical coverage for LASIK surgery, but there are specific requirements and limitations. Here are the key points to consider:
- TRICARE: TRICARE is the military’s health insurance program, which covers LASIK surgery for active-duty personnel and their dependents. However, there are some limitations:
- Active-duty personnel: TRICARE covers LASIK surgery for active-duty personnel who have a refractive error of 20/50 or worse in both eyes. This means that if you have a visual acuity of 20/50 or worse in both eyes, you may be eligible for coverage.
- Dependents: TRICARE covers LASIK surgery for dependents who have a refractive error of 20/200 or worse in both eyes. This means that if your dependent has a visual acuity of 20/200 or worse in both eyes, they may be eligible for coverage.
- Exceptional Family Member Program (EFMP): The EFMP is a program that provides additional support for families with members who have special needs. If your dependent has a special need related to their vision, they may be eligible for LASIK surgery coverage through the EFMP.
- Off-Base LASIK Surgery: TRICARE only covers LASIK surgery performed at military hospitals or approved civilian facilities. If you choose to have LASIK surgery at an off-base facility, you will need to pay out-of-pocket and then submit a claim to TRICARE for reimbursement.
What Does TRICARE Cover?
TRICARE covers the following aspects of LASIK surgery:
- Surgery: TRICARE covers the cost of the LASIK surgery procedure.
- Pre- and post-operative care: TRICARE covers the cost of pre-operative exams, post-operative exams, and any necessary follow-up care.
- Medications: TRICARE covers the cost of medications prescribed for LASIK surgery, including pain management and antibiotic medications.
What Does TRICARE Not Cover?
TRICARE does not cover the following aspects of LASIK surgery:
- Cosmetic procedures: TRICARE does not cover LASIK surgery for cosmetic purposes, such as correcting mild nearsightedness or farsightedness.
- Elective procedures: TRICARE does not cover LASIK surgery for elective purposes, such as correcting vision for recreational activities.
- Prior authorizations: TRICARE requires prior authorization for LASIK surgery, which means that you must obtain approval from your primary care physician and TRICARE before undergoing the procedure.
Conclusion
In conclusion, the military will pay for LASIK surgery for active-duty personnel and their dependents who meet specific requirements. TRICARE covers LASIK surgery for personnel with a refractive error of 20/50 or worse in both eyes and dependents with a refractive error of 20/200 or worse in both eyes. However, there are limitations and requirements that must be met before coverage is approved. It is essential to consult with your primary care physician and TRICARE to determine your eligibility for coverage.
Table: TRICARE Coverage for LASIK Surgery
| Active-Duty Personnel | Dependents | |
|---|---|---|
| Refractive Error | 20/50 or worse in both eyes | 20/200 or worse in both eyes |
| Coverage | Yes | Yes |
| Prior Authorization | Required | Required |
Bullets: Key Points to Consider
• TRICARE covers LASIK surgery for active-duty personnel and their dependents who meet specific requirements.
• TRICARE requires prior authorization for LASIK surgery.
• TRICARE only covers LASIK surgery performed at military hospitals or approved civilian facilities.
• TRICARE covers the cost of the LASIK surgery procedure, pre- and post-operative care, and medications.
• TRICARE does not cover cosmetic or elective procedures.
• It is essential to consult with your primary care physician and TRICARE to determine your eligibility for coverage.
