TRICARE Set to Cover Laboratory Developed Tests

Beginning in September, TRICARE will cover certain laboratory developed tests under the Defense Health Agency Evaluation of Non-United States Food and Drug Administration Approved Laboratory Developed Tests Demonstration Project. The demonstration also allows TRICARE to cover approved laboratory developed tests retroactively if the coverage guidelines for the specific test are met. If a TRICARE beneficiary has paid for a laboratory developed test since Jan. 1, 2013, and it is now included in the demonstration, they may be eligible for reimbursement. Beneficiaries will have to file a claim with their regional contractor to receive payment. To find out which laboratory developed tests are covered, and which are eligible for retroactive reimbursement, visit the TRICARE covered services section to see the full list. Most tests must be preauthorized by the regional contractor before they can be covered. Tests approved for the demonstration must be offered by an authorized provider. New tests will be added as they get approved for coverage.