An official website of the United States government
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

News | March 31, 2026

Q&A: Getting services through TRICARE’s Extended Care Health Option

By TRICARE Communications

Military families can have a wide range of needs—and TRICARE has special programs to serve them. One of these programs is the Extended Care Health Option. ECHO is available to eligible active duty family members with special needs. It offers health care benefits beyond what other TRICARE plans offer.

“There isn’t a one-size-fits-all solution to health care. Because of this, TRICARE has programs to make sure our military families get the care they need,” said Valerie Palmer, senior program analyst, TRICARE Health Plan Policy & Programs, at the Defense Health Agency. “ECHO supports active duty family members with special needs and provides respite care for their caregivers.”

ECHO benefits include extra treatment, services, and more. Here are some key facts about:

  • Eligibility
  • Enrollment
  • Benefits
  • Costs

Q: Who qualifies for ECHO?

A: There are specific conditions that determine whether a family member qualifies for ECHO coverage. Some examples of qualifying conditions include:

  • Autism Spectrum Disorder
  • Moderate to severe intellectual disability
  • Serious physical disability
  • Multiple disabilities affecting separate body systems

The ADFM with a qualifying condition must also be enrolled in one of the following TRICARE health plans to qualify for ECHO:

Q: How do I enroll my family member in ECHO?

A: Active duty service members with family members who need ECHO benefits must sign up for their service’s Exceptional Family Member Program (unless waived in specific situations). You must also register for ECHO with your TRICARE regional contractor.

There’s no retroactive registration. This means you have to get pre-authorization from your regional contractor for all ECHO services.

Q: What does ECHO cover?

A: Some of the covered products and services include:
  • Durable medical equipment
  • Assistive services, like an interpreter or translator
  • Rehabilitative services
  • Respite care for the primary caregiver
  • Training in special education and assistive technology devices

Q: What is the ECHO Home Health Care benefit?

A: ECHO Home Health Care may cover the following services when they’re provided by a TRICARE-authorized home health agency in your home:
  • Skilled nursing care from a registered nurse, or by a licensed or vocational nurse under direct supervision of a registered nurse
  • Services provided by a home health aide under direct supervision of a registered nurse
  • Physical therapy, occupational therapy, and speech-language pathology services
  • Medical social services under the direction of a physician
  • Teaching and training activities
  • Medical supplies

This benefit is available to ECHO-registered beneficiaries who meet certain criteria, including being homebound. It’s only available in:

  • The U.S.
  • Guam
  • Puerto Rico
  • The U.S. Virgin Islands

Want to learn more about the eligibility criteria and benefits? Visit ECHO Home Health Care.

Q: What are ECHO costs?

A: There are no enrollment fees for ECHO. But you do have monthly copayments for the months you use ECHO benefits. You pay monthly copayments based on the sponsor’s pay grade. These range from $25 to $250.

The coverage limit for all ECHO benefits combined is $36,000 per family member, per calendar year. This coverage limit excludes the ECHO Home Health Care benefit.

Q: How do I learn more?

A: Your regional contractor can provide further help if you have questions about ECHO enrollment, benefits, or costs.

Would you like the latest TRICARE news sent to you by email? Visit TRICARE Subscriptions to get benefit updates, news, and more.
 

Pregnant woman sits in a doctor's office chair while speaking to a standing woman

Expecting a baby? Learn about TRICARE’s maternit...

News
Mar. 26, 2026

Pregnancy can be an exciting time. But it’s also a highly personal experience. Your maternity care choices can...
Read More
Female service member stands in the courtyard of a white building

Learn how to get care at overseas military hospi...

News
Mar. 24, 2026

Do you need to get care at a military hospital or clinic overseas? How you get care depends on whether you...
Read More
Mother and father playing with their child in a yard

TRICARE cost terms: What you need to know about ...

News
Mar. 17, 2026

Health care costs can feel confusing—but they don’t have to be. TRICARE uses specific terms to describe what...
Read More
Child stands in front of a bathroom sink and brushes her teeth.

Set your child up for a lifetime of healthy smiles

News
Mar. 13, 2026

Tooth decay is the most common chronic health problem affecting children in the U.S. today. When cavities...
Read More
Woman in dentist's chair smiles up at dentist who's wearing scrubs and gloves.

Coordinating other dental plan insurance with th...

News
Mar. 12, 2026

Do you or your spouse have another dental insurance plan in addition to the TRICARE Dental Program? Did you...
Read More
Man in a red polo shirt smiles while looking at his phone.

