TRICARE West Insurance Coverage for Addiction Treatment


Covers Addiction Rehab and Substance Use Disorder Treatment.

TRICARE West Insurance

TRICARE West, as one of the three regional contractors, oversees the administration of the TRICARE health care program in the western United States, serving uniformed service members, retirees, and their families. Within its designated geographic area, TRICARE West offers essential healthcare services and support to eligible beneficiaries.

Does TRICARE West Insurance Cover Addiction Treatment?

Yes, TRICARE West Insurance includes addiction treatment within its comprehensive health care benefits. However, the specifics of coverage may vary depending on factors such as individual plans and the required treatment type.

In general, TRICARE West provides coverage for a variety of addiction treatment services, encompassing outpatient counseling, inpatient rehabilitation, detoxification programs, and medication-assisted treatment. It’s recommended that you review the precise coverage details outlined in your TRICARE West plan. For confirmation regarding the extent of addiction treatment coverage available to you or your dependents, feel free to reach out directly to TRICARE, or contact us to verify your benefits.

TRICARE West and Outpatient Addiction Treatment Care

Your TRICARE West insurance policy could cover a substantial portion of addiction recovery expenses. If you’re enrolled in either the High PPO or Standard PPO plans, most medically necessary rehabilitation costs are typically eligible for coverage, often with reduced copays and deductibles.

Moreover, these plans offer the flexibility to select treatment providers from either within or outside the TRICARE West network. It’s important to note that choosing a rehab provider outside of the network may result in higher copays and deductible charges.

With your TRICARE West health insurance policy, you may receive full coverage for treatment costs, or your plan may 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 provide complimentary, prompt, and confidential insurance verification services. Upon contacting us via call, text, or message, we conduct a personalized assessment of your addiction situation. Subsequently, we create a customized drug treatment plan tailored to your specific needs and aligned with your TRICARE West benefits. Following this, we coordinate with your insurance company to confirm the coverage of your benefits. This streamlined process allows you to plan your treatment journey without encountering unexpected out-of-pocket expenses.

Understanding TRICARE West Starts With Verifying Your Benefits

Some TRICARE West 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 West 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 West 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 West Insurance Plans in 2024

TRICARE West 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.