Service Coverage Authorization Requirements Co-Pay: Active Duty Dependents & Retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Aversion Therapy Not covered N/A N/A N/A
Autopsy or Post-Mortem Examination Not covered N/A N/A N/A
Augmentative Communiation Device (ACD) Limited Yes No Yes
Artificial Limb (Prosthetic) Covered Yes No Yes
Artificial Insemination Not covered N/A N/A N/A
Arch Supports Not covered N/A N/A N/A
Annual Preventative Physical Exam Covered. Limit one every 12 months No No No
Annual Preventative Hearing Exam Covered. Limit one every 12 months No No No
Annual Preventative Eye Exam Covered. Limit one every 12 months No No No
Anesthesia Covered No No No
Ambulette Service Not covered N/A N/A N/A
Ambulatory Surgery (same day surgery) Covered Some ambulatory surgical procedures require authoration No Yes
Ambulatory Blood Pressure Monitoring Limited Yes No Yes
Ambulance Service Limited Emergency - no; all others yes No Yes
Alternative or Complementary Medicine Not covered N/A N/A N/A
Allergy, Diagnostic Testing and Treatment Covered No No Yes
Adjunctive Dental Care Limited Yes No Yes
Acute Rehabilitation Facility Admisison Covered Yes No Yes
Acupressure Not covered N/A N/A N/A
Abortion, elective Not Covered N/A N/A N/A