What Your VA Provider or PCM Can Actually Get You

A VA primary care provider can order therapeutic shoes, in-shoe inserts, a brace, a CPAP machine, a walker, or a hospital bed. A TRICARE PCM can refer you for some of the same items at your plan’s cost-share, and can’t get you several things the internet claims. The full item-by-item table sits at the end of this guide (jump to it); each row carries the government sentence that proves it and the date we read it.

Not an official VA or DoD site. Your provider decides medical need; this guide tells you what to ask for.

BLUF

Who to ask: Your VA primary care provider or your TRICARE PCM. Not a company that found you on social media.

How to ask: Name the official item and ask for the exam that goes with it. "I'd like a foot exam and to know whether therapeutic footwear is appropriate for me."

VA vs TRICARE: Different rulebooks. TRICARE excludes by name things VA will furnish, and the reverse. Every row shows both.

"Free": Only where a government page says no charge. Otherwise a visit copay may apply (VA) or a plan cost-share applies (TRICARE).

The VA side: PSAS, prescribed by your VA provider

VA furnishes items through its Prosthetic and Sensory Aids Service (PSAS) when a VA provider prescribes them and the item passes the test in 38 CFR 17.3230(a)(1): it must “serve as a direct and active component of the veteran’s medical treatment and rehabilitation, and do not solely support the comfort or convenience of the veteran.” That clause is why the “could not verify” list exists.

38 CFR 17.3210 names “manual and motorized wheelchairs, canes, walkers,” orthotic devices, home medical equipment, and adaptive household items, and carves out “household furniture or furnishings,” which is where an ordinary bed or mattress lands. A hospital bed is in; a nicer mattress is out.

Who writes the order: 38 CFR 17.3240(a)(1) says “VA providers … will prescribe items and services … in consultation with the veteran.” For footwear, VHA Directive 1173.9(1) §5.j says prescribing clinicians “may include” podiatrists (DPMs), DOs, MDs, PAs, PA-Cs, and certified nurse practitioners. Your primary care provider is on that list. The About PSAS page says the foot exam “may be conducted by either your primary care team, Podiatry, or Wound Care,” but some medical centers route every shoe request through Podiatry. VA Memphis: “Shoe consults from a Primary care physician will not be considered.” Ask which way yours does it.

Cost: no VA copay rule attaches a charge to the item. 38 CFR 17.110(a) says the medication copay “does not mean medical supplies, oral nutritional supplements, or medical devices.” The visit itself can carry a copay under 38 CFR 17.108 unless you’re exempt. Three VA sources do say no charge: the PSAS hearing aids page says “the hearing aids, repairs, and future batteries will all be at no charge to you, as long as you maintain VA eligibility for care,” and the order-medical-supplies page says you may be “eligible to order certain free medical supplies” and names hearing aid batteries and accessories, CPAP supplies, and prosthetic socks; and the orthotic and prosthetic fact sheet says “VA covers the full cost of the orthosis or prosthesis, as well as costs for repair and maintenance as appropriate for eligible Veterans.” The clothing allowance is a cash payment. Nothing else on the VA side is called free.

Two traps. Hearing aids and eyeglasses aren’t for every enrolled veteran. 38 CFR 17.149(b) lists eight categories (a compensable service-connected disability, former POW, Purple Heart, aid-and-attendance pension, and others), plus (c) for service-connected hearing loss rated 0 percent. The aid follows the list, not enrollment.

Footwear is “two serviceable pairs,” not two new pairs a year. Directive 1173.9(1) §6.a: “Veterans requiring therapeutic footwear and in-shoe orthoses should have two serviceable pairs.” Your clinician inspects them yearly and replaces worn pairs under criteria VA doesn’t publish. Plantar fasciitis isn’t a named qualifying condition; foot deformity, sensory neuropathy, and neurologic injury are. Full breakdown of the directive, who can order, and the TRICARE split: VA therapeutic shoes and orthotics.

TRICARE is insurance. Your PCM or another TRICARE-authorized provider orders the equipment, TRICARE supplies it “on a rental or purchase basis” at “the price most advantageous to the Government,” and you pay your plan’s cost-share (TRICARE Policy Manual Ch. 8 Sect. 2.1).

The exclusions, which the videos skip:

Inserts, arch supports, and orthopedic shoes: excluded for retirees and family members. The Foot Care page: “TRICARE doesn’t cover: … Shoe inserts, Orthopedic shoes (unless attached to a brace), Arch supports.” TPM Ch. 8 Sect. 3.1 lists “Orthoses for pes planus (flat feet) or plantar fasciitis, or other similar diagnoses” among its exclusions. Active duty is the exception: TRICARE Operations Manual Ch. 17 Sect. 3 says “Custom-fitted orthoses are covered for Service members on active duty,” including “foot inserts for plantar fasciitis, flat feet, or similar diagnoses.”
Therapeutic shoes are a diabetes benefit. The Therapeutic Shoes page allows one pair plus inserts per calendar year. TPM Ch. 8 Sect. 8.2 requires the physician managing your diabetes to document the diagnosis plus a qualifying foot finding (prior amputation, ulcer history, pre-ulcerative callus, neuropathy with callus history, deformity, or poor circulation), and its one exclusion line reads “Shoes for conditions other than diabetes.” That “per calendar year” figure is the TRICARE rule that leaked into VA folklore.
TENS is post-surgery only. The TENS page: “TRICARE doesn’t cover TENS devices or supplies for low back pain or for the treatment of chronic post-operative pain. This includes at-home TENS units and at physical therapy.” TPM Ch. 8 Sect. 20.2 has excluded home TENS prescribed during physical therapy for low back pain since June 1, 2020; the chronic post-operative exclusion and the catch-all for every other condition took effect July 1, 2026.
Hearing aids aren’t for retirees. The Hearing Aids page: “TRICARE doesn’t cover hearing aids for retirees.” Active-duty family members qualify only with “hearing loss that meets specific hearing criteria”; the page doesn’t print the thresholds.
No VR headsets, apps, or comfort items. TPM Ch. 8 Sect. 2.1: “Currently, no MMAs meet TRICARE coverage criteria”; “smartphones, electronic tablets, personal computers, and smart watches” are excluded, as are “Exercise, relaxation, comfort, sporting items, or sporting devices” and “Beds that are not medical in nature and used for comfort or convenience.”

The one TRICARE item we call free: the breast pump benefit is “at no cost for new mothers,” one kit per birth event.

Dual-eligible (retired, or Guard/Reserve with a VA rating)? Read both columns. For chronic-pain TENS, plantar fasciitis orthotics, and hearing aids after retirement, only the VA column has something in it.

How to ask: one sentence, by item name

Every row in the item-by-item table carries a sentence to say word-for-word: the official item, the exam or consult that goes with it, then stop talking. No symptoms, no brand names.

“I’d like a foot exam and to know whether therapeutic footwear and in-shoe orthoses are appropriate for me.”
“I’d like an audiology consult for a comprehensive audiologic evaluation, and to know whether I’m eligible for hearing aids.”
“After my sleep study, I’d like the CPAP referral. I’m active duty and travel at least three days a month; can the referral say that so it supports a portable unit?”

That last one is TRICARE’s rule. The CPAP Machine page says the portable referral “must note: Your diagnosis of obstructive sleep apnea; You travel on official business at least three days per month, or you’re being deployed; You aren’t retiring or separating from the military within the year.”

Symptom-coaching scripts are what the VA Inspector General warns about below. Your ask is “please examine me for this.” The answer is theirs.

What the internet says you can get that we could not verify

We checked these against va.gov, prosthetics.va.gov, the VHA publications index, eCFR, tricare.mil, and the DHA manuals on 2026-10-04. “Could not verify” means no primary page names the item as something a provider can order.

VR headset for PTSD (VA). The only VA page is a VA News article on RelieVRx, an 8-week home VR program for chronic pain on VA’s Federal Supply Schedule, “meaning any VA provider can prescribe it to eligible Veterans.” PTSD appears only in quotes, never as an indication. Cost not stated. Ask about it for pain; for PTSD it’s unverified. TRICARE: no app currently meets its coverage criteria; consumer platforms are excluded by name (above).
Red-light panels, pads, and wraps (VA). No VA page names a consumer red-light device. The closest thing: as of a 2019 VHA Center for Compassionate Innovation update, VA Boston’s TBI clinic was running a home LED-headset program for “mild to moderate TBI” that veterans “can use … in their homes.” That’s Boston, not your clinic. TRICARE: not in the 124-entry covered-services A–Z index.
PEMF mats. No primary page on either side.
Neurofeedback for PTSD. The 2023 VA/DoD clinical practice guideline, quoted in a Military Health System evidence brief, finds “insufficient evidence to recommend for or against neurofeedback for the treatment of PTSD.”
Posturepedic or positioning pillows. Zero VA pages. Neither payer names pillows; VA’s “comfort or convenience” clause and TRICARE’s comfort-item exclusion cover them.
Weighted blankets (VA). The only VA page is a Tampa VA story about a nonprofit donating them, which tells you VA doesn’t routinely issue them.
“Two pairs of shoes a year” (VA). Not in the directive. See above.
“12 pairs of compression socks” or “20 mmHg minimum” (TRICARE). Neither figure is in the Policy Manual. TPM Ch. 8 Sect. 6.1 lists “TED® hose” among covered consumables “when related directly to a covered medical condition,” with no count and no threshold; you pay your plan’s cost-share. The counts are vendor order policies. VA side: the About PSAS page says compression garments “may be prescribed by a physician for a wide range of conditions” and PSAS measures you before issuing them; no count, no cost.
“Free TENS” (VA). VA’s national PSAS “What to Expect” brochure lists “TENS Units” under Items for Daily Living, and VA’s pain-management page describes TENS, but neither states indications or cost. Ask; availability varies by facility.

