Are you looking for a drug rehab that accepts TRICARE? TRICARE is a widely accepted form of health insurance. TRICARE, previously called the Civilian Health and Medical Program of the Uniformed Services, is a type of health insurance for military personnel and their families.
At FHE Health, we are proud to accept TRICARE, including TRICARE East, Select, and Prime. We are also a VA CCN community provider for mental health and substance use. To learn more about which types of TRICARE we accept, please contact our admissions office.
It takes only a few minutes for us to provide information and obtain a confidential, free verification of your benefits. If your benefits don’t match our services, we’re happy to give you a direct referral for your convenience. If you are a veteran, our team can also help you understand your care options beyond TRICARE.
What Is TRICARE Health Insurance? Who Uses It?
Finding a TRICARE rehab service can seem challenging, but it doesn’t have to be. TRICARE coverage applies to military service members and their families. That typically includes members of the United States Armed Services, such as:
- Air Force
- Navy
- Marine Corps
- Coast Guard
- National Guard
- Reserves
- Commissioned Corps
- U.S. Public Health Services
- Commissioned Corps of the National Oceanic and Atmospheric Administration
This coverage extends to military members, their immediate family, their survivors, and former spouses, as well as Medal of Honor recipients and their families.
Veterans often need care for more than one condition at once. Among veterans who served in Iraq and Afghanistan and were diagnosed with a substance use disorder, 82% to 93% were also diagnosed with a co-occurring mental health condition such as PTSD, depression, or anxiety, according to a peer-reviewed review. Coverage for behavioral health helps veterans get integrated treatment for both at once.
How Can TRICARE Help You?
TRICARE is a comprehensive health plan. There are several types, but most people will find that TRICARE covers alcohol and drug rehabilitation. TRICARE can provide coverage for:
Drug and Alcohol Detox
Most TRICARE policies cover detoxification services when a qualified medical center provides them. These locations offer a safe place to detox from chemical dependency.
Detox may include medications to reduce risks and withdrawal symptoms. TRICARE generally covers detox and these medical services for covered individuals.
Residential Treatment
When it comes to TRICARE rehab services, most policies also offer coverage for residential care. This includes urgent or acute situations as well as non-emergency care. If you or your loved one shows signs of a psychiatric emergency or is at high risk of suicide or overdose, TRICARE can provide financial assistance for immediate care to support your needs.
Most TRICARE policies cover residential care for a set number of days. This usually includes detox along with the time needed to medically and psychologically stabilize. If there are any complications, the policy covers those as well.
Some people need a short-term stay, whereas others require longer-term care to meet their medical needs. TRICARE allows doctors and counseling professionals to diagnose your condition, create a treatment plan, and begin that plan through residential services.
Intensive Outpatient Rehab
At approved TRICARE treatment facilities, intensive outpatient rehab is also covered. This type of care is designed for people with active addiction who may not need residential care. In this setting, you live at home but spend a significant amount of time receiving counseling and treatment at the location you select.
Intensive outpatient rehabilitation also benefits those transitioning from residential care back home. It offers a higher level of care than traditional counseling while helping people prepare for life during recovery.
TRICARE provides coverage to most individuals seeking outpatient care. This includes those with co-occurring mental health conditions such as anxiety, PTSD, and depression. Care in an intensive outpatient setting often combines addiction treatment and mental health treatment.
What Are Insurance Plans Obligated to Help with for Alcohol and Drug Addiction?
People with TRICARE are entitled to receive care for all of their health needs. This includes mental health conditions and addiction treatment. The Affordable Care Act of 2010 requires health insurance to offer care to patients who have substance use disorders or mental health conditions, as noted by the Substance Abuse and Mental Health Services Administration.
TRICARE, along with all other health insurance plans, must treat these conditions the same as any other health condition. Plans must provide coverage for diagnosis and treatment in an approved rehabilitation center. FHE Health is an approved center for this type of care under most TRICARE plans.
Types of TRICARE Plans
Several types of TRICARE coverage exist. You can determine which plan you have by looking at the name on your policy, which should be listed on your insurance card. You can also verify your plan at TRICARE.mil.
These are the main forms of TRICARE.
TRICARE Prime
Prime is a common form of TRICARE available in some key geographic areas. Coverage is based on your location but is generally available in large metro areas. TRICARE Prime Remote applies to those in more rural and remote regions of the United States. TRICARE Prime Overseas applies to some military families located overseas.
TRICARE Select
TRICARE Select is one of the most common forms, and it requires enrollment based on eligibility. It applies to most active-duty family members, retired service members, activated members of the Guard and Reserves, and non-activated Guard and Reserve members and families who qualify for the Transitional Assistance Management Program. TRICARE Select Overseas applies to these members stationed overseas.
TRICARE for Life
TRICARE for Life is available to those who are eligible for Medicare Part A and Part B. It works alongside Medicare for retirees and other eligible beneficiaries. You are responsible for Medicare Part B premiums.
TRICARE Reserve Select
TRICARE Reserve Select is a premium-based plan available worldwide. It applies to Select Reserve members and their families who are not on active-duty orders, not covered under the Transitional Assistance Management Program, and not enrolled in the Federal Employees Health Benefits program.
TRICARE Retired Reserve
This is another premium-based plan available worldwide to Retired Reserve members and their families. It applies to those retired from any Reserve component and under the age of 60. Family members also qualify.
Levels of Care Available to You Through TRICARE and FHE
Your TRICARE coverage can meet most of your needs for alcohol and drug rehabilitation, including:
- Emergency and hospital-based care
- Withdrawal medication during detox
- Full detox services
- Medication-assisted treatment, including support for medications such as Suboxone® for those with an opioid-related addiction
- Medical integration for those with medical complications
- Treatment assessments and onsite psychiatric evaluations
- Residential services
- Outpatient treatment
- Partial hospitalization services
TRICARE rehab coverage is comprehensive and meets the needs of most patients. The type of care you receive depends on your mental and physical health needs at the time of evaluation. Your treatment team at FHE Health determines the best level of care for you.
Keep in mind that TRICARE may not cover every service offered at FHE Health, such as certain wellness or counseling services for stress or marital needs. We can verify this coverage with your plan before providing services.
Getting Help When You Have TRICARE Insurance
FHE Health is here to help you understand your health insurance and get the care you need. We help from the moment you call, including verifying what your TRICARE plan covers.
We handle verification confidentially, and checking your benefits will not affect your coverage. If you are worried about work, know that job protections may be available. For eligible employees, the Family and Medical Leave Act can protect your job while you take time for treatment, and our admissions team can help you understand your options.
If you don’t have health insurance, we can talk through other payment options with you. Call and speak with an admissions counselor today to verify your benefits and learn what your TRICARE plan covers at FHE Health. Call us at (833) 596-3502.
