08/05/2026
🇺🇸 TFLCI Military Healthcare Legislative & Policy Update
August 5, 2026
New Tricare Ambulance Blood Transfusion Demonstration Announced
The Defense Health Agency (DHA) has published a final rule in the Federal Register establishing a new Tricare Ambulance Blood Transfusion Demonstration Project, scheduled to begin January 1, 2027.
What is it?
In some medical emergencies, paramedics or flight crews can administer blood before a patient reaches the hospital. This five-year demonstration will allow eligible ground and air ambulance providers to receive an additional Tricare reimbursement when they administer medically necessary blood or blood products during transport.
The goal is to evaluate whether this additional reimbursement improves access to pre-hospital blood transfusions, patient outcomes, and emergency medical care before patients reach the hospital.
Who is included?
According to the Federal Register, this demonstration applies to eligible Tricare members covered by:
• Tricare Prime (including active duty service members)
• Tricare Select
• Tricare for Life (including members enrolled in Medicare Advantage)
Who isn’t included?
This demonstration does not apply to:
• Tricare members enrolled in the US Family Health Plan (USFHP).
• Claims where another health insurance pays before Tricare.
• Ambulance services provided in locations where the Medicare Ambulance Fee Schedule is not used (for example, certain overseas locations).
What should Tricare members know?
For most Tricare members, this update will only become relevant if emergency ambulance transportation includes a medically necessary blood transfusion before arriving at the hospital.
This demonstration primarily changes how eligible ambulance providers are reimbursed by Tricare. It does not mean every ambulance transport will include a new charge.
If you ever need this type of emergency care, any out-of-pocket costs will continue to depend on your Tricare plan and the circumstances of your care. Under this demonstration, the Federal Register establishes a separate cost share for Tricare for Life members on the blood-transfusion add-on amount—not on the entire ambulance bill.
The demonstration is currently scheduled to run from January 1, 2027, through December 31, 2031.
Official Federal Register notice:
https://www.federalregister.gov/documents/2026/07/06/2026-13515/tricare-demonstration-project-for-tricare-ambulance-add-on-reimbursement-for-pre-hospital-blood
Information current as of August 5, 2026.
The Tricare for Life Care Initiative is an independent 501(c)(3) nonprofit organization dedicated to educating military families and beneficiaries about their healthcare benefits. We’ll continue monitoring official legislative, regulatory, and policy developments that may affect military healthcare and will share factual, educational updates as they become available.
The DoD (referred to herein as "the Department", "Department of War" or "DoW") is announcing a new demonstration project under the TRICARE program, titled the "TRICARE Demonstration Project for Pre-Hospital Blood Transfusion Ambulance Add-On Reimbursement," also called "The TRICARE PHBT...