Red flags from the VA Inspector General

In March 2025 the VA Office of Inspector General published a fraud alert on durable medical equipment (PDF). It asks veterans to report:

“offers of free or low-cost DME from solicitors claiming VA affiliation;”
“receipt of medical devices by mail that were not prescribed by a VA-assigned physician;”
“requests from DME suppliers for personal, medical, or financial information; and”
“explanation of benefits letters indicating VA was billed for equipment not received.”

It also asks VA staff to report “payments offered to induce patient referrals for DME.”

Veteran-fronted websites tell you a device is “100% VA covered,” hands you a script for your provider, and earns a commission from the device maker when the order goes through. Not illegal, and we’re not naming anyone, but two bullets above describe that shape, and nothing on this page needs a middleman. Know who’s in the loop before you hand over your medical information.

Find it on the body map

Battle Buddy maps VA benefits by body region and disability rating; most VA rows in the table below link to the matching region. No TRICARE items, because TRICARE eligibility isn’t keyed to a rating or body part.

How to start today

Confirm your door. VA health care: the VA column. TRICARE plan: the TRICARE column. Both: read both.
Pick the item, not the symptom: find your row in the table below, copy the sentence, note its exam.
Check the badge. “Ask your provider” rows mean the program is real but varies by facility.
Book the primary care visit (VA: My HealtheVet or your facility; TRICARE Prime: your PCM), say the sentence, then stop. Let the exam decide.
Reorder supplies yourself: once VA issues the device, hearing-aid batteries and CPAP supplies come from the VA Denver Logistics Center.
Tell us what your facility did. Directive 1173.9 is due for recertification “on or before the last working day of October 2026,” and we’ll recheck it then.

Item-by-item table: VA and TRICARE

In each cell, "Who orders it", "How many, how often" and "Say this to your provider" are our plain-language summary. The verbatim quotes under "What the source says" are the authority; when the two differ, the quote wins.

Verified every fact below is quoted from the payer's own page or regulation on the date shown. Partly verified the item exists on an official page, but a count or a cost line was missing — ask. Excluded the payer names it as not covered. 23 VA records and 22 TRICARE records, newest fetched 2026-10-03.

Feet and footwear

# Therapeutic footwear

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A VA prescribing clinician (podiatrist, MD, DO, PA, PA-C or nurse practitioner) after a documented foot exam. National policy lets your primary care team do the exam; some medical centers route every footwear request through Podiatry, so ask which your facility does.
How many, how often: Two serviceable pairs on hand (a third pair may be authorized for work or regular activity conditions); inspected at least yearly; replacement decided under internal criteria VA does not publish. This is a standing inventory, not two new pairs every year.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like a foot exam and to know whether therapeutic footwear and in-shoe orthoses are appropriate for me.

What the source says (verbatim)

Therapeutic footwear and in-shoe orthoses must be provided to Veterans when provision is medically necessary and an active component of their care.

VHA Directive 1173.9(1), paragraph 2.c

Veterans requiring therapeutic footwear and in-shoe orthoses should have two serviceable pairs.

VHA Directive 1173.9(1), paragraph 6.a

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

NOTE: An additional pair may be authorized for environmental conditions related to the Veteran’s employment or regular avocational activity.

VHA Directive 1173.9(1), paragraph 6.a

The foot exam may be conducted by either your primary care team, Podiatry, or Wound Care to determine your needs for footwear.

prosthetics.va.gov, About PSAS

Prescribing clinicians are privileged for therapeutic footwear and may include Doctor of Podiatry Medicine (DPMs), Doctor of Osteopathic Medicine (DOs), Medical Doctors (MDs), Physician Assistants (PAs), Physician Assistants-Certified (PA-Cs) and Certified Nurse Practitioners (CNPs).

VHA Directive 1173.9(1), paragraph 5.j

Source: VHA Directive 1173.9(1), Therapeutic Footwear and In-Shoe Orthoses. Document date: Directive dated October 22, 2021, amended July 12, 2024; About PSAS page last updated October 29, 2024. Fetched 2026-10-03; recheck by 2026-10-30.

Not supported by the source: two pairs per year (the directive says two serviceable pairs on hand); plantar fasciitis as a qualifying condition (not named); a specific shoe brand qualifies (brands appear nowhere in VA policy); the replacement interval (internal SOP, not public).

See on the body map: Therapeutic footwear (national eligibility) — ask your VA provider →

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The physician managing your diabetes prescribes; a qualified fitter such as a certified pedorthist fits the shoes.
How many, how often: Per calendar year, either one pair of custom-molded shoes plus two pairs of inserts, or one pair of extra-depth shoes plus three pairs of inserts.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Diabetes Supplies and Equipment (generic DME cost line)

Say this to your provider: I'd like a foot exam and to know whether I meet TRICARE's criteria for therapeutic shoes for diabetes.

What the source says (verbatim)

Therapeutic shoes, extra-depth shoes with inserts or custom molded shoes with inserts and modifications, for individuals with diabetes are covered, even if only one foot suffers from diabetic foot disease.

TRICARE Policy Manual, Chapter 8, Section 8.2, paragraph 3.1

Shoe and insert coverage is limited to one of the following within a calendar year: One pair of custom molded shoes (including inserts that come with the shoes) and two pairs of multidensity inserts, or One pair of extra-depth shoes (not including inserts that come with the shoes) and three pairs of multidensity inserts.

tricare.mil, Therapeutic Shoes (for Diabetes), Last Updated 10/1/2026

Your costs depend on your plan, your beneficiary category, and where you get supplies. Check health plan costs to find your DME costs.

tricare.mil, Diabetes Supplies and Equipment (generic DME cost line)

4.2.1 Document that the patient has diabetes. 4.2.2 Document that the patient has one or more of the following conditions: • Previous amputation of the foot or part of the foot; • History of previous foot ulceration; or • Pre-ulcerative callus formation, or peripheral neuropathy with a history of callus formation, foot deformity, or poor circulation. 4.2.3 Certify that the patient is being treated under a comprehensive plan of care for his diabetes and needs therapeutic shoes.

TRICARE Policy Manual, Chapter 8, Section 8.2, paragraph 4.2 (what the prescribing physician must document)

Shoes for conditions other than diabetes.

TRICARE Policy Manual, Chapter 8, Section 8.2, paragraph 5.0 Exclusion

Source: tricare.mil, Therapeutic Shoes (for Diabetes); TRICARE Policy Manual 6010.63-M, Chapter 8, Section 8.2, Therapeutic Shoes For Diabetics. Document date: Page Last Updated 10/1/2026; manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: two pairs of athletic shoes a year (nothing in TRICARE gives this to anyone); shoes for plantar fasciitis (excluded).

TRICARE: not on the body map (VA-only tool).

Braces, inserts and compression

# Compression garments

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: A VA physician prescribes; Prosthetic and Sensory Aids Service measures the affected limb before issuing.
How many, how often: Not stated in any public VA document.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices or supplies; a visit copay may still apply unless you are exempt

Say this to your provider: I'd like to know whether compression garments are clinically indicated for me and, if so, a Prosthetics consult for measurement.

What the source says (verbatim)

Compression garments may be prescribed by a physician for a wide range of conditions. Proper fit and usage is critical to your success in wearing them, which is why measurement of the affected extremities is necessary prior to issuance.

prosthetics.va.gov, About PSAS

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices or supplies; a visit copay may still apply unless you are exempt

Source: VA Prosthetic and Sensory Aids Service — About PSAS. Document date: Page last updated October 29, 2024. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: a set number of pairs per year (no VA source gives a count); free compression socks as a standing benefit (no VA cost line found); a 20 mmHg threshold (not in any primary source).

See on the body map: Prescribed compression garments — ask your VA provider →

TRICARE

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized provider prescribes; obtained from a medical supply company, a pharmacy, or an authorized institutional provider.
How many, how often: Not stated in any primary source. The viral pair counts and pressure threshold trace only to a contractor page, not the manual (see the claims we could not verify).
Your cost: Cost-share depends on your plan — see TRICARE health plan costs TRICARE Policy Manual, Chapter 8, Section 6.1, paragraph 2.2 — cost-share depends on your plan

Say this to your provider: I'd like to know whether compression stockings are indicated for my diagnosed condition and, if so, a prescription to a medical supply company.

What the source says (verbatim)

Medical supplies and dressings (consumables) are covered when related directly to a covered medical condition and obtained from a medical supply company, a pharmacy, or authorized institutional provider. Examples of covered medical supplies and dressings include disposable syringes for diabetics, colostomy sets, irrigation sets, elastic bandages, TED® hose, and external surgical garments designed for use following a mastectomy.

TRICARE Policy Manual, Chapter 8, Section 6.1, paragraph 2.1

Generally, the allowable charge of a medical supply item will be under $100.

TRICARE Policy Manual, Chapter 8, Section 6.1, paragraph 2.2 — cost-share depends on your plan

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 6.1, Medical Supplies And Dressings (Consumables). Document date: Manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: 20 mmHg minimum (contractor page only); 12 pairs a year for active duty, 2 pairs for others (contractor page only); free (vendor marketing); any named qualifying condition.

TRICARE: not on the body map (VA-only tool).

# In-shoe orthoses

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The same VA prescribing clinicians as therapeutic footwear (podiatrist, MD, DO, PA, PA-C or nurse practitioner) after a foot exam.
How many, how often: Two serviceable pairs on hand (same clause as footwear); replacement under internal criteria VA does not publish.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like a foot exam and to know whether an accommodative or functional foot orthosis is appropriate for me.

What the source says (verbatim)

In-shoe orthoses include accommodative foot orthoses and functional foot orthoses.

VHA Directive 1173.9(1), paragraph 2.c

Veterans requiring therapeutic footwear and in-shoe orthoses should have two serviceable pairs.

VHA Directive 1173.9(1), paragraph 6.a

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Therapeutic footwear and in-shoe orthoses must be provided to Veterans when provision is medically necessary and an active component of their care.

