TRICARE Coverage for Addiction Treatment

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Does TRICARE cover rehab?

If you or a covered family member needs help with a substance use disorder, TRICARE can help. TRICARE covers many levels of care from inpatient to outpatient to help military families and uniformed members get healthy and stay strong so they are mission-ready. Depending on your situation, your policy may cover the addiction services that are medically necessary; detox, residential, partial hospitalization, intensive outpatient, outpatient and more. The fastest way to find out what will be covered is to call us now. We will run a verification of benefits on your behalf today. It is free, fast and 100% confidential.

TRICARE SUD Coverage

  • Inpatient services
  • Detoxification
  • Residential
  • Intensive Outpatient
  • Partial hospitalization (PHP)
  • Intensive Outpatient

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Does TRICARE Cover Inpatient Rehab?

TRICARE does cover emergency and non-emergency inpatient hospital care for substance abuse disorders. Inpatient services are made available for you if you need to stabilize, detox, or have any complications from your addiction.

Non-Emergency Inpatient Coverage for Addiction

ou have coverage for inpatient hospitalization for substance use disorders and other mental health through TRICARE. Inpatient care is there for you when you need around the clock care with medically monitored treatment.

You may get TRICARE approval for inpatient care if you are at risk of harming yourself or others due to your substance abuse. If an outpatient level of care is not adequate for your treatment needs, it would be appropriate to begin inpatient care.

Non-emergency inpatientcare may be necessary when you:

  • Need Detox
  • Need Stabilization
  • Can’t function at the outpatient level of care

Emergency Inpatient Coverage for Addiction

If you have a substance use disorder or SUD, TRICARE covers emergency inpatient hospital services for:

  • Detox
  • Stabilization
  • Other medical complications from SUD

Does tricare cover detox from alcohol and other drugs?

TRICARE covers detox to help you manage withdrawal symptoms while your body readjusts to a life free of drugs or alcohol. Medical detox is usually the initial step in addiction recovery. Withdrawal symptoms can be a challenge mentally, and physically-sometimes it can lead to relapse. Detoxification under qualified supervision helps keep painful symptoms in check and allows you to focus on your recovery from the start.

Detoxification

What Addiction Treatment Does TRICARE Cover?

TRICARE plans may cover all or part of treatment for substance abuse that includes:

  • Alcohol
  • Prescription opioids like Vicodin, Oxycontin, or Percocet
  • Heroin 
  • Benzodiazepines like Xanax or Valium
  • Cocaine
  • Stimulants like Adderall or Meth
  • Marijuana  

Take the first step today!

Call (855) 202-2138

Does TRICARE Cover Residential Treatment?

If your addiction stops you from normal functioning, you can’t function at an outpatient level of care and need 24-hour supervision, TRICARE may approve your residential care. Residential treatment can sometimes be part of the treatment plan. It sometimes is the second step right after you go through detox and may depend on the extent of use and level of structure and supervision deemed necessary. You are not expected to know the level of care you need. We can guide you through the confidential assessment so you can get the help you need.

Does TRICARE Cover Partial Hospitalization Treatment for SUD?

Your TRICARE does cover partial hospitalization (PHP) for substance use disorders? If you do not need 24-hour hospital care, you can function with structure, but your addiction keeps you from functioning normally, you may qualify for PHP. PHP can be part of an effective treatment plan. It can often be the second step after detox for those who don't need 24-hour care in a hospital setting.

Partial hospitalization may be necessary when you:

  • Have substance use disorder problems.
  • Function with professional support in some of your major life areas.
  • Don't need full-time hospital care.
  • Have an addiction that keeps you from normal functioning.
  • Require medically monitored management of withdrawal symptoms (detoxification) with direct access to medical services.
  • Are transitioning from an inpatient program or detox.
  • Are unable to maintain normal functioning at an outpatient level of care.

Take the first step today!

Call (855) 202-2138
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Tree House Recovery

The Tree House Way To Treat SUD: 

Tree House Recovery has helped many people with TRICARE insurance. Our holistic program is an approach that offers more than talk-therapy. We focus on sustainable health outcomes that rebuild your mind, body and spirit so you get healthy and stay sober.  Our goal is to ensure your experience in rehab is the first, only or last time needed.

Optimize your life:

  • PHYSICALLY FIT: Get stronger. Achieve the best physical shape of your life and learn to use movement to change brain chemistry and mood. 
  • MENTALLY FIT: Build a better perspective. Feel happier and healthier than you did before addiction.   
  • SOCIALLY FIT: Connect. Form a tight-knit band of brothers with your treatment peers to rely on for fun or support after treatment. 

Do Treatment Centers Need to Be In-Network?

Some TRICARE plans, such as TRICARE Reserve Select, TRICARE Young Adult, and TRICARE Prime Remote, can opt to receive treatment from an out-of-network provider, but the costs are higher than using an in-network provider. Other plans require you use an in-network provider. An in-network provider with TRICARE can offer you the least expensive coverage as the rates negotiated between a provider and the insurance plan are usually the best possible value. Also keep in mind that some providers will require payment up front for the entire cost of treatment and you may have to wait several weeks for TRICARE to reimburse you. This cost could range anywhere from hundreds of dollars for outpatient treatment to thousands of dollars for inpatient treatment.

Out-Of-Network vs In-Network Addiction Treatment

Beneficiaries can always choose TRICARE network providers. However, you may prefer to go to a center that is out-of-network. Fortunately, with TRICARE, you may find the provider that you want in their list non-network providers. You may receive higher out-of-pocket costs with a non-network provider, but that may not always be the case. Every situation is different. To find out what your policy covers at Tree House, call us anytime.

Where is TRICARE Accepted?

TRICARE provides health care for its members worldwide. In the US, TRICARE has two regions; TRICARE East and TRICARE West. TRICARE coverage outside the U.S. is called TRICARE Overseas. To see the list of TRICARE states, see below or click here

TRICARE West

Beneficiaries who live in the Western United States may fall under TRICARE West. See states below:

TRICARE East

Beneficiaries who live in the Eastern United States may fall under TRICARE East (note: the Eastern Region is now a merger of North and South). See states below:

How To Find a Rehab Center That Takes TRICARE

You have options if you want to find a recovery center that works with TRICARE. First, you can call the center of your choice directly. Ask them if they can check your benefits. They should be happy to help you by verifying your benefits. Or, you can visit a TRICARE website and search for coverage in-network, and non-network providers through their provider portal. Realizing that you need help and reaching out is a huge step in recovery, and we understand that it finding the right treatment center can feel overwhelming. Just know that you have TRICARE and many rehabs that are here to help you navigate your next steps. Call us, and we will help you.

TRICARE Provider Directory 

For TRICARE approved residential treatment centers, detoxes, partial hospitalization rehabs, and other options see the links below:

TRICARE East provider portal

TRICARE West provider portal

Ready for change?

Start your journey today!
Call (855) 202-2138