TRICARE East Insurance Coverage for Addiction Treatment


Covers Addiction Rehab and Substance Use Disorder Treatment.

TRICARE East Insurance

TRICARE East is one of three regional contractors responsible for administering the TRICARE health care program for uniformed service members, retirees, and their families in the eastern United States. It provides health care services and support to eligible beneficiaries within its designated geographic area.

Does TRICARE East Insurance Cover Addiction Treatment?

Yes, TRICARE East Insurance covers addiction treatment as part of its comprehensive health care benefits. However, coverage specifics may differ depending on the individual’s plan, the type of treatment needed, and other factors.

Generally, TRICARE East offers coverage for a range of addiction treatment services, including outpatient counseling, inpatient rehabilitation, detoxification programs, and medication-assisted treatment. It’s advisable to check the specific coverage details of your TRICARE East plan. Contact TRICARE directly to confirm the extent of addiction treatment coverage available to you or your dependents, or call us to verify your benefits.

TRICARE East and Outpatient Addiction Treatment Care

Your TRICARE East insurance policy can assist with covering a significant portion of addiction recovery expenses. If you’re enrolled in the High PPO or Standard PPO plans, most rehabilitation costs deemed medically necessary are typically eligible for coverage. These plans may also feature reduced copays and deductibles.

Furthermore, these plans offer the flexibility to choose from in-network or out-of-network treatment providers. It’s essential to note that opting for a rehab provider outside of the TRICARE East network may lead to higher copays and deductible charges.

With your TRICARE East health insurance policy, you could have 100% coverage for treatment costs, or your plan could significantly reduce out-of-pocket expenses for drug and alcohol treatment services. Commonly covered rehab services include:

At Tree House Recovery in Costa Mesa, CA, we offer complimentary, swift, and confidential insurance verification services. When you reach out to us via call, text, or message, we conduct a personalized assessment of your addiction situation. Subsequently, we develop a tailored drug treatment plan aligning with your treatment needs and TRICARE East benefits. Following this, we liaise with your insurance company to verify the coverage of your benefits. This process enables you to plan your treatment journey without unexpected out-of-pocket expenses.

Understanding TRICARE East Starts With Verifying Your Benefits

Some TRICARE East policies might offer some of the most comprehensive coverage for addiction treatment. So, what are the next steps in exploring addiction recovery with your TRICARE East policy? First, you need to be assessed to determine the appropriate level of care. Then, you need to submit a verification of benefits (VOB) to see what your insurance covers.

What is a VOB?

A Verification of Benefits (VoB) is a process where a mental healthcare provider like Tree House determines a patient’s eligibility for health insurance benefits under their current plan. This is an essential step before receiving addiction treatment services so you know what your coverage will pay for and what your out-of-pocket expenses will be.

The purposes and benefits of a VOB include:

  • Understanding Coverage: 
  • Financial Planning:  
  • Preventing Billing Surprises: 
  • Streamlining Approval Processes: 
  • Facilitating Direct Billing:

How do I Verify My TRICARE East Benefits for Addiction Treatment?

Start the VOB process by calling us directly to work with a Tree House Admissions Expert or fill out our VOB web form. We collect some essential information and contact your insurance company to get a detailed breakdown of what your plan covers, the deductible, co-payments, co-insurance rates, and any other essential details you may need to know. Then, we will let you know what is covered and what is not. Start the recovery process today with a fast, free, confidential assessment.

Seven Types Of TRICARE East Insurance Plans in 2024

TRICARE East offers seven types of insurance plan options in 2024 to accommodate uniformed service members, retirees, and their families, depending on their diverse financial situations and health care needs. Tree House Recovery can help you verify your benefits to start building your customized treatment plan today.

TRICARE Prime: Managed care option offering the most affordable coverage. Available in stateside Prime Service Areas and overseas.

TRICARE Select: Self-managed care option offering the most freedom of choice. Available to most beneficiaries worldwide except active duty service members and certain others.

US Family Health Plan: A TRICARE Prime plan offered by not-for-profit health care systems in six areas of the United States.

TRICARE Reserve Select: A health plan available for purchase by qualified members of the Selected Reserve, their family members, and qualified survivors.

TRICARE Retired Reserve: A health plan available for purchase by qualified members of the Retired Reserve, their family members, and qualified survivors.

TRICARE Young Adult: A health plan that qualified adult children of eligible sponsors may purchase.

TRICARE For Life: Medicare wraparound coverage that begins automatically once you have Medicare Part A and Part B. Overseas, where Medicare doesn’t provide coverage, TFL is the primary payer.