VHA Directive 1173.9(1), paragraph 2.c

Source: VHA Directive 1173.9(1), Therapeutic Footwear and In-Shoe Orthoses. Document date: Directive dated October 22, 2021, amended July 12, 2024. Fetched 2026-10-03; recheck by 2026-10-30.

Not supported by the source: custom inserts every year; plantar fasciitis as a qualifying condition (not named).

See on the body map: Orthopedic shoes and inserts / orthotics (ask your VA provider) →

TRICARE

Excluded Retirees, family members, and Guard/Reserve not on active orders

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; excluded unless the shoe is an integral part of a covered brace (ordered with the brace).
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 3.1, paragraph 4.6 (exclusions)

Heads-up: Do not ask for inserts or arch supports as a standalone TRICARE item; it will be denied unless you are on active duty (see the active-duty row) or the shoe is part of a covered brace.

What the source says (verbatim)

The following types of orthoses are excluded from TRICARE coverage: 4.1 Orthopedic shoes, unless one or both shoes are an integral part of a covered brace. 4.2 Arch supports and shoe inserts designed to effect conformational changes in the foot or foot alignment.

TRICARE Policy Manual, Chapter 8, Section 3.1, paragraph 4.0

4.6 Orthoses for pes planus (flat feet) or plantar fasciitis, or other similar diagnoses.

TRICARE Policy Manual, Chapter 8, Section 3.1, paragraph 4.6 (exclusions)

Shoe inserts Orthopedic shoes (unless attached to a brace) Arch supports

tricare.mil, Foot Care — items listed under 'TRICARE doesn’t cover'

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 3.1, Orthoses (Braces And Splints); tricare.mil Foot Care; tricare.mil Shoes, Shoe Inserts, Shoe Modifications, and Arch Supports. Document date: Manual section in Revision 57 (published September 15, 2026); pages Last Updated 10/1/2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Partly verified — ask your provider Active duty service members only

Our summary — the quoted source text below is the authority

Who orders it: Your PCM or MTF provider orders; the orthotic must come from a TRICARE-authorized vendor that specializes in custom orthotics.
How many, how often: Not stated.
Your cost: Cost not stated in the source No cost line appears in the Operations Manual section; active duty ordinarily have no out-of-pocket under Prime, but that sentence was not found for this item.

Say this to your provider: I'd like a foot exam and a referral for custom-fitted foot orthotics from a TRICARE-authorized vendor.

What the source says (verbatim)

Custom-fitted orthoses are covered for Service members on active duty. The custom-fitted orthosis must be ordered by the appropriate provider and obtained from a TRICARE-authorized vendor that specializes in this service. Prefabricated or other types of orthoses available in commercial retail entities are excluded. Specifically, this benefit refers to custom fitted orthotics (e.g., foot inserts for plantar fasciitis, flat feet, or similar diagnoses).

TRICARE Operations Manual 6010.62-M, Chapter 17, Section 3, paragraph 2.5.5.1

Source: TRICARE Operations Manual 6010.62-M, Chapter 17 (Supplemental Health Care Program), Section 3, paragraph 2.5.5 SHCP Blanket Waivers. Document date: Revision C-61, July 31, 2026 (TOT5 Revision 66 published September 18, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: $0 for active duty (not stated for this item); pairs per year.

TRICARE: not on the body map (VA-only tool).

# Orthotic devices and custom braces

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Any credentialed VA clinician can request a specific orthotic device or an evaluation for one; primary care or a specialty clinic refers you to Prosthetics.
How many, how often: Generally one item; a spare on clinical determination; replacement when clinically indicated.
Your cost: No charge — the source says so VA Orthotic, Prosthetic and Pedorthic Clinical Services fact sheet, Last Updated December 2022

Say this to your provider: I'd like a Prosthetics consult to be evaluated for an orthosis for my documented condition.

What the source says (verbatim)

There is documented musculoskeletal or neurological condition in the medical record, which supports the use of an orthotic device.

VHA PCMP Clinical Practice Recommendations for Prescription of Orthotic Devices

While VA will generally provide only one item under this section, the provision of spare items may be authorized based on a clinical determination of need

38 CFR 17.3230(a)(2)

Whether provided by a VA Prosthetist and Orthotist or through a community O&P provider, VA covers the full cost of the orthosis or prosthesis, as well as costs for repair and maintenance as appropriate for eligible Veterans.

VA Orthotic, Prosthetic and Pedorthic Clinical Services fact sheet, Last Updated December 2022

Your primary care physician or specialty clinic may refer you to Prosthetics to be evaluated for an orthosis, or brace.

prosthetics.va.gov, About PSAS

Source: 38 CFR 17.3230; VHA PCMP Clinical Practice Recommendations for Prescription of Orthotic Devices; VA OPPCS fact sheet. Document date: CFR current as of October 1, 2026; PCMP document undated; fact sheet December 2022. Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: Knee brace / leg orthosis (ask your VA provider) →

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized provider prescribes; a TRICARE-authorized orthotist or DME supplier provides.
How many, how often: Repaired or replaced once a year when worn, damaged or outgrown (earlier for beneficiaries under 18 with documentation).
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Home Healthcare (generic DME cost line)

Say this to your provider: I'd like an exam of the joint and to know whether a brace or orthosis is medically necessary for me.

What the source says (verbatim)

TRICARE covers orthopedic braces and the shoes that come with the orthopedic braces.

tricare.mil, Braces (Orthopedics), Last Updated 10/1/2026

Covered orthoses that are worn, damaged or outgrown may be repaired or replaced once a year.

TRICARE Policy Manual, Chapter 8, Section 3.1, paragraph 3.3

You may have separate costs for durable medical equipment, prosthetics, and specific drugs.

tricare.mil, Home Healthcare (generic DME cost line)

Orthoses must be medically necessary to diagnose or treat a covered condition, must be United States (US) Food and Drug Administration (FDA)-approved and must be provided by a TRICARE authorized provider.

TRICARE Policy Manual, Chapter 8, Section 3.1, paragraph 3.1

Source: tricare.mil, Braces (Orthopedics); TRICARE Policy Manual 6010.63-M, Chapter 8, Section 3.1. Document date: Page Last Updated 10/1/2026; manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Hearing

# Hearing aids

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A VA (or VA-authorized community) audiologist after an audiology appointment; the aid itself is furnished only to the eligibility categories in 38 CFR 17.149.
How many, how often: One binaural set; a spare only after successful continuing use; not replaced because a newer model exists.
Your cost: No charge — the source says so prosthetics.va.gov, Hearing Aids page, Last updated September 16, 2026

Say this to your provider: I'd like an Audiology consult for a comprehensive audiologic evaluation and to know whether I am eligible for hearing aids under 38 CFR 17.149.

What the source says (verbatim)

VA will furnish needed sensori-neural aids ( i.e. , eyeglasses, contact lenses, hearing aids) to the following veterans: (1) Those with a compensable service-connected disability; (2) Those who are former prisoners of war; (3) Those awarded a Purple Heart; (4) Those in receipt of benefits under 38 U.S.C. 1151; (5) Those in receipt of increased pension based on the need for regular aid and attendance or by reason of being permanently housebound; (6) Those who have a visual or hearing impairment that resulted from the existence of another medical condition for which the veteran is receiving VA care, or which resulted from treatment of that medical condition; (7) Those with a significant functional or cognitive impairment evidenced by deficiencies in activities of daily living, but not including normally occurring visual or hearing impairments; and (8) Those visually or hearing impaired so severely that the provision of sensori-neural aids is necessary to permit active participation in their own medical treatment.

38 CFR 17.149(b)

Veterans who have continuing eligibility may be issued a spare hearing aid if the initial hearing aid has been used successfully on a continuing basis.

VHA Directive 1034, paragraph 5.b

the hearing aids, repairs, and future batteries will all be at no charge to you, as long as you maintain VA eligibility for care.

prosthetics.va.gov, Hearing Aids page, Last updated September 16, 2026

Devices will not be replaced because a new make or model is available.

VHA Directive 1034, paragraph 5.a

Source: 38 CFR 17.149 Sensori-neural aids; VHA Directive 1034; PSAS Hearing Aids page. Document date: CFR current as of October 1, 2026; Directive 1034 dated October 24, 2019 (recertification was due October 2024, still in force); Hearing Aids page September 16, 2026. Fetched 2026-10-03; recheck by 2027-03-16.

Not supported by the source: any enrolled veteran gets free hearing aids (false: the 38 CFR 17.149 categories govern; audiology exams are open to all enrolled veterans even when the aid is not).

See on the body map: Hearing aids and batteries (ask your VA provider) →

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Active duty: MTF audiology. Family members of active duty: a hearing exam that meets the thresholds. Retirees: not covered (VA or the Retiree-At-Cost Hearing Aid Program instead).
How many, how often: Replacement when the aid is lost or unserviceable from normal wear, damage, or a change in hearing.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Hearing Aids, Last Updated 10/1/2026 — retirees excluded; others cost-share by plan

Say this to your provider: I'd like a hearing exam; coverage is based on the measured hearing threshold, not symptoms. Retirees: ask VA audiology or an MTF about the Retiree-At-Cost Hearing Aid Program.

What the source says (verbatim)

TRICARE only covers hearing aids and hearing aid services if you have hearing loss that meets specific hearing criteria.

tricare.mil, Hearing Aids (Active Duty Service Members and Family)

Benefits are allowed for replacement of beneficiary owned hearing aids when the hearing aid is lost or is not serviceable due to normal wear, accidental damage, or due to a change in the beneficiary’s condition, or level of hearing loss.

