| Service |
Coverage |
Authorization Requirements |
Co-Pay: Active duty dependents & retirees with Medicare Part B |
Co-Pay: Retirees without Medicare Part B |
| Cane |
Covered |
Obtain from Apria |
No |
Yes |
| Cardiac Rehabilitation |
Covered |
Yes |
No |
Yes |
| Cardiac Stress Test |
Covered |
No |
No |
Yes |
| Cardiorespiratory Monitor |
Limited |
Yes |
No |
Yes |
| Carotid Angiography |
Covered |
Yes |
No |
Yes |
| Carpal tunnel release surgery |
Covered |
No |
No |
Yes |
| Casts |
Covered |
No |
No |
Yes |
| CAT Scan (Computerized Axial Tomography Scan) |
Yes |
No |
No |
No |
| Cateracts, surgical treatment |
Covered |
No |
No |
Yes |
| Chelation Therapy |
Limited |
Yes |
No |
Yes |
| Chemotherapy |
Covered |
No |
No |
No |
| Chiropractic Treatment |
Not covered |
N/A |
N/A |
N/A |
| Cicumcision |
Covered |
Yes (except if done during admission for childbirth) |
No |
Yes |
| Cochlear Implantation |
Covered |
Yes |
No |
Yes |
| Cold Therapy Devices |
Not covered |
N/A |
N/A |
N/A |
| Collar support device |
Covered |
Yes - if $500 or greater |
No |
Yes |
| Colonoscopy |
Covered |
No |
No |
Yes |
| Colostomy Supplies |
Covered |
No |
No |
Yes |
| Colposcopy |
Covered |
No |
No |
Yes |
| Commode, bedside |
Covered |
Obtain from Apria |
No |
Yes |
| Complementary and Alternative Care Medicine |
Not covered |
N/A |
N/A |
N/A |
| Contact Lenses |
Limited for certain medical situations |
Yes |
No |
Yes |
| Contraceptives |
Covered |
Contact Adaptis |
Yes |
Yes |
| Cosmetic Surgery |
Limited |
Yes |
No |
Yes |
| CPAP Machine |
Covered |
Obtain from Apria |
No |
Yes |
| CPM (Continuous Passive Motion Device) |
Covered |
Yes |
No |
Yes |
| Cranial Molding Helmet |
Limited |
Yes |
No |
Yes |
| Crutches |
Covered |
Obtain from Apria |
No |
Yes |
| CT Angiography |
Covered |
Yes |
No |
Yes |
| CT Scan (Computerized Tomography Scan) |
Covered |
No |
No |
No |
| Cushion |
Limited |
Obtain from Apria |
No |
Yes |
| Custodial Care |
Not covered |
N/A |
N/A |
N/A |
| Cystoscopy |
Covered |
No |
No |
Yes |