Easily manage your prescriptions with Express Sc...

News
Mar. 12, 2026

Life is busy, so it’s important you have the prescriptions you need when you need them. The TRICARE Pharmacy...
Read More
Woman in yellow shirt smiles while talking to someone on a phone

Teledentistry under the TRICARE Dental Program

News
Mar. 11, 2026

In our increasingly digital world, health care is evolving, and your dental care is no exception...
Read More
Uniformed service member stands over patient receiving intensive care. Text reads: "PATIENT SAFETY AWARENESS: TEAMING UP FOR PATIENT SAFETY." Defense Heatlh Agency logo.

Teaming up for patient safety strengthens milita...

News
Mar. 09, 2026

Every day, care teams at military hospitals and clinics work to keep patients safe. Patient safety is...
Read More

March 31, 2026

Q&A: Getting services through TRICARE’s Extended Care Health Option

Military families can have a wide range of needs—and TRICARE has special programs to serve them. One of these programs is the Extended Care Health Option. ECHO is available to eligible active duty family members with special needs. It offers health care benefits beyond what other TRICARE plans offer.

March 26, 2026

Expecting a baby? Learn about TRICARE’s maternity care options

Pregnancy can be an exciting time. But it’s also a highly personal experience. Your maternity care choices can make a meaningful difference throughout pregnancy, delivery, and postpartum recovery. TRICARE covers a range of maternity care services and provider types. This coverage gives expecting mothers options while ensuring access to care.

March 24, 2026

Learn how to get care at overseas military hospitals or clinics

Do you need to get care at a military hospital or clinic overseas? How you get care depends on whether you live overseas or if you’re just visiting. This article explains how to get care at an overseas military hospital or clinic in both situations.

March 17, 2026

TRICARE cost terms: What you need to know about deductibles, catastrophic caps, and point-of-service fees

Health care costs can feel confusing—but they don’t have to be. TRICARE uses specific terms to describe what you pay and how your benefit works. You may see these terms on your explanation of benefits after getting care. Understanding them helps you plan ahead and avoid unexpected costs.

March 13, 2026

Set your child up for a lifetime of healthy smiles

Tooth decay is the most common chronic health problem affecting children in the U.S. today. When cavities aren’t treated, they create serious problems like pain and infections. Fortunately, you can prevent cavities completely through proper oral care. By following these useful strategies, you can help your child develop healthy dental habits that will benefit them throughout their life.

March 12, 2026

Coordinating other dental plan insurance with the TRICARE Dental Program

Do you or your spouse have another dental insurance plan in addition to the TRICARE Dental Program? Did you know you can use both? Not only could coordinating dental plans provide extra coverage, you could also lower out-of-pocket costs. If you’re wondering how to navigate your dental care between two plans, this article will explain what coordinating those plans means and point you to resources to answer your questions.

March 12, 2026

Easily manage your prescriptions with Express Scripts Pharmacy mobile app

Life is busy, so it’s important you have the prescriptions you need when you need them. The TRICARE Pharmacy Program, administered by Express Scripts, makes staying on top of your prescription drugs easy. How? Through the free Express Scripts Pharmacy mobile app. The app lets you locate TRICARE retail network pharmacies and securely manage your medications by ordering prescriptions, tracking orders, requesting and canceling refills, and completing other tasks.

March 11, 2026

Teledentistry under the TRICARE Dental Program

In our increasingly digital world, health care is evolving, and your dental care is no exception. Teledentistry offers a convenient and accessible way to receive dental care from the comfort of your own home. But what exactly is teledentistry, and what does it mean for you as a TRICARE Dental Program enrollee? Let's demystify teledentistry and clarify what’s covered under the TDP.

March 9, 2026

Teaming up for patient safety strengthens military readiness

Every day, care teams at military hospitals and clinics work to keep patients safe. Patient safety is everyone’s job across the Military Health System. Patient Safety Awareness Week takes place March 8–14. This year’s theme, “Teaming Up for Patient Safety,” shows how teamwork helps keep patients safe and improves care.

March 5, 2026

How TRICARE can help you screen for cancer

Did you know that it’s possible to detect some types of cancer before you show any signs or symptoms? Getting preventive screening tests makes this possible. TRICARE covers cancer screenings based on your age, sex, and certain risk factors. Learn about which tests may be recommended for you.