TRICARE Policy Manual, Chapter 7, Section 8.2, paragraph 3.3

TRICARE doesn’t cover hearing aids for retirees.

tricare.mil, Hearing Aids, Last Updated 10/1/2026 — retirees excluded; others cost-share by plan

40 dB HL or greater in one or both ears when tested at 500, 1,000, 1,500, 2,000, 3,000, or 4,000Hz; or 3.1.1.2 26 dB HL or greater in one or both ears at any three or more of those frequencies; or 3.1.1.3 A speech recognition score less than 94%.

TRICARE Policy Manual, Chapter 7, Section 8.2, paragraph 3.1.1 (adult family member thresholds)

Through the RACHAP, you may be able to buy hearing aids for a reduced cost at certain military hospitals and clinics.

tricare.mil, Hearing Aids

Source: tricare.mil, Hearing Aids; TRICARE Policy Manual 6010.63-M, Chapter 7, Section 8.2, Hearing Aids And Hearing Aid Services. Document date: Page Last Updated 10/1/2026; manual Revision C-13, August 30, 2024. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Tinnitus masker

No verified record for this payer yet.

TRICARE

Excluded

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; TRICARE names the device as unproven.
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 5.1, paragraph 2.2 (Revision C-56, September 4, 2026)

Heads-up: Not available through TRICARE; TRICARE names the tinnitus masker unproven.

What the source says (verbatim)

TRICARE doesn’t cover procedures that are unproven or experimental.

tricare.mil, Unproven Procedures, Last Updated 10/1/2026

For example, tinnitus masker is an FDA approved device; however, TRICARE considers this device unproven and, therefore, not a benefit.

TRICARE Policy Manual, Chapter 8, Section 5.1, paragraph 2.2 (Revision C-56, September 4, 2026)

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 5.1, Medical Devices; tricare.mil, Unproven Procedures. Document date: Manual Revision C-56, September 4, 2026; page Last Updated 10/1/2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Vision

# Eyeglasses

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: A VA (or VA-authorized community) optometrist or ophthalmologist after an eye exam; the glasses themselves are furnished only to the eligibility categories in 38 CFR 17.149.
How many, how often: An initial pair; two single-vision pairs when bifocals are contraindicated; a second pair only for compelling medical circumstances.
Your cost: Cost not stated in the source No VA page fetched says eyeglasses are at no charge; a visit copay may apply unless you are exempt. Ask what you will be charged.

Say this to your provider: I'd like a VA eye exam and to know whether I'm eligible for eyeglasses under 38 CFR 17.149.

What the source says (verbatim)

All Veterans eligible for care and services under 38 CFR 17.38 are eligible for diagnostic and preventive audiology care, and diagnostic and preventive eye care services. These diagnostic and preventive services are separate from Department of Veterans Affairs (VA) provision of eyeglasses, contact lenses, and hearing aids.

VHA Directive 1034, paragraph 2.a — the exam is open to all enrolled veterans; the glasses follow the 38 CFR 17.149(b) categories

Eligible Veterans are to be provided an initial pair of corrective eyeglasses when prescribed by an eye care provider. Two pairs of single-vision eyeglasses, one for reading and one for distance, are to be provided if prescribed by an eye care provider in cases where bifocal lenses are contraindicated.

VHA Directive 1034, paragraph 6.c(6)

A second pair of eyeglasses will not be provided to any beneficiary unless there are compelling medical circumstances requiring a second pair.

VHA Directive 1034, paragraph 6.g(1)

Source: VHA Directive 1034, Prescribing and Providing Eyeglasses, Contact Lenses, and Hearing Aids; 38 CFR 17.149. Document date: Directive 1034 dated October 24, 2019 (recertification was due October 2024; still in force); CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: free glasses for every veteran; what the glasses cost you.

TRICARE

Excluded Retirees, family members, and non-activated Guard/Reserve (active duty get standard issue through the military clinic; that half is not yet verified for cost)

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; eyeglasses are not a TRICARE benefit for retirees and family members. FEDVIP is separate vision insurance.
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.5 — eyeglasses are among the regulatory exclusions

Heads-up: Retirees and family members: check FEDVIP eligibility rather than asking TRICARE. Active duty: go to the optometry clinic at your military hospital or clinic.

What the source says (verbatim)

A retired service member You may be able to get coverage through FEDVIP.

tricare.mil, Lenses (Contact or Intraocular) and Eye Glasses, Last Updated 10/1/2026

3.5 The item of DE is not otherwise excluded by the regulation and policy (i.e., those found in 32 CFR 199.4(g), to include communication devices other than those allowed in Chapter 7, Section 23.1, eyeglasses, exercise/relaxation/comfort devices, comfort or convenience items).

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.5 — eyeglasses are among the regulatory exclusions

Standard issue pair of frames and sunglasses plus one pair of glasses of your choice.

tricare.mil, Lenses (Contact or Intraocular) and Eye Glasses — active duty service members (cost for that issue not stated; not verified as a no-cost item)

Source: tricare.mil, Lenses (Contact or Intraocular) and Eye Glasses; TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.1. Document date: Page Last Updated 10/1/2026; manual Revision C-29, March 25, 2025. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: that active-duty standard-issue glasses are at no cost (not stated on the page).

TRICARE: not on the body map (VA-only tool).

Sleep

# CPAP machine

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Your VA provider, after a sleep evaluation; Prosthetics issues the machine.
How many, how often: Generally one item; a spare only on a clinical determination of need.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like a sleep evaluation and to know whether a CPAP machine is appropriate for me.

What the source says (verbatim)

Home respiratory equipment means an item used to provide oxygen therapy or to support or enhance respiratory function, including but not limited to compressed oxygen, oxygen concentrators, and continuous positive airway pressure machines.

38 CFR 17.3210

While VA will generally provide only one item under this section, the provision of spare items may be authorized based on a clinical determination of need

38 CFR 17.3230(a)(2)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

A CPAP machine is a durable piece of equipment that would be considered a prosthetic or rehabilitative item under Sec. 17.38(a)(1)(viii).

Federal Register 2020-27014, preamble to the final rule

Source: 38 CFR 17.3210 Definitions; 38 CFR 17.3230; Federal Register 2020-27014 (final rule, effective January 27, 2021). Document date: CFR current as of October 1, 2026; Federal Register December 28, 2020. Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: CPAP and breathing-assistance devices (ask your VA provider) →

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A referral from your provider (PCM or sleep medicine); the regional contractor authorizes. Active duty: the portable-device referral must state the travel or deployment facts.
How many, how often: One standard or one portable machine, not both; a replacement battery when the current one fails after normal use or is damaged on deployment.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, CPAP Machine — cost-share depends on your plan

Say this to your provider: After a sleep apnea diagnosis: I'd like the CPAP referral. If you're active duty and travel or deploy: I'd like a portable CPAP referral that documents my travel and that I'm not separating within a year.

What the source says (verbatim)

TRICARE may cover a portable CPAP machine. You must be an active duty service member. You must have a referral. The referral must note: Your diagnosis of obstructive sleep apnea You travel on official business at least three days per month, or you’re being deployed. You aren't retiring or separating from the military within the year. Also, the device must have humidification and battery capability.

tricare.mil, CPAP Machine (portable CPAP rules for active duty)

If you have a standard CPAP machine, you can get a portable machine as long as you meet the above conditions. TRICARE won’t authorize a standard CPAP machine if you already have a portable machine.

tricare.mil, CPAP Machine, Last Updated 10/1/2026

A CPAP machine is durable medical equipment. This is a limited benefit.

tricare.mil, CPAP Machine — cost-share depends on your plan

2.5.5.3.1 CPAP batteries for both standard and portable devices and adaptive equipment are covered.2.5.5.3.1.1 The request shall document that the eligible Active Duty Service Member (ADSM) is on deployment status and is not within one year of retirement or separation.

TRICARE Operations Manual, Chapter 17, Section 3, paragraph 2.5.5.3

Source: tricare.mil, CPAP Machine; TRICARE Operations Manual 6010.62-M, Chapter 17, Section 3, paragraph 2.5.5.3 CPAP Batteries And Portable Devices. Document date: Page Last Updated 10/1/2026; Operations Manual Revision C-61, July 31, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Breathing

# Home oxygen

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: A VA prescribing provider writes an annual home-oxygen prescription after testing.
How many, how often: An annual prescription; equipment type per clinical need; an emergency backup cylinder with a concentrator.
Your cost: Cost not stated in the source The directive treats oxygen as a drug clinically; whether VA charges a medication copay on home oxygen could not be verified. Ask what you will be charged.

Say this to your provider: I'd like to know whether I meet the clinical indications for home oxygen under VHA Directive 1173.13.

What the source says (verbatim)

It is VHA policy that home oxygen services must be provided to all eligible Veterans that have a valid annual prescription and meet medical indications for home oxygen and do not have risks that would produce serious harm with the prescription of home oxygen.

VHA Directive 1173.13(1), paragraph 3

Completing the annual prescription for home oxygen after determining that the benefits of home oxygen therapy based on the patient's prognosis, medical history, results of tests, and clinical indications outweigh any risks associated with oxygen therapy.

VHA Directive 1173.13(1), paragraph 5 (prescribing provider responsibilities)

Source: VHA Directive 1173.13(1), Home Oxygen Program; 38 CFR 17.3210. Document date: Directive dated August 5, 2020, amended March 16, 2023 (recertification was due August 2025; still in force per its own text). Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: whether a medication copay applies to home oxygen; the clinical-indications list (internal).

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A prescription; oxygen is treated as a prescription medication.
How many, how often: Per prescription; an indefinite or lifetime prescription does not need renewal.
Your cost: Cost-share depends on your plan TRICARE Policy Manual, Chapter 8, Section 10.1, paragraph 2.1

Say this to your provider: Cluster-headache patients: I'd like to know whether an oxygen prescription is appropriate for me; it is named in the TRICARE manual.

What the source says (verbatim)

2.1.1 Oxygen and the supplies and equipment related to its administration; 2.1.2 Oxygen in gas (to include oxygen concentrators) and liquid form; 2.1.3 Stationary and/or portable oxygen units; and 2.1.4 Oxygen therapy for migraine and/or cluster headaches.

