The admissions process for treatment can be stressful — and understandably so. Not knowing your coverage and all the details of your insurance plan add to that stress. This is why we handle your admission with care and compassion. If you have TRICARE, here is information about TRICARE accepted drug rehab, and we invite you to call our admissions team as they would be happy to speak with you – (800) 270-4315.

What Types of Health Insurance Plans Does TRICARE Offer?

TRICARE offers a variety of health insurance plans, which include:

TRICARE Accepted Drug Rehab

  • TRICARE Prime
  • TRICARE Standard and Extra
  • TRICARE Standard Overseas
  • TRICARE for Life
  • TRICARE Reserve Select
  • TRICARE Retired Reserve
  • TRICARE Young Adult
  • US Family Health Plan

The type of plan you have depends on what type of situation you are in. For instance, Prime is available in prime geographical areas. Some individuals may have to pay annual enrollment fees. Coverage availability is based on an individual’s zip code. Also, TRICARE Prime Remote is available in remote areas in the US. TRICARE Prime Overseas is available at locations near hospitals overseas. Finally, TRICARE Prime Remote Overseas is available in specific locations overseas.

Does TRICARE Cover Drug and Alcohol Detox?

Yes, TRICARE covers drug and alcohol detox. In fact, the Affordable Care Act mandates that insurance providers must provide some coverage for mental health services. This includes coverage for substance use disorders.

Note that TRICARE covers treatment that is medically necessary. This means that domiciliary and aversion therapy is not within the scope of what is considered medically necessary. Yet, most other services do fall under the umbrella of necessary treatment. This means that your treatment is most likely taken care of.

What Are Some of the Benefits That TRICARE Offers for Addiction Treatment?

TRICARE covers many treatment options. These allow patients to get treatment for drug and alcohol detox. According to their plan, TRICARE offers the following:

  • Inpatient Services (Emergency and Non-Emergency)
  • Intensive Outpatient Services
  • Partial Hospitalization Programs
  • Residential Substance Use Disorder Treatment
  • Management of Withdrawal Symptoms (Detoxification)
  • Medication Assisted Treatment
  • Opioid Treatment Programs
  • Mental Health Therapeutic Services
  • Office-based Opioid Treatment

Since this is far from a comprehensive list, it is crucial you look over your individual policy — especially if there are any questions. Here is a bit more information that may help.

Emergency hospitalization inpatient services cover things like detoxification and stabilization. They may also cover emergency medical complications arising from a substance use disorder.

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For residential outpatient services, there are stipulations. Yet people with withdrawal symptoms — for example, those who have extreme distress or need inpatient treatment — may be considered. In some cases, those who need 24-hour monitoring are also considered.

General coverage on medical detox via partial hospitalization treatment falls under coverage. Or residential treatment is typically under the coverage umbrella.

Here are typical residential treatments and partial hospitalization programs covered:

  • Psychological assessments (for recognized psychiatric disorders but not for academic purposes)
  • Collateral visits (for information on test results, psychoeducation, instructions, etc.)
  • Substance use disorder therapy (group and individual), psychoanalysis (from certified providers)
  • Psychotropic drug treatment, electroconvulsive treatment (for certain mental health disorders)
  • Adjunctive treatments if these are part of specific programs. Examples of ancillary therapies include art, music, dance, occupational therapies, and more.

For residential inpatients, they need a DSM-5 formal diagnosis of substance use disorder. This should also fall under covered treatment.

Within partial hospitalization, there are certain criteria to meet. For example, if the patient doesn’t need 24-hour hospitalization, that patient cannot maintain treatment through outpatient services to qualify. If there is medical detox required, the patient has coverage. And if access to medical services is available, this too counts along with the former.

Will TRICARE Pay for My Entire Stay for Detox and Recovery?

According to their plan, they will pay for emergency and non-emergency inpatient services. This also includes partial hospitalization programs and residential substance use disorder treatment. As always, check your policy first. Or call and ask questions, but these are typical services covered according to their site. Of course, the length of your stay and recovery will vary from others. This depends on things like the state you live in, or even your individual insurance policy. There are always other considerations. Another thing to keep in mind is the area of treatments and assessments.

According to TRICARE, the following things are covered:

  • Collateral visits
  • Psychological assessments
  • Psychoanalysis
  • Psychoeducation
  • Group and individual substance use disorder therapy
  • Psychotropic drug treatment
  • Electroconvulsive treatment
  • Adjunctive treatments

How Do I Find Out If My TRICARE Insurance Policy Includes Coverage for Drug Rehab and Drug and Alcohol Detox?

You can pore over your policy or talk to TRICARE. Yet, the easiest way to find if your TRICARE insurance policy covers drug rehab and drug and alcohol detox is simple: Talk to one of our admissions specialists. Have your insurance information available when you call. We work directly with TRICARE on your behalf. And we find all applicable benefits based on your individual policy.

We realize that dealing with insurance can be not just a hassle but overwhelming. That is why we take the pressure off of you and work with the insurance company directly. This usually takes less than an hour. Just call Transformations Treatment Center at 800-270-4315 to get started. We’re just a phone call away and help you with the admissions process so you can focus on your recovery.

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