Licensed specialist for veterans: (202) 552-1418

Frequently Asked

What doesn't TFL cover?

Anything Medicare doesn't cover that TRICARE also doesn't cover — including routine dental, vision, hearing aids, custodial nursing home care, and most cosmetic procedures.

TFL is generous, but not infinite. Gaps include:

  • Routine dental, vision, and hearing — neither Medicare nor TFL covers these. See dental/vision options.
  • Hearing aids — not covered (some VA and MA plan exceptions).
  • Custodial long-term care in nursing homes or assisted living.
  • Cosmetic surgery (with rare medical exceptions).
  • Most acupuncture, naturopathy, and alternative medicine.
  • Care from a provider who's opted out of Medicare entirely.

For most retirees, the practical out-of-pocket exposure is tiny — these gaps tend to come up only in specific life events. Plan ahead for dental/vision (FEDVIP or MA) and hearing (VA, MA, or private).

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Related glossary terms

Related Official Resources

Continue learning straight from the source. Every link below goes to an official government or DoD resource.

Last reviewed January 2026 against the 2026 Medicare & You and TRICARE For Life handbooks.