TRICARE Policy Manual, Chapter 8, Section 10.1, paragraph 2.1

If the initial prescription shows an indefinite or lifetime need for oxygen, a new prescription is not required as long as the diagnosis substantiates its continued use.

TRICARE Policy Manual, Chapter 8, Section 10.1, paragraph 2.3

Oxygen is a prescription medication and the following benefits may be cost-shared:

TRICARE Policy Manual, Chapter 8, Section 10.1, paragraph 2.1

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 10.1, Oxygen And Oxygen Supplies. Document date: Manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Pain and stimulation devices

# Cold therapy device for home use

No verified record for this payer yet.

TRICARE

Excluded

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; excluded.
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 2.4

Heads-up: Expect to pay out of pocket if a surgeon suggests one.

What the source says (verbatim)

2.2 They are not primarily medical in nature, even though used to control pain, do not preclude the use of analgesics in conjunction with the cold therapy, and ultimately, except for the convenience of the commercial devices, ice packs have been shown to serve the same purpose.

TRICARE Policy Manual, Chapter 8, Section 2.4

2.1 Cold therapy devices are excluded from coverage as: • Durable Equipment (DE) and Durable Medical Equipment (DME) with deluxe, luxury, or immaterial features; and • Comfort and convenience item.

TRICARE Policy Manual, Chapter 8, Section 2.4

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.4, Cold Therapy Devices For Home Use. Document date: Manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Neuromuscular electrical stimulation

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Used in a program approved by the attending physician.
How many, how often: Not stated.
Your cost: Cost-share depends on your plan TRICARE Policy Manual, Chapter 8, Section 5.2, paragraph 2.1

Say this to your provider: Only for the named indications: I'd like to know whether an NMES program applies to my condition.

What the source says (verbatim)

2.1.2 For spinal cord injury and other motor neuron disorders (such as cerebral palsy) where nerve supply to the muscle is intact; or 2.1.3 For idiopathic scoliosis in pediatric and adolescent patients.

TRICARE Policy Manual, Chapter 8, Section 5.2, paragraph 2.1 (Revision C-21, October 11, 2024); 2.1.1 covers prevention of disuse atrophy after recent hip surgery, prolonged casting, or burn contractures

When used in a program approved by the attending physician, NMES may be cost-shared for the following indications:

TRICARE Policy Manual, Chapter 8, Section 5.2, paragraph 2.1

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 5.2, Neuromuscular Electrical Stimulation (NMES) Devices. Document date: Manual Revision C-21, October 11, 2024. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# TENS unit

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: A VA provider or pain clinic through a Prosthetics consult; no national directive names TENS indications.
How many, how often: Not stated in any public VA document (electrode resupply cadence unknown).
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay may still apply unless you are exempt. No VA page says TENS units are free.

Say this to your provider: I'd like to know whether a TENS unit is appropriate for my pain plan and, if so, a Prosthetics consult.

What the source says (verbatim)

TENS Units, reachers, long-handled sponges, canes, crutches, walkers, etc.)

PSAS 'What to Expect' brochure IB 10-62 — Items for Daily Living list (VA issues TENS units through Prosthetics; no national rule names who qualifies)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay may still apply unless you are exempt. No VA page says TENS units are free.

Soft orthotics, transcutaneous electrical nerve stimulation (TENS) units, shoes, shoe inserts, non-specialized wheelchairs (sedentary/sitting purposes), scooters, canes, rollador, walkers, elastic/flexible braces, items with Velcro stays

VHA Handbook 1173.15, paragraph 8.b — confirms VA issues TENS units (listed among items that do not earn a clothing allowance)

Source: PSAS 'What to Expect from your VA Prosthetic and Sensory Aids Service' brochure IB 10-62; VHA Handbook 1173.15. Document date: Brochure undated; Handbook 1173.15 May 14, 2015. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: VA issues TENS units free (no VA page says so); which conditions qualify; how often electrodes are resupplied.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized provider, within the first 30 days after surgery.
How many, how often: 30 days of rental from the day of surgery; up to 90 days with monthly documentation; device must be prescribed within 30 days of surgery.
Your cost: Cost-share depends on your plan tricare.mil, Transcutaneous Electrical Nerve Stimulation, or TENS, Last Updated 10/1/2026 — cost-shared only for acute post-operative pain

Say this to your provider: Only relevant right after surgery: I'd like to know whether a TENS rental is appropriate for my post-operative pain, prescribed within 30 days of the operation.

What the source says (verbatim)

TRICARE only covers transcutaneous electrical nerve stimulation for acute post-operative pain in certain situations.

tricare.mil, Transcutaneous Electrical Nerve Stimulation, or TENS

Cost-sharing is limited to 30 days (one month’s rental) from the day of the surgery.

TRICARE Policy Manual, Chapter 8, Section 20.2, paragraph 2.1.1.1

TRICARE doesn't cover TENS devices or supplies for low back pain or for the treatment of chronic post-operative pain. This includes at-home TENS units and at physical therapy.

tricare.mil, Transcutaneous Electrical Nerve Stimulation, or TENS, Last Updated 10/1/2026 — cost-shared only for acute post-operative pain

4.2 Effective July 1, 2026, TENS devices and supplies for the treatment of chronic post-operative pain are excluded. 4.3 Effective July 1, 2026, TENS devices and supplies are excluded for the treatment of all conditions not listed under paragraph 2.1.

TRICARE Policy Manual, Chapter 8, Section 20.2 (Issue Date June 9, 2026)

The device must be prescribed within the first 30 days from the day of the surgery.

TRICARE Policy Manual, Chapter 8, Section 20.2, paragraph 2.1.1.3

Source: tricare.mil, Transcutaneous Electrical Nerve Stimulation, or TENS; TRICARE Policy Manual 6010.63-M, Chapter 8, Section 20.2, TENS Devices. Document date: Page Last Updated 10/1/2026; manual section issued June 9, 2026 (Revision C-53). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Mobility

# Mobility aids

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Any VA provider (or a VA-authorized community provider), in consultation with you.
How many, how often: Generally one item; a spare on a clinical determination of need.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like to know whether a mobility aid is a direct and active component of my treatment.

What the source says (verbatim)

Mobility aid means an item that compensates for a mobility impairment and that is used to maintain or improve a veteran's functional capabilities to be mobile. Mobility aids include but are not limited to manual and motorized wheelchairs, canes, walkers, and equipment to assist a veteran to reach for or grasp items.

38 CFR 17.3210

While VA will generally provide only one item under this section, the provision of spare items may be authorized based on a clinical determination of need

38 CFR 17.3230(a)(2)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

will prescribe items and services in accordance with § 17.3230(a) and will do so in consultation with the veteran.

38 CFR 17.3240(a)(1)

Source: 38 CFR 17.3210, 17.3230 and 17.3240 (prosthetic and rehabilitative items). Document date: CFR current as of October 1, 2026 (rule effective January 27, 2021). Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: Hip brace, walker, or wheelchair through VA Prosthetics (ask your VA provider) →

TRICARE

No verified record for this payer yet.

# Service dog veterinary health benefit

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The VA clinical team treating the impairment decides a trained service dog is optimal; the dog itself comes from an accredited organization, not VA.
How many, how often: Benefits for one service dog at a time.
Your cost: Capped or at facility discretion — see note 38 CFR 17.148(d)(1)(i) — VA pays the policy premiums, copays and deductibles; you pay care above the policy maximum and the (d)(4) exclusions

Say this to your provider: I'd like my treating team to evaluate whether a trained service dog is the optimal way for me to manage my visual, hearing or mobility impairment.

What the source says (verbatim)

The veteran is diagnosed as having a visual, hearing, or substantial mobility impairment; and (2) The VA clinical team that is treating the veteran for such impairment determines based upon medical judgment that it is optimal for the veteran to manage the impairment and live independently through the assistance of a trained service dog. Note: If other means (such as technological devices or rehabilitative therapy) will provide the same level of independence, then VA will not authorize benefits under this section.

38 CFR 17.148(b)

only the following benefits for one service dog at any given time in accordance with this section

38 CFR 17.148(d)

VA, and not the veteran, will be billed for any premiums, copayments, or deductibles associated with the policy; however, the veteran will be responsible for any cost of care that exceeds the maximum amount authorized by the policy for a particular procedure, course of treatment, or policy year.

38 CFR 17.148(d)(1)(i) — VA pays the policy premiums, copays and deductibles; you pay care above the policy maximum and the (d)(4) exclusions

VA will not pay for items such as license tags, nonprescription food, grooming, insurance for personal injury, non-sedated dental cleanings, nail trimming, boarding, pet-sitting or dog-walking services, over-the-counter medications, or other goods and services not covered by the policy.

38 CFR 17.148(d)(4)

Source: 38 CFR 17.148 Service dogs; PSAS Service Dog Veterinary Health Benefit fact sheet. Document date: CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: PTSD service dogs under this benefit (17.148 lists visual, hearing and substantial mobility impairment only; the PAWS Act pilot is separate); VA supplies the dog (it does not).

See on the body map: Service Dog Veterinary Health Benefit →

TRICARE

No verified record for this payer yet.

# Wheeled mobility devices

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A Wheeled Mobility Clinic team or a prescribing VA provider with wheelchair expertise (physiatrist, occupational, physical, kinesio- or recreation therapist).
How many, how often: A primary device; a spare wheelchair when clinically required (Directive 1173.06 defines a spare as a second chair for when the primary one is unusable or in for repair).
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like a Wheeled Mobility Clinic evaluation to find out whether a wheelchair or scooter is appropriate for me.

What the source says (verbatim)

If a Veteran has a long-term medical need for a wheeled mobility device, then VA may provide customized or complex manual and powered wheelchairs and scooters.

