Hair Removal
Medically necessary laser hair removal or electrolysis may be covered when primarily performed to correct or improve a bodily function whether or not there are also impacts to physical appearance. Devices used for laser surgery must be FDA-approved. An approval from Health Net Federal Services, LLC is not required; however, a benefit review is recommended. To expedite the review process, please include supporting medical documentation with the authorization request. Beneficiary cost-shares or copayments for laser surgery are the same as those for conventional surgery and vary based on place of service.
Note: Active duty service members may be eligible for medically necessary hair removal by laser or electrolysis that is related to gender-affirming surgery under a blanket Supplemental Health Care Program waiver.
Hearing Aids and Hearing Aid Services
Hearing aids and related services are only covered for active duty family members with profound hearing loss. More >>
Hearing Screening
Hearing screenings are covered for newborns as defined by the American Academy of Pediatrics and Joint Committee on Infant Hearing, and should be performed before the newborn is discharged from the hospital or within the first three months. Evaluative hearing tests may be performed at other ages during preventive exams.
Heart Monitors
Portable heart monitorsPersonal heart rate monitors
Home Health Care
Home health careskilled nursing care
Home Infusion Therapy
Home infusion therapya limited benefit
Hormone Replacement Therapy
Hormone replacement therapyExpress Scripts
Hospice Care
Hospice carehospice services
An approval is required for hospice care for all beneficiaries (excluding those with other health insurance). Approval requirements for curative care for beneficiaries under the age of 21 who have elected hospice vary by TRICARE plan type. Providers are required to submit a service and activity log for continued coverage of curative treatment. HNFS offers its Concurrent Hospice and Curative Care Monthly Service and Activity Log for your use.
There may be separate charges for durable medical equipment, prosthetics, and specific drugs with applicable copayments and cost shares. Room and board is not covered under hospice care unless the patient is receiving authorized inpatient or respite level of care. Learn more about hospice care within our Case Management program.
Providers can use our Request for Reimbursement of TRICARE Hospice Cap Amount when submitting claims.
Cost Information
Hospitalization for Medical and Surgical Care
Inpatient hospitalizationa covered benefit
Hospitalization for Mental Health
Hospitalization for mental health is covered, regardless of length of stay, as long as care is considered medically or psychologically necessary and appropriate. All non-emergency admissions require pre-authorization for all beneficiaries (except those with other health insurance). An approval from Health Net Federal Services, LLC is not required for emergency admissions. However, notification of admission and discharge dates must be submitted by the next business day following the admission and discharge. Providers can submit this information online or by using an Inpatient TRICARE Service Request/Notification Form with clinical justification for admission. HNFS conducts continued stay reviews for all mental health care. Cost Information
Human Papillomavirus (HPV) Deoxyribonucleic Acid (DNA) Testing
HPV DNA testingfemales age
Cost Information
Human Papillomavirus (HPV) Vaccine
The human papillomavirus (HPV) vaccine is a limited benefit and may be covered when the beneficiary has not been previously vaccinated or completed the vaccine series. More>>
Hysterectomy
A hysterectomya limited benefit
