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For men, hypothalamic disease, pituitary disease, disorders of sperm transport, disorders of sperm motility or function and/or sexual dysfunction may cause infertility. Under your TRICARE Prime benefit, infertility testing and treatment, including correction of the physical cause of infertility, is covered. Diagnostic services may include semen analysis, hormone evaluation, chromosomal studies, immunologic studies, special and sperm function tests and/or bacteriologic investigation. Therapy may include, but is not limited to, hormonal treatment, surgery, antibiotics, administration of HCG and/or radiation therapy, depending upon the cause.
For women, services and supplies required to diagnose and treat illness or injury involving the female genital system are covered. Infertility testing and treatment, including correcting the physical cause of infertility, are included under this provision. This does not include artificial insemination, which is excluded from coverage.
Artificial Reproduction Technologies Are Not Covered
One of the primary things to know is that TRICARE cannot cover any form of artificial reproductive technologies, but can, in general, cover treatment of underlying medical condition. See the chart for some examples of covered and not covered procedures.