VHA Directive 1173.06, paragraph 2

While VA will generally provide only one item under this section, the provision of spare items may be authorized based on a clinical determination of need

38 CFR 17.3230(a)(2)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Source: VHA Directive 1173.06, Wheeled Mobility Devices. Document date: Directive dated December 13, 2021 (recertification due December 2026). Fetched 2026-10-03; recheck by 2026-12-31.

See on the body map: Hip brace, walker, or wheelchair through VA Prosthetics (ask your VA provider) →

TRICARE

No verified record for this payer yet.

Home medical equipment

# Adaptive household items

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Your VA provider or an occupational therapist.
How many, how often: Generally one item; a spare on a clinical determination of need.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like an occupational therapy evaluation of my daily activities to find out whether an adaptive household item is appropriate for me.

What the source says (verbatim)

Adaptive household item means a durable household item that has been adapted to compensate for, or that by design compensates for, loss of physical, sensory, or cognitive function and is necessary to complete one or more ADLs in the home or other residential setting. Adaptive household items include but are not limited to adaptive eating utensils, shower stools or chairs, hooks to assist in buttoning clothing, or shoe horns.

38 CFR 17.3210

While VA will generally provide only one item under this section, the provision of spare items may be authorized based on a clinical determination of need

38 CFR 17.3230(a)(2)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Source: 38 CFR 17.3210 Definitions; 38 CFR 17.3230 Authorized items and services. Document date: CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE

No verified record for this payer yet.

# Automatic blood pressure monitor

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The provider enrolling you in remote physiologic monitoring prescribes the monitor as DME.
How many, how often: One; no duplicates.
Your cost: Cost-share depends on your plan TRICARE Policy Manual, Chapter 8, Section 2.8

Say this to your provider: Only if your provider is remote-monitoring your blood pressure: I'd like to know whether an automatic monitor can be prescribed under that program.

What the source says (verbatim)

2.1 Automatic blood pressure monitors may be covered under TRICARE’s Durable Medical Equipment (DME) policy (Section 2.1) when prescribed for a patient who is also receiving covered Remote Physiologic Monitoring (RPM) services, as described in Chapter 2, Section 7.1, for medically necessary blood pressure monitoring.

TRICARE Policy Manual, Chapter 8, Section 2.8 (Revision C-14, September 3, 2024)

The contractor shall ensure that beneficiaries do not receive duplicate equipment, per Section 2.1, paragraph 5.10.

TRICARE Policy Manual, Chapter 8, Section 2.8

2.2 All DME coverage, reimbursement, and cost-sharing requirements apply.

TRICARE Policy Manual, Chapter 8, Section 2.8

3.2 Automatic blood pressure monitors for patients not receiving covered RPM services for blood pressure monitoring. 3.3 Manual blood pressure monitors are excluded from coverage.

TRICARE Policy Manual, Chapter 8, Section 2.8, exclusions

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.8, Automatic Blood Pressure Monitors. Document date: Manual Revision C-14, September 3, 2024. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Continuous passive motion

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The treating surgeon or provider orders it as DME.
How many, how often: Up to three continuous weeks total.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Home Healthcare (generic DME cost line)

Say this to your provider: Before joint surgery: I'd like to know whether a CPM rental will be ordered for my first weeks at home.

What the source says (verbatim)

CPM devices are covered as Durable Medical Equipment (DME) for patients receiving therapy for joints that are replaced, traumatized, infected, operated upon, and when used following extensive burns involving one or more kinetic areas.

TRICARE Policy Manual, Chapter 8, Section 18.1, paragraph 2.0

continuity may be maintained at home not to exceed a combined total of three continuous weeks (hospital and home).

TRICARE Policy Manual, Chapter 8, Section 18.1, paragraph 3.1

You may have separate costs for durable medical equipment, prosthetics, and specific drugs.

tricare.mil, Home Healthcare (generic DME cost line)

Use of CPM in the patient’s home must begin within two calendar days following surgery, assuming the patient was discharged within that time frame.

TRICARE Policy Manual, Chapter 8, Section 18.1, paragraph 3.1

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 18.1, Continuous Passive Motion (CPM) Devices. Document date: Manual section in Revision 57 (published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Diabetes supplies and equipment

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized provider prescribes; CGM through the pharmacy benefit needs prior authorization.
How many, how often: Not stated on the page; quantity is not a feature of this benefit.
Your cost: Cost-share depends on your plan tricare.mil, Diabetes Supplies and Equipment, Last Updated 10/2/2026

Say this to your provider: I'd like to know whether I meet the documentation for a continuous glucose monitor or insulin pump.

What the source says (verbatim)

TRICARE covers the following diabetes supplies as durable medical equipment under your medical benefit: Home glucose monitors FDA-approved continuous glucose monitoring devices when there is documentation by the physician of: Poor diabetic control after six months of multiple daily insulin injections or insulin pump therapy Blood glucose self-testing at least four times a day Completion of a diabetes education program

tricare.mil, Diabetes Supplies and Equipment

Your costs depend on your plan, your beneficiary category, and where you get supplies. Check health plan costs to find your DME costs.

tricare.mil, Diabetes Supplies and Equipment, Last Updated 10/2/2026

Source: tricare.mil, Diabetes Supplies and Equipment. Document date: Page Last Updated 10/2/2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Home medical equipment

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Your VA provider; for Prosthetics items the prescribing provider also considers your home environment.
How many, how often: Provided for one location, your primary residence, unless VA clinically determines otherwise.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like a Prosthetics consult to find out whether a hospital bed (or the specific item) is appropriate for my condition at home.

What the source says (verbatim)

Home medical equipment means an item that is a movable and durable medical device that is used in a home or residential setting to treat or support treatment of specific medical conditions. Such equipment includes but is not limited to hospital beds, portable patient lifts, portable ramps, ventilators, home dialysis equipment, and infusion, feeding, or wound therapy pumps. This definition does not include household furniture or furnishings, improvements or structural alterations, or household appliances.

38 CFR 17.3210

Such equipment will only be provided for one location, the veteran's primary residence, unless it is clinically determined that the equipment should be provided at the veteran's non-primary residence instead of the veteran's primary residence.

38 CFR 17.3230(a)(1)(vi)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Source: 38 CFR 17.3210 Definitions; 38 CFR 17.3230 Authorized items and services. Document date: CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized individual professional provider (physician, dentist, podiatrist, optometrist, PA, nurse practitioner, nurse midwife, CRNA, physical or occupational therapist) acting within their license.
How many, how often: One item; back-up duplicates are excluded; replacement needs a new prescription with the medical reason.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 2.1 — the preceding sentence states that DE meeting the definition and ordered by an authorized provider 'is cost-shared'

Say this to your provider: I'd like to know whether a hospital bed (or the specific item) is medically necessary for me; if I need an upgraded model, the prescription needs to say why.

What the source says (verbatim)

5.10 Duplicate items of otherwise allowable DE to be used solely as a back-up to currently owned or rented equipment, except as provided in paragraph 3.11.

TRICARE Policy Manual, Chapter 8, Section 2.1, exclusions (what is not covered even when the item itself is)

Replacement equipment is allowed only upon a new order or prescription by a TRICARE authorized individual professional provider with an explanation of the medical need.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.10 note

may order or prescribe DE when acting within the scope of their license or certification, including the following:

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 2.1 — the preceding sentence states that DE meeting the definition and ordered by an authorized provider 'is cost-shared'

5.13 Beds that are not medical in nature and used for comfort or convenience (e.g, power or manual lounge beds, sleep-number beds, ordinary beds typically sold as furniture) are excluded.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 5.13

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.1, Durable Equipment (DE): Basic Program. Document date: Manual Revision C-29, March 25, 2025 (in Revision 57, published September 15, 2026). Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Lymphedema pneumatic compression pump

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A physician's prescription is required for segmental pumps; the contractor gives prior authorization.
How many, how often: Initial authorization up to 180 days, renewable with documentation.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Home Healthcare (generic DME cost line)

Say this to your provider: I'd like an evaluation for a pneumatic compression pump and a prior-authorization request that documents my indications and expected length of need.

What the source says (verbatim)

Lymphedema pumps, both segmental and non-segmental, are authorized durable medical equipment for both institutional and home use.

TRICARE Policy Manual, Chapter 8, Section 17.1, paragraph 3.2 (Revision C-47, March 13, 2026)

Initial authorization shall not exceed 180 days, and continued coverage may be approved upon adequate documentation from the prescribing physician.

TRICARE Policy Manual, Chapter 8, Section 17.1, paragraph 4.2

You may have separate costs for durable medical equipment, prosthetics, and specific drugs.

tricare.mil, Home Healthcare (generic DME cost line)

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 17.1, Lymphedema. Document date: Manual Revision C-47, March 13, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# Patient lifts

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A physical therapist, kinesiotherapist or occupational therapist assesses you; the responsible clinician writes the Prosthetics consult naming the lift and sling.
How many, how often: One per home need; interim loans possible.
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Say this to your provider: I'd like an occupational or physical therapy transfer assessment to find out whether a patient lift is appropriate at home.

What the source says (verbatim)

Patient lifts are indicated for patients who are fully dependent or require partial assistance for transfers.

VHA PCMP Clinical Practice Recommendations for Prescription of Patient Lifts, section III

Patient lifts can be provided to patients on an interim basis when medically indicated. Prosthetics and Sensory Aids Service may recover the lift when the medical need has passed and the patient no longer requires the device.

VHA PCMP Clinical Practice Recommendations for Prescription of Patient Lifts, section II.3

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices; a visit copay under 38 CFR 17.108 may still apply unless you are exempt

Such equipment includes but is not limited to hospital beds, portable patient lifts, portable ramps, ventilators, home dialysis equipment, and infusion, feeding, or wound therapy pumps.

