Service Coverage Authorization Requirements Co-Pay: Active Duty Dependents & Retirees with Medicare Part B Co-Pay: Retirees without Medicare Part B
Sweat Test Covered No No Yes
Surgical Services (inpatient and ambulatory) Covered Yes No Yes
Surgical Dressing Supplies Covered No No Yes
Supportive device for feet (wedges, fillers, heel straps, pad, shanks) Not covered N/A N/A N/A
Sunlamp Not covered N/A N/A N/A
Suction Machine Covered Obtain from Mt Holly Surgical No Yes
Subacute Rehabilitation Facility Admission Covered Yes No Yes
Stethoscope Not covered N/A N/A N/A
Sterilization Covered Contact Meridian No Yes
Stereotactic Radiosurgery Covered Yes No Yes
Steam Pack Covered Yes No Yes
Standing Table Not covered N/A N/A N/A
Stair glide or lift Not covered N/A N/A N/A
Sryringes Covered Obtain from Maxor Mail Order Yes Yes
Splints Covered No No Yes
Speech Training Device Not covered N/A N/A N/A
Speech Therapy, outpatient Covered Yes No Yes
Speech Therapy, inpatient Covered Yes No No (included under admission)
Speech Therapy, home care Covered Yes No Yes
Sonogram Covered No No No
Smoking Cessation Systems Covered Same as TRICARE Same as TRICARE Same as TRICARE
Sling, arm Covered No No Yes
Sleep Study (Polysomnogrraphy) Covered No No Yes
Skilled Nursing Facility Admission Covered; No pre-set limit to the number of days available, each SNF day must meet standardized medical necessity criteria. Yes No Yes
Sitz Bath Covered Yes No Yes
Shower bench/chair/seat Not covered N/A N/A N/A
Shoes, custom molded, extra depth and related inserts Limited Yes No Yes
Shoe Lifts Not covered N/A N/A N/A
Shoe Inserts Not covered N/A N/A N/A
Shampoo Tray Not covered N/A N/A N/A
Second Opinion Covered Yes - if out of network No Yes
Seat Lift Covered Yes No Yes
Scooter, motorized Covered Yes No Yes
Scooter, electric Covered Yes No Yes
School Physical Exam Covered between the ages of 5 and 11 when required for school enrollment No No No
Scale Not covered N/A N/A N/A
Sauna Bath Not covered N/A N/A N/A