38 CFR 17.3210, home medical equipment

Source: VHA PCMP Clinical Practice Recommendations for Prescription of Patient Lifts (approved February 28, 2005); 38 CFR 17.3210. Document date: PCMP document February 28, 2005; CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE

No verified record for this payer yet.

# Pillows, mattresses, ordinary beds and other comfort items

Excluded

Our summary — the quoted source text below is the authority

Who orders it: No pathway: household furniture and furnishings are excluded from home medical equipment by definition, and items that only support comfort or convenience are excluded by rule. A hospital bed is a different, covered item.
How many, how often: Not applicable
Your cost: Not covered 38 CFR 17.3230(a)(1)

Heads-up: Do not ask for a pillow or mattress as a VA item. If you need a hospital bed for a medical condition, ask for a Prosthetics consult for home medical equipment.

What the source says (verbatim)

This definition does not include household furniture or furnishings, improvements or structural alterations, or household appliances.

38 CFR 17.3210, definition of home medical equipment

VA will provide veterans eligible under § 17.3220 with the following items and services if VA determines that such items and services are needed under § 17.38(b), serve as a direct and active component of the veteran's medical treatment and rehabilitation, and do not solely support the comfort or convenience of the veteran:

38 CFR 17.3230(a)(1)

Source: 38 CFR 17.3210 Definitions; 38 CFR 17.3230 Authorized items and services. Document date: CFR current as of October 1, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: VA gives free posturepedic pillows (no VA source); VA issues weighted blankets (the only VA page is a nonprofit donation story).

TRICARE

Excluded

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; excluded. A hospital bed is a different, covered item (see durable equipment).
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 5.13 (Revision C-29, March 25, 2025)

Heads-up: Do not expect TRICARE to buy a pillow or mattress.

What the source says (verbatim)

Comfort and convenience items are defined as those optional items, which the patient may elect at an additional charge, but are not medically necessary in the treatment of a patient’s condition.

TRICARE Policy Manual, Chapter 8, Section 2.1

5.13 Beds that are not medical in nature and used for comfort or convenience (e.g, power or manual lounge beds, sleep-number beds, ordinary beds typically sold as furniture) are excluded.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 5.13 (Revision C-29, March 25, 2025)

5.5 Exercise, relaxation, comfort, sporting items, or sporting devices. Exercise equipment, to include wheelchairs and items primarily and customarily designed for use in sports or recreational activities, spas, whirlpools, hot tubs, swimming pools health club memberships or other such charges, or items.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 5.5

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.1, Durable Equipment (DE): Basic Program. Document date: Manual Revision C-29, March 25, 2025. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: a posturepedic pillow through TRICARE (no primary source).

TRICARE: not on the body map (VA-only tool).

Home modifications

# HISA grant

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: The VA physician who prescribes the home improvement or structural alteration, with a diagnosis and medical justification.
How many, how often: Lifetime cap of $6,800 (service-connected, treated as if service-connected, or non-service-connected with a 50 percent or higher service-connected rating) or $2,000 (other); several projects until the cap is used.
Your cost: Capped or at facility discretion — see note VHA Directive 1173.14(2), paragraph 2.a — the grant is capped; you pay anything above the cap

Say this to your provider: I'd like a HISA prescription for the specific alteration I need (a ramp, roll-in shower, or doorway widening).

What the source says (verbatim)

A Veteran who is eligible for medical services under 38 USC 1710(a); or b. A Servicemember who is undergoing medical discharge from the Armed Forces for a permanent disability that was incurred or aggravated in the line of duty in the active military, naval, or air service.

VHA Directive 1173.14(2), paragraph 6

On or after May 5, 2010, then the veteran's lifetime HISA benefit limit is $6,800.

38 CFR 17.3105(b)(2)(ii); the $2,000 limit is 17.3105(c)(2)

The HISA program provides eligible beneficiaries with limited lifetime funds to use towards home improvements and structural alterations that originate from a medical prescription.

VHA Directive 1173.14(2), paragraph 2.a — the grant is capped; you pay anything above the cap

then the veteran's lifetime HISA benefit limit is $2,000.

38 CFR 17.3105(c)(2)

Source: VHA Directive 1173.14(2), Home Improvements and Structural Alterations (HISA) Program; 38 CFR 17.3105; PSAS HISA page. Document date: Directive dated December 26, 2017, amended November 16, 2025; CFR current as of October 1, 2026; PSAS page February 12, 2025. Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: HISA (Home Improvements and Structural Alterations) grant →

TRICARE

No verified record for this payer yet.

Vehicle

# Automobile adaptive equipment

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A VHA physician and/or a Certified Driver Rehabilitation Specialist prescribes the equipment; a VBA rating decision establishes eligibility.
How many, how often: Equipment on 2 vehicles in a 4-year period; each vehicle must stay on your record 4 years unless there are extenuating circumstances.
Your cost: Capped or at facility discretion — see note prosthetics.va.gov, Automobile Adaptive Equipment — VA pays up to the amounts in its AAE Schedule after prior approval; you pay anything above the schedule or not pre-approved

Say this to your provider: I'd like a Driver Rehabilitation Program evaluation and to know whether I'm eligible for automobile adaptive equipment.

What the source says (verbatim)

You have loss, or permanent loss of use, of one or both feet, or You have loss, or permanent loss of use, of one or both hands, or You have permanent decreased vision in both eyes: 20/200 vision or less in your better eye with glasses, or greater than 20/200 vision but with a visual field defect that has reduced your peripheral vision to 20 degrees or less in your better eye, or You have a severe burn injury, or You have amyotrophic lateral sclerosis (ALS), or You have ankylosis in one or both knees or hips (this qualifies you only for an adaptive-equipment grant)

prosthetics.va.gov, Automobile Adaptive Equipment (service-connected conditions, one of which must be true)

Eligible persons are entitled to adaptive equipment on 2 vehicles in a 4 year period. Each vehicle with prescribed adaptive equipment must remain on the Veteran’s record for at least 4 years unless there are extenuating circumstances.

prosthetics.va.gov, Automobile Adaptive Equipment, Last updated September 30, 2026

the VA AAE Schedule to determine maximum payments and/or reimburses.

prosthetics.va.gov, Automobile Adaptive Equipment — VA pays up to the amounts in its AAE Schedule after prior approval; you pay anything above the schedule or not pre-approved

All AAE must be prescribed by a VHA physician and/or Certified Drivers Rehabilitation Specialist (CDRS).

prosthetics.va.gov, Automobile Adaptive Equipment

Source: VA Prosthetic and Sensory Aids Service — Automobile Adaptive Equipment; 38 CFR 17.155; VHA Directive 1173.16. Document date: AAE page September 30, 2026; CFR current as of October 1, 2026; Directive 1173.16 June 28, 2023. Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: Adaptive equipment for a vehicle →

TRICARE

No verified record for this payer yet.

Supplies

# Breast pump and supplies

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: A TRICARE-authorized doctor, physician assistant, nurse practitioner, or nurse midwife writes the prescription stating the pump type.
How many, how often: One manual or one standard electric pump per birth event; supplies on a set schedule (bottles, valves, flanges, tubing, milk bags).
Your cost: No charge — the source says so TRICARE Policy Manual, Chapter 8, Section 2.6, paragraph 4.2.12; tricare.mil says 'at no cost for new mothers'

Say this to your provider: I'd like a breast-pump prescription that says manual or standard electric.

What the source says (verbatim)

All TRICARE-eligible female beneficiaries with a birth event. A birth event includes a pregnant beneficiary or a female beneficiary who legally adopts an infant and intends to personally breastfeed. You can get these items before or after delivery. It doesn’t matter what TRICARE plan you use or your sponsor’s status.

tricare.mil, Breast Pumps and Supplies, Last Updated 10/1/2026

One manual (E0602) or one standard electric (E0603) breast pump may be covered per birth event.

TRICARE Policy Manual, Chapter 8, Section 2.6, paragraph 4.2.2

Cost-shares, copays, and deductibles do not apply to manual or standard electric breast pumps and supplies for covered services provided on or after December 19, 2014.

TRICARE Policy Manual, Chapter 8, Section 2.6, paragraph 4.2.12; tricare.mil says 'at no cost for new mothers'

Source: tricare.mil, Breast Pumps and Supplies; TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.6. Document date: Page Last Updated 10/1/2026; manual Revision C-6, June 27, 2024. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

# CPAP supplies

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: Your VA provider prescribed the machine; you reorder supplies yourself from the VA Denver Logistics Center (online if you have ordered within the past 2 years, by phone, or by mail).
How many, how often: The page lists what you can order but not how often each part is replaced.
Your cost: No charge — the source says so va.gov, Order CPAP supplies, Last updated March 10, 2026

Say this to your provider: No request needed once the machine is issued; reorder through the Denver Logistics Center.

What the source says (verbatim)

Your VA provider prescribed the supplies or the related medical device (such as hearing aids or a CPAP machine)

va.gov, Order CPAP supplies — the third of three conditions (enrolled in VA health care; registered as a patient at a VA medical center; provider prescribed the supplies or device)

Find out if you’re eligible to order certain free medical supplies from us.

va.gov, Order CPAP supplies, Last updated March 10, 2026

You can order these supplies: Chinstrap Hoses (tubing) Filters (disposable or non‐disposable) Mask liners Mask with headgear Power cord Replacement cushion Secure Digital (SD) memory card Water chamber

va.gov, Order CPAP supplies

Source: Order CPAP supplies | Veterans Affairs. Document date: Page last updated March 10, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: replacement schedule per part.

See on the body map: CPAP and breathing-assistance devices (ask your VA provider) →

TRICARE

No verified record for this payer yet.

# Diabetic socks

Partly verified — ask your provider

Our summary — the quoted source text below is the authority

Who orders it: Podiatry or a foot care specialist after your foot risk score is determined; your primary care team does the annual screening foot check.
How many, how often: Not stated in any public VA document (the clinical recommendations are on an internal site).
Your cost: A visit copay may apply; no item charge found 38 CFR 17.110(a) — the medication copay does not reach devices or supplies; a visit copay may still apply unless you are exempt

Say this to your provider: I'd like to know my foot risk score from my annual foot check, and whether diabetic socks and depth-inlay shoes are indicated for me.

What the source says (verbatim)

May also require diabetic socks based on clinical judgment.

VHA Directive 1410, Appendix A, Level 2 (moderate risk)

but does not mean medical supplies, oral nutritional supplements, or medical devices

38 CFR 17.110(a) — the medication copay does not reach devices or supplies; a visit copay may still apply unless you are exempt

Source: VHA Directive 1410, Prevention of Amputation in Veterans Everywhere (PAVE) Program. Document date: Directive dated June 30, 2022. Fetched 2026-10-03; recheck by 2027-06-30.

Not supported by the source: pairs per year; whether veterans with foot risk score 0 or 1 can get them.

See on the body map: Diabetic compression socks (ask your VA health care team) →

TRICARE

No verified record for this payer yet.

# Hearing aid batteries and accessories

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Your VA provider prescribed the aid; you reorder supplies yourself from the VA Denver Logistics Center (online if you have ordered within the past 2 years, by phone, or by mail).
How many, how often: Each order lasts about 6 months.
Your cost: No charge — the source says so va.gov, Order medical supplies, Last updated March 10, 2026

Say this to your provider: No request needed once the aid is issued; reorder through the Denver Logistics Center.

What the source says (verbatim)

Your VA provider prescribed the supplies or the related medical device

va.gov, Order medical supplies — the third of three conditions (enrolled in VA health care; registered as a patient at a VA medical center; provider prescribed the supplies or device)

Each order of hearing aid supplies should last about 6 months.

va.gov, Order medical supplies, Last updated March 10, 2026

Find out if you’re eligible to order certain free medical supplies from us.

va.gov, Order medical supplies, Last updated March 10, 2026

Source: Order medical supplies | Veterans Affairs. Document date: Page last updated March 10, 2026. Fetched 2026-10-03; recheck by 2027-04-01.

See on the body map: Hearing aids and batteries (ask your VA provider) →

TRICARE

No verified record for this payer yet.

Cash benefits tied to devices

# Annual clothing allowance

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: You apply (VA Form 10-8678 or 10-8678a); a Prosthetics representative or clinician certifies the appliance or medication.
How many, how often: $1,053.19 per allowance (effective December 1, 2025), paid once a year; up to 4 allowances, at most 2 per garment type; apply by August 1.
Your cost: No charge — the source says so 38 CFR 3.810(a) — this is a payment to you, not an item

Say this to your provider: I'd like to know whether my prescribed brace, prosthesis or skin medication is on the clothing-allowance qualifying list, and I'd like to file VA Form 10-8678a before August 1.

What the source says (verbatim)

The Under Secretary for Health or a designee certifies that— (A) A veteran, because of a service-connected disability or disabilities, wears or uses one qualifying prosthetic or orthopedic appliance (including, but not limited to, a wheelchair) which tends to wear or tear clothing; or (B) A veteran uses medication prescribed by a physician for one skin condition, which is due to a service-connected disability, that causes irreparable damage to the veteran's outergarments.

38 CFR 3.810(a)(1)(ii)

we may pay you $1,053.19 to replace the damaged clothes. This may be a one-time payment or we may pay this amount once a year.

va.gov, Current special benefit allowances rates, Last updated October 1, 2026

is entitled, upon application therefore, to an annual clothing allowance, which is payable in a lump sum

38 CFR 3.810(a) — this is a payment to you, not an item

NOTE: There is a maximum of 4 clothing allowances per benefit year. 2 clothing allowances per garment (example: 2 per upper garment and 2 per lower garment) (reference: 38 CFR 3.810 paragraphs a2 and a3).

prosthetics.va.gov, Clothing Allowance, Last updated September 18, 2026

Note: You’ll need to submit your application on or before August 1, 2026, to get a clothing allowance for this year.

va.gov, Current special benefit allowances rates

Soft orthotics, transcutaneous electrical nerve stimulation (TENS) units, shoes, shoe inserts, non-specialized wheelchairs (sedentary/sitting purposes), scooters, canes, rollador, walkers, elastic/flexible braces, items with Velcro stays, hinged braces covered in fabric (metal stays covered), braces with plastic stays covered in fabric.

VHA Handbook 1173.15, paragraph 8.b — examples of items that do NOT tend to wear clothing (so they do not qualify)

Source: 38 CFR 3.810 Clothing allowance; va.gov special benefit allowance rates; PSAS Clothing Allowance page; VHA Handbook 1173.15. Document date: CFR current as of October 1, 2026; rates page October 1, 2026; PSAS page September 18, 2026; Handbook 1173.15 May 14, 2015. Fetched 2026-10-03; recheck by 2026-12-01.

Not supported by the source: shoes, inserts or a TENS unit earn a clothing allowance (they do not, per Handbook 1173.15).

See on the body map: Annual clothing allowance →

TRICARE

No verified record for this payer yet.

Skin and hair

# Wig or hairpiece

No verified record for this payer yet.

TRICARE

Verified 2026-10-03

Our summary — the quoted source text below is the authority

Who orders it: Your attending physician certifies the cause of hair loss; you certify you have not had a government-provided wig before.
How many, how often: One per lifetime.
Your cost: Cost-share depends on your plan — see TRICARE health plan costs tricare.mil, Home Healthcare (generic DME cost line)

Say this to your provider: Oncology patients: I'd like the physician certification letter for a wig.

What the source says (verbatim)

Your attending physician must certify that your hair loss results from the treatment of a malignant disease, such as cancer. You must certify that you haven’t previously obtained a wig or hairpiece through the U.S. government.

tricare.mil, Wigs

TRICARE covers one wig or hairpiece per beneficiary per lifetime, when you meet the following criteria:

tricare.mil, Wigs, Last Updated 9/24/2026

You may have separate costs for durable medical equipment, prosthetics, and specific drugs.

tricare.mil, Home Healthcare (generic DME cost line)

Source: tricare.mil, Wigs. Document date: Page Last Updated 9/24/2026. Fetched 2026-10-03; recheck by 2027-04-01.

TRICARE: not on the body map (VA-only tool).

Mental health devices

# VR headsets, mobile medical apps and digital therapeutics

No verified record for this payer yet.

TRICARE

Excluded

Our summary — the quoted source text below is the authority

Who orders it: Not applicable; no mobile medical app currently meets TRICARE's coverage criteria, and the platforms (headsets, phones, tablets, watches) are excluded.
How many, how often: Not applicable
Your cost: Not covered TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.12.5 (Revision C-29, March 25, 2025)

Heads-up: Do not ask for a VR headset as a TRICARE item. VR exposure therapy delivered by a clinician is a procedure, not a device, and is a separate question.

What the source says (verbatim)

Platforms that do not meet TRICARE’s definition of DE or DME, including smartphones, electronic tablets, personal computers, and smart watches, are excluded from coverage.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.12.4

3.12.5 MMAs are not covered under the basic benefit unless TRICARE determines that the MMA meets all criteria detailed under paragraph 3.12.2. MMAs that are eligible for coverage will be listed in this paragraph; all other MMAs are excluded from coverage. Currently, no MMAs meet TRICARE coverage criteria.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.12.5 (Revision C-29, March 25, 2025)

3.12.1 MMAs, also known as mHealth apps, software-as-a-medical device, and digital therapeutics, are applications that operate using a smartphone, tablet, smart watch, or other mobile platform; are designed to benefit an individual’s health or wellness; and either meet the definition of a medical device, are an accessory to a medical device, or transform a mobile platform into a medical device.

TRICARE Policy Manual, Chapter 8, Section 2.1, paragraph 3.12.1

Source: TRICARE Policy Manual 6010.63-M, Chapter 8, Section 2.1, paragraph 3.12 Mobile Medical Applications (MMAs), Digital Therapeutics, and Sensors. Document date: Manual Revision C-29, March 25, 2025. Fetched 2026-10-03; recheck by 2027-04-01.

Not supported by the source: TRICARE will give you a VR headset for PTSD (no primary source).

TRICARE: not on the body map (VA-only tool).

What Your VA Provider or PCM Can Actually Get You

BLUF

The VA side: PSAS, prescribed by your VA provider

The TRICARE side: PCM referral, cost-share by plan, named exclusions

How to ask: one sentence, by item name

What the internet says you can get that we could not verify

Red flags from the VA Inspector General

Find it on the body map

How to start today

Item-by-item table: VA and TRICARE

Feet and footwear

# Therapeutic footwear

Braces, inserts and compression

# Compression garments

# In-shoe orthoses

# Orthotic devices and custom braces

Hearing

# Hearing aids

# Tinnitus masker

Vision

# Computers, peripherals and access software for blind and visually impaired veterans

# Eyeglasses

Sleep

# CPAP machine

Breathing

# Home oxygen

Pain and stimulation devices

# Cold therapy device for home use

# Neuromuscular electrical stimulation

# TENS unit

Mobility

# Mobility aids

# Service dog veterinary health benefit

# Wheeled mobility devices

Home medical equipment

# Adaptive household items

# Automatic blood pressure monitor

# Continuous passive motion

# Diabetes supplies and equipment

# Home medical equipment

# Lymphedema pneumatic compression pump

# Patient lifts

# Pillows, mattresses, ordinary beds and other comfort items

Home modifications

# HISA grant

Vehicle

# Automobile adaptive equipment

Supplies

# Breast pump and supplies

# CPAP supplies

# Diabetic socks

# Hearing aid batteries and accessories

Cash benefits tied to devices

# Annual clothing allowance

Skin and hair

# Wig or hairpiece

Mental health devices

# VR headsets, mobile medical apps and digital therapeutics